Individual provider Active NPI

Alexander Oleynikov, ARDMS

  • Cardiology Technician
  • Buffalo Grove, IL
National Provider Identifier
1205023140
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
License
32953 Issued in IL
Practice address
1215 Old McHenry Rd
Suite 130a
Buffalo Grove, IL 60089-1370
Phone
(847) 223-9494
Fax
(847) 205-9722
NPI assigned
Sep 25, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology Technician 246W00000X 32953 IL Primary
Other Technician 247200000X 32952 IL

Addresses

Primary practice location

1215 Old McHenry Rd
Suite 130a
Buffalo Grove, IL 60089-1370

Mailing address

609 Academy Dr
Northbrook, IL 60062-2420
Phone (847) 223-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32953ILMDCardiology Technician
32952ILMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cosmetic Institute Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1205023140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ACADEMY DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622420",
            "telephone_number": "847-223-9494",
            "fax_number": "847-205-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 OLD MCHENRY RD",
            "address_2": "SUITE 130A",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891370",
            "telephone_number": "847-223-9494",
            "fax_number": "847-205-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEYNIKOV",
        "first_name": "ALEXANDER",
        "credential": "ARDMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": "IL",
            "license": "32953",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "IL",
            "license": "32952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.