Boguslawa Hyziak, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.059144 Issued in OH

Practice address

4439 State Route 159
Ste G10
Chillicothe, OH 45601-8207

Phone

(740) 779-4300

Fax

(740) 779-4390

NPI assigned

Jul 24, 2006

Last updated

Jun 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1356363261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "address_2": "SUITE 3",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-8234",
            "fax_number": "740-779-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159",
            "address_2": "STE G10",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018207",
            "telephone_number": "740-779-4300",
            "fax_number": "740-779-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYZIAK",
        "first_name": "BOGUSLAWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.059144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0761180",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Lynn Hutchinson, RN
• India Hutchison, CRNA, DNP
• Michelle L Hutchison
• Joshua Brooks Hyder
• Cassandra Hysell
• Barbara D. Ianni, D.O.
• Brian Andrew Ice
• Ideal Therapy and Wellness, LLC
• Tausif Iftekhar, DO
• Debria Imler, RN

• Pediatrics Physician in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.