Elina Chernyak, DO

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

OP60945031 Issued in WA

Practice address

302 5TH St Ste 3
Clarkston, WA 99403-1801

Phone

(509) 769-2211

Fax

(509) 769-2210

NPI assigned

Aug 24, 2009

Last updated

May 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, UT, WA, ID, FL5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elina.chernyak@tsmh.medicity.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1598814352

  ID

  Medicare reassignment NPD
• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1760485221
  Medicare reassignment NPD
• Lake Hospital System Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1952339996
  Medicare reassignment NPD
• Moab Valley Healthcare, Inc

  dba Moab Regional Hospital

  • Critical Access Hospital
  • Moab, UT
  • NPI 1770513236

  Addiction Medicine

  Medicare reassignment NPD
• My Choice Operating Company LLC

  dba Mobile Medical

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1174112007
  Medicare reassignment NPD
• TMS Solutions Inc

  • Psychiatry Physician
  • Grand Junction, CO
  • NPI 1255732632

  ID, WA

  Medicare reassignment NPD
• Vannvei LLC

  • Multi-Specialty Clinic/Center
  • Lewiston, ID
  • NPI 1881200517
  Medicare reassignment NPD
• Tri-State Memorial Hospital

  • Community Based Hospice Care Agency
  • Clarkston, WA
  • NPI 1831100254

  Addiction Medicine

  NPD
• Tri-State Memorial Hospital

  dba Tri State Medical Clinics

  • Family Medicine Physician
  • Clarkston, WA
  • NPI 1932405693
  NPD
• Vannvei LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Clarkston, WA
  • NPI 1124186804
  NPD
• Community Counseling Center of Ashtabula County

  • Adolescent and Children Mental Health Clinic/Center
  • Ashtabula, OH
  • NPI 1720029622
  NPD
• Lake Hospital System Inc

  dba PrimeHealth Ob/Gyn

  • Obstetrics & Gynecology Physician
  • Willoughby, OH
  • NPI 1841234762
  NPD

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1710110820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994030189",
            "telephone_number": "509-758-5511",
            "fax_number": "509-758-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 5TH ST STE 3",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031801",
            "telephone_number": "509-769-2211",
            "fax_number": "509-769-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 College Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015868",
            "country_code": "US",
            "telephone_number": "307-352-8125",
            "fax_number": "307-352-8126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERNYAK",
        "first_name": "ELINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WY",
            "license": "9521A",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "ID",
            "license": "OC-0034",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "34.010590",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS015088",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "9495192-1204",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "OP60945031",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "48154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared L Cattron, DMD
• Carol Chandler, NP
• Charles C Dwyer DC PC
• Andrea L Charles, LICSW
• Chastains Inc (Owl Tri-State Pharmacy)
• Donald Kenneth Chin, MD
• Daniel Christianson
• Brian Francis Ciezki, ACNP
• City of Clarkston (Clarkston Fire Department)
• Clarity of Mind Counseling LLC

• Addiction Medicine (Family Medicine) Physician in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Addiction Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.