Debra Gulyanics, DO
Individual provider Active NPI Family Medicine Physician · Chesterfield, IN
NPI 1376597302 · NPPES record last updated Oct 29, 2019
Key facts
- NPI
- 1376597302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02003656A (IN)
- Practice address
- 307 Western Dr
Chesterfield, IN 46017-1230 - Phone
- (928) 566-7460
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Water Internal Medicine Associates PC | Past | Accepting new patients | |
| Tizon Emergency Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
| London Bridge Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Havasu Emergency Physicians, PC | Emergency Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3054 | AZ | |
| Family Medicine Physician | 207Q00000X | 3054 | AZ | |
| Family Medicine Physician | 207Q00000X | 02003656A | IN | Yes |
Addresses
Primary practice location
307 Western Dr
Chesterfield, IN 46017-1230
Mailing address
307 Western Dr
Chesterfield, IN 46017-1230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326547 | Medicaid | AZ | |
| 100223740 | Medicaid | IN | |
| P01723956 | Other | IN | RR MEDICARE |
Other providers in Chesterfield, IN
- Sandra Lynn Baker
- Bradley P Laconi DDS PC
- Counseling Alternatives LLC
- David G Dewar
- Johnson Memorial Hospital
- Crystal Marie Kennedy
- Bradley Paul Laconi
- Lifestyles Homecare LLC
- Stachia Leigh Myers
All providers in Chesterfield, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.