LARAE TYMOCHKO


Address: 1350 E Market St, Warren, OH 44483-6608
Phone: 3308419011

LARAE TYMOCHKO (NPI# 1013452622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013452622
Entity Type Individual
Full Name LARAE TYMOCHKO
Credential PA-C
Practice Address 1350 E Market St
Warren
OH 44483-6608
Mailing Address 1353 E Market St
Warren
OH 44483-6637
Practice Telephone 3308419011
Mailing Telephone 7244567587
Enumeration Date 2017-01-05
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
50.005833RX OH Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 N Oak Ave, Marshfield, WI 544495703 7153875511

Office Location

Street Address 1350 E MARKET ST
City WARREN
State OH
Zip Code 44483-6608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508850611 Ernest Depasquale Emergency Medicine 1350 E Market St, Warren, OH 44483-6608 2005-09-02
1215566005 Sterling Shriber II Student in an Organized Health Care Education/Training Program 1350 E Market St, Warren, OH 44483-6608 2020-04-03
1689201659 Ravi Shashank Patel Student in an Organized Health Care Education/Training Program 1350 E Market St, Warren, OH 44483-6608 2020-03-26
1861029506 Michael Aziz Student in an Organized Health Care Education/Training Program 1350 E Market St, Warren, OH 44483-6608 2020-03-24
1275160939 Sohail Merchant Student in an Organized Health Care Education/Training Program 1350 E Market St, Warren, OH 44483-6608 2020-03-24
1033744966 Pamela S, Evans Dietitian, Registered 1350 E Market St, Warren, OH 44483-6608 2020-03-11
1083249924 Apryl Elaine Hostetler Dietitian, Registered 1350 E Market St, Warren, OH 44483-6608 2020-03-11
1598328734 Monya Robinson Nurse Practitioner 1350 E Market St, Warren, OH 44483-6608 2019-04-14
1023570850 Vaishnavi Balendiran Student in an Organized Health Care Education/Training Program 1350 E Market St, Warren, OH 44483-6608 2019-04-01
1356802052 Muhamad Akram Festok Student in an Organized Health Care Education/Training Program 1350 E Market St, Warren, OH 44483-6608 2019-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417572850 Kimberly Lee Slater Peer Specialist 709 Mahoning Ave Nw, Warren, OH 44483 2020-06-11
1083239792 Krutarth Kandarp Pandya Student in an Organized Health Care Education/Training Program 1350 East Market Street 7th Floor, Warren, OH 44483 2020-06-09
1902435738 Peter Alexander Iskander Student in an Organized Health Care Education/Training Program 1350 E Market Street, 7th Floor, Warren, OH 44483 2020-04-03
1093344822 Matthew Jacob Student in an Organized Health Care Education/Training Program 1350 East Market Street, 7th Floor, Warren, OH 44483 2020-04-03
1306309638 Sameer Raj Joshi Student in an Organized Health Care Education/Training Program 1350 East Market Street, Warren, OH 44483 2019-04-12
1336619964 Alexis Valentino Nurse Practitioner 247 Oak Knoll Se, Warren, OH 44483 2018-11-27
1538656921 Biswaraj Tharu Student in an Organized Health Care Education/Training Program 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 2018-04-20
1790216448 Jeannie Gurich Substance Abuse Rehabilitation Facility 2737 Youngstown Warren Rd. Se, Warren, OH 44483 2017-03-24
1205388634 Laurie L Horvath Midwife 1651 E Market, Warren, OH 44483 2016-11-02
1235586264 Travis Robert Dickey Physical Therapist 4329 Mahoning Ave. Nw, Warren, OH 44483 2016-05-19
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508418260 Collin Dees Physician Assistant Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 2019-07-12
1811469968 Cody Tyler Delaney Physician Assistant 1711 27th St Ste 306, Portsmouth, OH 45662-2669 2018-12-28
1861936155 Surgical Fusion, LLC Physician Assistant 605 N High St # 237, Columbus, OH 43215-2024 2016-12-06
1225481690 Rebekah Keesee Physician Assistant 1045 Arundel Ave, Westerville, OH 43081-1188 2016-07-20
1568814382 Kristen Cipolla Physician Assistant 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 2016-07-05
1932560083 Adam Peckinpaugh Physician Assistant 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 2016-03-17
1710348701 Alex Blake Physician Assistant 10743 S State Route 133, Blanchester, OH 45107-9435 2016-03-17
1215319926 Richard Alan Stevenson Physician Assistant 187 Vine St, Fairborn, OH 45324-3324 2015-06-18
1548641038 Matthew Hamley Physician Assistant 2315 Birch Trace Dr, Youngstown, OH 44515-4914 2015-06-10
1588094148 Kevin W. Rotondo Physician Assistant 1732 Maple St, Wickliffe, OH 44092-2423 2013-11-19
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Competitor

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City WARREN
Zip Code 44483

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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