Dmitry Byk MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME98584 Issued in FL

Legal business name

DMITRY BYK MD PA

Practice address

12515 Orange Dr Ste 801
Davie, FL 33330-4309

Phone

(954) 574-2804

Fax

(954) 284-0182

NPI assigned

Mar 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Byk, M.D.NPI 1194826511

Title

President

Phone

(954) 574-2804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dmitry Byk, M.D.

  • Psychiatry Physician
  • Davie, FL
  • NPI 1194826511
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1174864995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 ORANGE DR STE 801",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304309",
            "telephone_number": "954-574-2804",
            "fax_number": "954-284-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12515 ORANGE DR STE 801",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304309",
            "telephone_number": "954-574-2804",
            "fax_number": "954-284-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMITRY BYK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "BYK",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-574-2804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME98584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Davie, FL
• Providers in Davie, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.