Active NPI
Hryhory Yakymiv
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP018866
- Practice address
- 1500 Spruce St
Philadelphia, PA 19102-4502 - Phone
- (215) 790-3290
- NPI assigned
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP018866 | PA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | SP018866 | PA |
Addresses
Primary practice location
1500 Spruce St
Philadelphia, PA 19102-4502
Mailing address
1500 Spruce St
Philadelphia, PA 19102-4502
Phone (215) 790-3290
Other practice location 1
2026 N Broad St
Lansdale, PA 19446
Phone (215) 368-4434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| Minuteclinic Video Virtual Care, PLLC | Family | Current | Accepting new patients |
| Movn Health Medical Group PLLC | Past | Accepting new patients | |
| Openloop Healthcare Partners New Jersey PC | Past | Accepting new patients |
Locations (25 of 29)
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200
8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348
500 Ala Moana Blvd
Ste 7
Honolulu, HI 96813
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519
333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002
35 Village Rd
Ste 100
Middleton, MA 01949
Phone (978) 222-3131
16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776
525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208
1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191
170 Commerce Way
Ste 2003113
Portsmouth, NH 03801
101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122
100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902
10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338
1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303
18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575
1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290
101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244
180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1891310124
-
- General Practice Physician
- Jersey City, NJ
- NPI 1588335152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1043706880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024502",
"telephone_number": "215-790-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024502",
"telephone_number": "215-790-3290"
}
],
"practiceLocations": [
{
"address_1": "2026 N Broad St",
"address_purpose": "LOCATION",
"city": "Lansdale",
"state": "PA",
"postal_code": "19446",
"country_code": "US",
"telephone_number": "215-368-4434",
"fax_number": "215-361-7579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAKYMIV",
"first_name": "HRYHORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP018866",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP018866",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.