Debra Gulyanics, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02003656A Issued in IN

Practice address

307 Western Dr
Chesterfield, IN 46017-1230

Phone

(928) 566-7460

NPI assigned

May 22, 2006

Last updated

Oct 29, 2019By 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 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

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• Blue Water Internal Medicine Associates PC

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• London Bridge Emergency Physicians

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• Tizon Emergency Associates, PLLC

  • Emergency Medicine Physician
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  • NPI 1871729038
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1376597302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WESTERN DR",
            "city": "CHESTERFIELD",
            "state": "IN",
            "postal_code": "460171230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 WESTERN DR",
            "city": "CHESTERFIELD",
            "state": "IN",
            "postal_code": "460171230",
            "telephone_number": "928-566-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULYANICS",
        "first_name": "DEBRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "3054",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3054",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003656A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01723956",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326547",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100223740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Baker, MA, CCC-SLP
• Bradley P Laconi DDS PC
• Counseling Alternatives LLC
• David G Dewar, M.D.
• Johnson Memorial Hospital (The Waters of Chesterfield Skilled Nursing Facility)
• Crystal Marie Kennedy, MBA
• Bradley Paul Laconi, DDS
• Lifestyles Homecare LLC
• Stachia Leigh Myers, DON RN

• Family Medicine Physician in Chesterfield, IN
• Providers in Chesterfield, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.