DR. NYKOLAI VASIL PIDHORODECKYJ (NPI# 1861572364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861572364 |
| Entity Type | Individual |
| Full Name | DR. NYKOLAI VASIL PIDHORODECKYJ |
| Credential | MD |
| Practice Address |
484 S Miller Rd Suite 202 Fairlawn OH 44333-4176 |
| Mailing Address |
4280 Cobblestone Dr Copley OH 44321-2926 |
| Practice Telephone | 3308354545 |
| Practice Fax Number | 3308354575 |
| Mailing Telephone | 3306065514 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
35-079642 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
484 S MILLER RD SUITE 202 |
| City | FAIRLAWN |
| State | OH |
| Zip Code | 44333-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821077710 | Mark S. Obernesser | Dentist | 484 S Miller Rd, 2nd Floor, Fairlawn, OH 44333-4176 | 2006-01-10 |
| 1033414917 | The Center for Integrative Health LLC | Clinic/Center | 484 S Miller Rd, Suite 202, Fairlawn, OH 44333-4176 | 2011-01-24 |
| 1922303122 | Kevin Becnel | Counselor | 484 S Miller Rd, Suite 202, Fairlawn, OH 44333-4176 | 2011-01-19 |
| 1598968174 | Linda Brashear Md, Inc. | Internal Medicine | 484 S Miller Rd, Suite 201, Fairlawn, OH 44333-4176 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916330 | First Horizon Solutions, LLC | Internal Medicine | 3730 Tabs Dr Ste 102, Uniontown, OH 44685-9562 | 2017-07-27 |
| 1558800193 | Cleanslate Medical Group of Ohio LLC | Internal Medicine | 4488 W Broad St Ste 3, Columbus, OH 43228-5610 | 2017-02-15 |
| 1841238094 | Christopher T. Meyer | Internal Medicine | 75 Hospital Dr Ste 350, Athens, OH 45701-2867 | 2006-06-02 |
| 1417933490 | James Frederick Guenther | Internal Medicine | 1319 E Main St, Lancaster, OH 43130-4005 | 2005-12-21 |
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1639170509 | Patrick Bruno | Internal Medicine | 3535 Lee Rd, Shaker Heights, OH 44120-5122 | 2005-08-02 |
| 1649279373 | Anthony Dean Agra | Internal Medicine | 547 E 11th Ave, Columbus, OH 43211-2603 | 2005-07-15 |
| 1245233345 | Parag J Patel | Internal Medicine | 446 Morgan St, Cincinnati, OH 45206-2348 | 2005-05-23 |
| 1790382752 | Keyona Shine | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-10-02 |
| 1902413677 | Stacey Whitesel | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. NYKOLAI VASIL PIDHORODECKYJ.
| 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.