Active NPI
Roman Oleh Bilynsky, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Fort Leonard Wood, MO
National Provider Identifier
1588640346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- MD047815L
- Practice address
- 126 Missouri Avenue
Glwach - Attn: Credentials Office
Fort Leonard Wood, MO 65473-8952 - Phone
- (573) 596-0415
- Fax
- (573) 596-0524
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD047815L | PA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD047815L | PA | Primary |
| Neurodevelopmental Disabilities Physician | 2084P0005X | MD047815L | PA |
Addresses
Primary practice location
126 Missouri Avenue
Glwach - Attn: Credentials Office
Fort Leonard Wood, MO 65473-8952
Mailing address
126 Missouri Avenue (Box #1267)
Glwach - Attn: Credentials Office
Fort Leonard Wood, MO 65473-8952
Phone (573) 596-0415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Leonard Wood Army Community Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Saint Robert, MO
- NPI 1942529961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1588640346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 MISSOURI AVENUE (BOX #1267)",
"address_2": "GLWACH - ATTN: CREDENTIALS OFFICE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654738952",
"telephone_number": "573-596-0415",
"fax_number": "573-596-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 MISSOURI AVENUE",
"address_2": "GLWACH - ATTN: CREDENTIALS OFFICE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654738952",
"telephone_number": "573-596-0415",
"fax_number": "573-596-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILYNSKY",
"first_name": "ROMAN",
"middle_name": "OLEH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD047815L",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "PA",
"license": "MD047815L",
"primary": true
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "PA",
"license": "MD047815L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.