Nikolay Korneychuk

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

337700 Issued in SC

Practice address

111 S Congress St
York, SC 29745-1836

Phone

(803) 684-0035

NPI assigned

Mar 27, 2015

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1770977613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 COMPTON BRIDGE RD",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293498482",
            "telephone_number": "864-804-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S CONGRESS ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451836",
            "telephone_number": "803-684-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNEYCHUK",
        "first_name": "NIKOLAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "337700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Kinard
• Harriett Shuler Kinsey, RN
• Anna Klipa
• Zachary Alexander Knecht
• Beth D Kophazi, MCD
• Taylor Kriley
• Ben Krug, D.C.
• Cassidy Marie Labrec
• Jennifer B Lemmon, OD
• Shawna Lewis, FNP

• Student in an Organized Health Care Education/Training Program in York, SC
• Providers in York, SC by specialty
• Student in an Organized Health Care Education/Training Program in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.