IGOR MELNYCHUK (NPI# 1023104536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023104536 |
| Entity Type | Individual |
| Full Name | IGOR MELNYCHUK |
| Credential | M.D. |
| Practice Address |
14546 Old St Augustine Rd Suite 107 Jacksonville FL 32258 |
| Mailing Address |
P.o. Box 16292 Suite 107 Jacksonville FL 32245 |
| Practice Telephone | 9043522466 |
| Practice Fax Number | 9043522472 |
| Mailing Telephone | 9043522466 |
| Mailing Fax Number | 9043522472 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME88142 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
ME88142 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 268770401 | 05 |
| Street Address |
14546 OLD ST AUGUSTINE RD SUITE 107 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031524 | Overflow Health Alliance Inc | Internal Medicine | 3416 Moncrief Rd # 101, Jacksonville, FL 32209-4340 | 2020-04-14 |
| 1609201334 | Harry D. Marty Vigo | Internal Medicine | 15255 Max Leggett Pkwy Ste 4224, Jacksonville, FL 32218-7275 | 2013-09-12 |
| 1235351362 | Ramon Dizon Md Pa | Internal Medicine | 1200 Barrs Street, Jacksonville, FL 32204 | 2007-05-02 |
| 1730145608 | Sebastian Robert Stanciu | Internal Medicine | 2122 University Blvd S, Jacksonville, FL 32216-8937 | 2006-04-21 |
| 1326016536 | Ivan A Guerrero | Internal Medicine | 6817 Southpoint Pkwy Ste 802, Jacksonville, FL 32216 | 2006-03-14 |
| 1265426829 | Luis U Ramirez | Internal Medicine | 11555 Central Pkwy, Ste 200, Jacksonville, FL 32224-2691 | 2005-09-09 |
| 1518951441 | Robert J Catalla | Internal Medicine | 820 Prudential Dr Ste 515, Credentialing Department, Jacksonville, FL 32207-8207 | 2005-09-07 |
| 1750814414 | Sammer M. Elwasila | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2017-04-09 |
| 1417364563 | Mark Anthony Antonio Diaz | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2014-07-21 |
| 1447690987 | Kapil Vyas | Internal Medicine | 3 Shircliff Way Ste 625, Jacksonville, FL 32204-4776 | 2013-06-28 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on IGOR MELNYCHUK.
| 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.