Igor Melnychuk MD PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

IGOR MELNYCHUK MD PA

Practice address

259 Rendezvous LN
Ponte Vedra, FL 32082-1253

Phone

(904) 388-3351

NPI assigned

Aug 27, 2007

Last updated

Aug 27, 2007By 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

Mr. Igor Melnychuk, MD

Title

President

Phone

(904) 388-3351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1609069228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2791",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320042791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 RENDEZVOUS LN",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320821253",
            "telephone_number": "904-388-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR MELNYCHUK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "MELNYCHUK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-388-3351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.