Tatyana Lytkina (NPI# 1255531042, PAC ID# 4880658996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1255531042 |
PAC ID by PECOS | 4880658996 |
Professional Enrollment ID | I20150203001177 |
Full Name | Tatyana Lytkina |
Organization Legal Name | THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION |
Address |
Corner of Route N12 and N 7 Fort Defiance AZ 86504-0589 |
Phone Number | 9287298256 |
Gender | F |
Credential | PA |
Graduation Year | 2001 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 0941336697 |
Number of Group Practice Members | 135 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
030071 | FORT DEFIANCE INDIAN HOSPITAL |
320038 | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES |
Address | Phone | Organization |
---|---|---|
Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 | 9287298256 | THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 69% | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION |
Physicians | 113 |
Name | Specialty | Organization | Address |
---|---|---|---|
Roderick R Byron | General Surgery | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Romulo L Parungao | Emergency Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Irina Andrushenko | Optometry | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Marina Victorovna Nedospasova | Nurse Practitioner | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Walter M Adam | Family Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
William D Beutel | General Surgery | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
James Edward Coyle | Internal Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Michael L Tutt | Internal Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Marco A Trigueros | Internal Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Kevin A Lewellen | Certified Registered Nurse Anesthetist (crna) | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Street Address |
CORNER OF ROUTE N12 AND N 7 |
City | FORT DEFIANCE |
State | AZ |
Zip | 86504-0589 |
Name | Specialty | Organization | Address |
---|---|---|---|
Roderick R Byron | General Surgery | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Romulo L Parungao | Emergency Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Irina Andrushenko | Optometry | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Marina Victorovna Nedospasova | Nurse Practitioner | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Walter M Adam | Family Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
William D Beutel | General Surgery | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
James Edward Coyle | Internal Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Michael L Tutt | Internal Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Marco A Trigueros | Internal Medicine | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Kevin A Lewellen | Certified Registered Nurse Anesthetist (crna) | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Dana C Brewer | Certified Nurse Midwife (cnm) | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Michael Ihsaan | Obstetrics/gynecology | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Michelle Kahn-john | Nurse Practitioner | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Samuel Bryan Wood | Nurse Practitioner | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Nazhone P Yazzie | General Surgery | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Melissa M Lester | Optometry | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Mohammad Akhavanheidari | General Surgery | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Dennis L Frew | Otolaryngology | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Claude C Perkins | Obstetrics/gynecology | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
June E Rhoda | Nurse Practitioner | The Fort Defiance Indian Hospital Board, Incorporation | Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 |
Find all physicians in zip 86504 |
City | FORT DEFIANCE |
Zip Code | 86504 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | FORT DEFIANCE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tatyana Lytkina.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.