Medinfoplatforma

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MEDINFOPLATFORMA

Practice address

47 N Weber Rd
Muskegon, MI 49445-2153

Phone

(410) 565-2813

NPI assigned

Apr 8, 2020

Last updated

Apr 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mykola Matsyuk, MD,DPTNPI 1710470380

Title

President

Phone

(410) 565-2813

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mykola Matsyuk, PT

  • Physical Therapist
  • Detroit, MI
  • NPI 1710470380
  NPD Authorized official

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1477172625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29660 CITY CENTER DR APT 4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932413",
            "telephone_number": "410-565-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N WEBER RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494452153",
            "telephone_number": "410-565-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINFOPLATFORMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "MATSYUK",
        "authorized_official_first_name": "MYKOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-565-2813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,DPT"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710470380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Meacham, NP
• Alayne Meade
• Audrey Elaine Meader, PSY.S
• Jamie Elizabeth Medema
• Medexpress Urgent Care, PC - Michigan (MedExpress Urgent Care - Muskegon, Henry St)
• John Meek, D.O.
• Mark E Meengs, M.D.
• Thomas Meier
• Meijer Inc (Meijer Pharmacy #232)
• Meijer Inc (Meijer Pharmacy #019)

• Physical Therapist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.