Michael T Kolodychak (NPI# 1376519181, PAC ID# 6709780273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1376519181 |
| PAC ID by PECOS | 6709780273 |
| Professional Enrollment ID | I20031125000826 |
| Full Name | Michael T Kolodychak |
| Organization Legal Name | ARMANINI, KOLODYCHAK, AND BASILE, L.L.P. |
| Address |
4600 Zuck Rd Erie PA 16506-4932 |
| Phone Number | 8148382144 |
| Gender | M |
| Credential | DDM |
| Graduation Year | 2000 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 6709879984 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390063 | UPMC HAMOT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4600 Zuck Rd, Erie, PA 16506-4932 | 8148382144 | ARMANINI, KOLODYCHAK, AND BASILE, L.L.P. |
| Organization Legal Name | ARMANINI, KOLODYCHAK, AND BASILE, L.L.P. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Armanini | Oral Surgery | Armanini, Kolodychak, and Basile, L.l.p. | 4600 Zuck Rd, Erie, PA 16506-4932 |
| John D Basile | Maxillofacial Surgery | Armanini, Kolodychak, and Basile, L.l.p. | 4600 Zuck Rd, Erie, PA 16506-4932 |
| Street Address |
4600 ZUCK RD |
| City | ERIE |
| State | PA |
| Zip | 16506-4932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Armanini | Oral Surgery | Armanini, Kolodychak, and Basile, L.l.p. | 4600 Zuck Rd, Erie, PA 16506-4932 |
| John D Basile | Maxillofacial Surgery | Armanini, Kolodychak, and Basile, L.l.p. | 4600 Zuck Rd, Erie, PA 16506-4932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Copp | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 4855 W Ridge Rd, Saint Marys Home of Erie, Erie, PA 16506-1213 |
| Angela Nicole Kaiser | Nurse Practitioner | Wound Healing Solutions Pennsylvania and Delaware LLC | 4855 W Ridge Rd, Saint Marys Home of Erie, Erie, PA 16506-1213 |
| Zachariah D Kuchta | Diagnostic Radiology | Regional Health Services Inc | 5050 W Ridge Rd 3rd Floor, Imaging Center Magee Womens West Ridge, Erie, PA 16506-1216 |
| Ernestine A Thomas | Diagnostic Radiology | Regional Health Services Inc | 5050 W Ridge Rd 3rd Floor, Imaging Center Magee Womens West Ridge, Erie, PA 16506-1216 |
| Saima Ashraf | Obstetrics/gynecology | University of Pittsburgh Physicians | 5050 W Ridge Rd 3rd Floor, Magee Womens Specialties Hamot, Erie, PA 16506-1216 |
| Charles E Bathrick | Diagnostic Radiology | Regional Health Services Inc | 5050 W Ridge Rd 3rd Floor, Imaging Center Magee Womens West Ridge, Erie, PA 16506-1216 |
| Bethany H Brady | Optometry | 5350 W Ridge Rd, Erie, PA 16506-1222 | |
| Mark D Mustin | Chiropractic | 4425 W Ridge Rd, Mustin Chiropractic, Erie, PA 16506-1486 | |
| Matthew J Caster | Physical Therapy | Saint Vincent Rehab Solutions LLC | 4247 W Ridge Rd, Suite 104, Erie, PA 16506-1746 |
| Gregory S Little | Family Medicine | St Vincent Medical Education and Research Institute Inc | 4247 W Ridge Rd, 105 Allegheny Health Network Health and Wellness Pavil, Erie, PA 16506-1746 |
| Find all physicians in zip 16506 | |||
| City | ERIE |
| Zip Code | 16506 |
| Specialty | ORAL SURGERY |
| City + Specialty | ERIE + ORAL SURGERY |
Please comment or provide details below to improve the information on Michael T Kolodychak.
| 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.