Igor I Grechukha

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0030739 Issued in OH

Practice address

8351 N High St Ste 155
Columbus, OH 43235-1409

Phone

(614) 664-3595

NPI assigned

Feb 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lutheran Social Services of Central Ohio, Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1801317102
  Medicare reassignment NPD
• Lutheran Social Services of Central Ohio Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1437621331
  NPD
• Providers for Healthy Living

  • Psychiatry Physician
  • Columbus, OH
  • NPI 1083905830
  NPD
• Providers for Healthy Living

  • Psychiatry Physician
  • Hilliard, OH
  • NPI 1811560899
  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1609407154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 GLOBE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 N HIGH ST STE 155",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351409",
            "telephone_number": "614-664-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECHUKHA",
        "first_name": "IGOR",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0030739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Columbus Periodontics, LLC, Ryan J. Serra, DMD, Ms
• Greater Columbus Regional Dialysis LLC
• Greater Columbus Sleep and Wellness
• Greater Hands Home Care Services LLC
• Dena Greathouse
• Carol J Greco, M.D.
• Christian Silvio Greco, D.O.
• Jessica Marie Greco, MD
• Laurie A. Greco, PHD
• Nicholas Joseph Greco, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.

Verify at the official NPI Registry.