Active NPI
Pavel I Gerasimchuk
- Interpreter
- Greenacres, WA
National Provider Identifier
1386464931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interpreter
- License
- 11889
- Practice address
- 19511 E Micaview Dr
Greenacres, WA 99016-9643 - Phone
- (509) 499-2737
- NPI assigned
- Oct 16, 2024
- Last updated
- Oct 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interpreter | 171R00000X | 11889 | WA | Primary |
Addresses
Primary practice location
19511 E Micaview Dr
Greenacres, WA 99016-9643
Mailing address
19511 E Micaview Dr
Greenacres, WA 99016-9643
Phone (509) 499-2737
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11889 | WA | MD | Interpreter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1386464931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19511 E MICAVIEW DR",
"city": "GREENACRES",
"state": "WA",
"postal_code": "990169643",
"telephone_number": "509-499-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19511 E MICAVIEW DR",
"city": "GREENACRES",
"state": "WA",
"postal_code": "990169643",
"telephone_number": "509-499-2737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERASIMCHUK",
"first_name": "PAVEL",
"middle_name": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "171R00000X",
"taxonomy_group": "",
"desc": "Interpreter",
"state": "WA",
"license": "11889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.