VITALIY PETRYSHCHUK (NPI# 1609165349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609165349 |
| Entity Type | Individual |
| Full Name | VITALIY PETRYSHCHUK |
| Credential | SA-C |
| Practice Address |
800 W Central Rd Arlington Heights IL 60005-2349 |
| Mailing Address |
Po Box 543 Alpharetta GA 30009-0543 |
| Practice Telephone | 6789834479 |
| Practice Fax Number | 6786908160 |
| Mailing Telephone | 6789834479 |
| Mailing Fax Number | 6786908160 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
800 W CENTRAL RD |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407916 | Panayota P Kleinman | Internal Medicine | 800 W Central Rd, Northwest Community Hospital Medical Staff Office, Arlington Heights, IL 60005-2349 | 2005-06-16 |
| 1861043432 | Amit Patel | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-09-25 |
| 1457911562 | Manda Shae Smith | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-06-20 |
| 1992369201 | Melinda Beth Ficarra | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-04-23 |
| 1134687015 | Alok Salgia | Pharmacist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-03-08 |
| 1780140806 | Jessica Rose Urbach | Physician Assistant | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-02-13 |
| 1528539426 | Anastashia N Guillory | Registered Nurse | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2018-12-17 |
| 1457868689 | Brittany Ippensen | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2018-01-09 |
| 1871006239 | Northwest Community Hospital | Pharmacy | 800 W Central Rd, Suite 1100, Arlington Heights, IL 60005-2349 | 2017-11-08 |
| 1720519911 | Daniel Linden | Hospitalist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2017-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427498559 | Vasile F Corpodean | Specialist/Technologist, Other | 445 S Cleveland Ave, Arlington Heights, IL 60005-2165 | 2013-07-03 |
| 1275840357 | Anthony Adeniran | Specialist/Technologist, Other | 909 W Euclid Ave, Arlington Heights, IL 60005-1086 | 2010-09-09 |
| 1740524172 | Dale W Kunckel | Specialist/Technologist, Other | 309 E Rand Rd, Suite 347, Arlington Heights, IL 60004-3103 | 2012-11-26 |
| 1689966533 | Jsa of Illinois PC | Specialist/Technologist, Other | 309 E Rand Rd, Suite 347, Arlington Heights, IL 60004-3103 | 2011-05-11 |
| 1588953228 | Liduvino Nadela | Specialist/Technologist, Other | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2011-04-04 |
| 1861781502 | Maung Maung | Specialist/Technologist, Other | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2011-04-04 |
| 1962652917 | Joan P Kovach | Specialist/Technologist, Other | 880 W Central Rd, Suite 5500, Arlington Heights, IL 60005-2355 | 2008-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072288 | Jaime Viramontes Jr. | Specialist/Technologist, Other | 2725 Technology Dr, Lombard, IL 60148-5675 | 2020-08-06 |
| 1215545660 | Ghirri Health Care Inc | Specialist/Technologist, Other | 9101 Falcon Ridge Dr, Bridgeview, IL 60455-2608 | 2020-07-21 |
| 1649896606 | Eric Dupaya | Specialist/Technologist, Other | 6432 S Eberhart Ave, Chicago, IL 60637-3325 | 2020-06-24 |
| 1508482027 | Juan Carlos Diaz | Specialist/Technologist, Other | 1433 W Flournoy St Apt 3f, Chicago, IL 60607-3213 | 2020-06-20 |
| 1528682275 | Alan George | Specialist/Technologist, Other | 606 N Van Auken St, Elmhurst, IL 60126-1947 | 2020-05-28 |
| 1881215416 | Brianne O'leary | Specialist/Technologist, Other | 2413 Sunrise Cir, Aurora, IL 60503-6757 | 2020-05-05 |
| 1669006433 | Michael Howard Keller | Specialist/Technologist, Other | 414 Chapel St, Marengo, IL 60152-3016 | 2020-03-02 |
| 1205487543 | Muneif Abusaleh | Specialist/Technologist, Other | 10536 Forest Ln, Chicago Ridge, IL 60415-1820 | 2019-09-27 |
| 1831752773 | Bienvenido Camacho | Specialist/Technologist, Other | 7900 W Deerwood Dr, Palos Park, IL 60464-2155 | 2019-04-16 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
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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.