ELINA CHERNYAK (NPI# 1710110820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710110820 |
| Entity Type | Individual |
| Full Name | ELINA CHERNYAK |
| Credential | DO |
| Practice Address |
302 5th St Ste 3 Clarkston WA 99403-1801 |
| Mailing Address |
Po Box 189 Clarkston WA 99403-0189 |
| Practice Telephone | 5097692211 |
| Practice Fax Number | 5097692210 |
| Mailing Telephone | 5097585511 |
| Mailing Fax Number | 5097583566 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
9495192-1204 | UT | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
OS015088 | PA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
34.010590 | OH | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
OC-0034 | ID | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
OP60945031 | WA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
9521A | WY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 48154 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1180 College Dr, Rock Springs, WY 829015868 | 3073528125 | 3073528126 |
| Street Address |
302 5TH ST STE 3 |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720406291 | Nicholas Phillips | Psychiatry & Neurology | 302 5th St Ste 3, Clarkston, WA 99403-1803 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
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| 1508322363 | Heal From Addiction, LLC | Family Medicine | 7 S Howard St Ste 210, Spokane, WA 99201-3816 | 2019-02-18 |
| 1366953630 | Ideal Option, Pllc | Family Medicine | 8921 E Alki Ave Ste 1, Spokane Valley, WA 99212-2705 | 2017-10-13 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1851816409 | Ideal Option, Pllc | Family Medicine | 406 Se 131st Ave Ste 104, Vancouver, WA 98683-4031 | 2017-08-04 |
| 1467903054 | Ideal Option, Pllc | Family Medicine | 1725 Continental Pl, Ste C, Mount Vernon, WA 98273-5693 | 2016-10-18 |
| 1912395211 | Consistent Care Services Spc, Ps | Family Medicine | 1612 4th St, Suite 200, Marysville, WA 98270-5045 | 2015-01-08 |
| 1558685925 | Central Washington Sleep Diagnostic Center, Pllc | Family Medicine | 2323 W Broadway Ave Ste 4, Moses Lake, WA 98837 | 2010-03-15 |
| 1497081855 | Jsn Inc | Family Medicine | 1135 Ellis St, Bellingham, WA 98225-5246 | 2009-10-20 |
| Find all providers with the same taxonomy | ||||
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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.