Marina Ivashchenko, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48809 Issued in CO

Legal business name

MARINA IVASHCHENKO, MD, PC

Practice address

9898 Rosemont Ave Ste 103
Lonetree, CO 80124-4107

Phone

(303) 798-4404

Fax

(303) 468-0393

NPI assigned

Jul 1, 2010

Last updated

Jul 1, 2010By 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

Marina Ivashchenko, MDNPI 1235276593

Title

Owner Physician

Phone

(303) 798-4404

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marina Ivashchenko, MD

  • Family Medicine Physician
  • Lone Tree, CO
  • NPI 1235276593
  NPD Authorized official

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1831400134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 ROSEMONT AVE STE 103",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801244107",
            "telephone_number": "303-798-4404",
            "fax_number": "303-468-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 ROSEMONT AVE STE 103",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801244107",
            "telephone_number": "303-798-4404",
            "fax_number": "303-468-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA IVASHCHENKO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "IVASHCHENKO",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "303-798-4404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "48809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Manzanares, RN
• Amanda M Mardis, RN
• Alan Jay Margolis, M.D.
• Alexandra Marich
• Marina Ivashchenko, MD, PC
• Mark Perea MD PC
• Cheryl L Mark, N.P.
• Terri Lynn Markham, FNP
• Lindsay Anna Markwell, LMT
• Jeffrey Craig Marlatt, OD

• Family Medicine Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.