Individual provider Active NPI

Tatiana Dicoby, D.O.

  • Obstetrics & Gynecology Physician
  • Tacoma, WA
National Provider Identifier
1114164696
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO.OP.61684184 Issued in WA
Practice address
1608 S J St FL 1
Tacoma, WA 98405-4930
Phone
(253) 274-7501
Fax
(253) 274-7991
NPI assigned
Jan 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 251119 NY
Obstetrics & Gynecology Physician 207V00000X DO.OP.61684184 WA Primary

Addresses

Primary practice location

1608 S J St FL 1
Tacoma, WA 98405-4930

Mailing address

1608 S J St FL 1
Tacoma, WA 98405-4930
Phone (253) 274-7501

Other names 1

  • Tetyana Voronyak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091109000295 NY Practitioner - Obstetrics/Gynecology 0941348122 Reassigns benefits to 5 organizations
I20260603004626 WA Practitioner - Obstetrics/Gynecology 0941348122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

1608 S J St
FL 1
Tacoma, WA 98405-4930
Phone (253) 274-7501

49 Lawrence Ave
Potsdam, NY 13676-1889
Phone (315) 261-5550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO.OP.61684184WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Dec 1, 2023 Accepting new patients
Upstate Community Medical, PC CurrentSince Mar 1, 2021 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Lewis County General Hospital CurrentSince Mar 25, 2024 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Canton-Potsdam Hospital CurrentSince Aug 30, 2009 Accepting new patients
Lewis County CurrentSince Mar 25, 2024 Accepting new patients
Canton-Potsdam Hospital CurrentSince Aug 30, 2009 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

49 Lawrence Ave
Potsdam, NY 13676
Phone (315) 261-5550

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

Interoperability endpoints

  • Direct secure messaging: tdicoby338554@direct.rochesterregional.org
  • Direct secure messaging: tdicoby200268@direct-guthrie.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1114164696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S J ST FL 1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054930",
            "telephone_number": "253-274-7501",
            "fax_number": "253-274-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 S J ST FL 1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054930",
            "telephone_number": "253-274-7501",
            "fax_number": "253-274-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICOBY",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "251119",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "DO.OP.61684184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TETYANA",
            "last_name": "VORONYAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.