Rostislav V Izhevskiy

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 60124536 Issued in WA

Practice address

12014 SE Mill Plain Blvd Ste 120
Vancouver, WA 98684-4044

Phone

(503) 761-2110

NPI assigned

Nov 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1174867030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 NE 148TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828376",
            "telephone_number": "360-852-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12014 SE MILL PLAIN BLVD STE 120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844044",
            "telephone_number": "503-761-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZHEVSKIY",
        "first_name": "ROSTISLAV",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60124536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Iverson, RN
• Connie ML Ivie, RDH
• Jennifer Searle Ivy, C.N.M.
• Uchendu Ezra Iwuanyanwu, OTD, OTR/L
• Anusha Iyer, DPM
• Izmirian Counseling, Professional Corporation
• Angela Alice Izmirian, PH.D.
• J J Miller Chiropractic
• J Ryan Moses DMD PS
• J Williams ENT, LLC

• Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.