JULIA KOSTYUK (NPI# 1558766188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558766188 |
| Entity Type | Individual |
| Full Name | JULIA KOSTYUK |
| Other Name | YULIA TKACHUK |
| Credential | FNP-BC |
| Practice Address |
1045 E Front St Buchanan MI 49107-8474 |
| Practice Telephone | 2696955540 |
| Mailing Telephone | 2696955540 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704309816 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704309816 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1045 E FRONT ST |
| City | BUCHANAN |
| State | MI |
| Zip Code | 49107-8474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538115233 | Cynthia Papendick Aprn Bc Inc | Registered Nurse | 1045 E Front St, Suite B2, Buchanan, MI 49107-8474 | 2006-05-25 |
| 1184176786 | Olivia Hemlock | Nurse Practitioner | 1045 E Front St, Buchanan, MI 49107-8474 | 2016-10-29 |
| 1003368713 | Southwest Vision Center Inc. | Optometrist | 1045 E Front St, Suite B4, Buchanan, MI 49107-8474 | 2016-10-28 |
| 1568911980 | Lakeland Medical Practices | Family Medicine | 1045 E Front St, Suite A, Buchanan, MI 49107-8474 | 2016-09-27 |
| 1639520851 | Lakeland Medical Practice | Family Medicine | 1045 E Front St, Suite A, Buchanan, MI 49107-8474 | 2016-06-29 |
| 1457743486 | Audrey Lynn Carrier | Family Medicine | 1045 E Front St, Buchanan, MI 49107 | 2015-02-27 |
| 1447530498 | Derek Allen Henderson | Physician Assistant | 1045 E Front St, Buchanan, MI 49107-8474 | 2011-08-23 |
| 1790932168 | Susan Jayne Smith | Physician Assistant | 1045 E Front St, Buchanan, MI 49107-8474 | 2008-08-27 |
| 1275687147 | Roy B Parke D.o. | Family Medicine | 1045 E Front St, Buchanan, MI 49107-8474 | 2007-01-22 |
| 1699885061 | Arlene Mae Saliba El Habre | Nurse Practitioner | 1045 E Front St, Buchanan, MI 49107-8474 | 2006-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447453188 | Ronald C Carr | Dentist | 802 East Front St, Ste 5, Buchanan, MI 49107 | 2007-06-08 |
| 1669696464 | Barbara A Starke | Registered Nurse | 804 E Front Street, Buchanan, MI 49107 | 2007-04-12 |
| 1558338368 | Respiratory Home Care & Convalescent Supply Inc | Durable Medical Equipment & Medical Supplies | 320 N Redbud Trail, Buchanan, MI 49107 | 2006-03-01 |
| 1255827382 | Kari Mitchell-coplen | Physical Therapy Assistant | 500 E 3rd St, Buchanan, MI 49107 | 2018-07-01 |
| 1790294064 | Red Bud Health Services LLC | Physical Therapist | 500 E 3rd St, Buchanan, MI 49107 | 2017-09-29 |
| 1740801653 | Sharon M Bradley | Nursing Care | 324 N Detroit St, Buchanan, MI 49107-1204 | 2020-05-01 |
| 1235526260 | Into His Rest Ministries | Social Worker | 102 Elizabeth St, Buchanan, MI 49107-1327 | 2015-04-16 |
| 1851443956 | Drs Steven and Brenda Smoke Od PC | Optometrist | 400 E Front St, Suite A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1306998919 | Brenda Dani Smoke | Optometrist | 400 E Front St Ste A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1275984908 | Adam Urbanski | Optometrist | 400 E Front St, Ste A, Buchanan, MI 49107-1403 | 2016-06-23 |
| Find all providers in zip 49107 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
| 1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
| 1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
| 1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
| 1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
| 1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
| 1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
| 1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
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| 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.