Individual provider Active NPI

Ekaterina Passetchnik, M.D.

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1669702577
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01060658A Issued in IN
Practice address
US Dept Ofstate
M/Med/Qi, Sa-1
Washington, DC 20522-0001
Phone
(202) 663-2453
Fax
(202) 663-3247
NPI assigned
Dec 29, 2009
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01060658A IN Primary

Addresses

Primary practice location

US Dept Ofstate
M/Med/Qi, Sa-1
Washington, DC 20522-0001

Mailing address

US Dept Ofstate
M/Med/Qi, Sa-1
Washington, DC 20522-0001
Phone (202) 663-2453

Other names 1

  • Yekaterina Vitalyevna Pasechnik Other name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01060658AINMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1669702577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "US DEPT OFSTATE",
            "address_2": "M/MED/QI, SA-1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205220001",
            "telephone_number": "202-663-2453",
            "fax_number": "202-663-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US DEPT OFSTATE",
            "address_2": "M/MED/QI, SA-1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205220001",
            "telephone_number": "202-663-2453",
            "fax_number": "202-663-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSETCHNIK",
        "first_name": "EKATERINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01060658A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEKATERINA",
            "last_name": "PASECHNIK",
            "middle_name": "VITALYEVNA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.