NPIMap

Organization Active NPI

Healthway Medical & Aesthetics PA

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1841911245
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEALTHWAY MEDICAL & AESTHETICS PA
Practice address
6101 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-1141
Phone
(917) 503-5354
Fax
(718) 373-4699
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dr. Irina Lelchuk, DO
Title
The Osteopathic Physician
Phone
(917) 642-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6101 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-1141

Mailing address

6101 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-1141
Phone (917) 503-5354

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1841911245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031141",
            "telephone_number": "917-503-5354",
            "fax_number": "718-373-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031141",
            "telephone_number": "917-503-5354",
            "fax_number": "718-373-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWAY MEDICAL & AESTHETICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "LELCHUK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "THE OSTEOPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "917-642-9026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.