Individual provider Active NPI

Galina D Zhurakovski, MD

  • Psychiatry Physician
  • Perrysburg, OH
National Provider Identifier
1891754909
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.05.3537 Issued in OH
Practice address
27072 Carronade Drive
BCWC
Perrysburg, OH 43551-5300
Phone
(419) 872-2419
Fax
(419) 720-5223
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 235539-1 NY
Psychiatry Physician 2084P0800X 35.05.3537 OH Primary

Addresses

Primary practice location

27072 Carronade Drive
BCWC
Perrysburg, OH 43551-5300

Mailing address

P.O. Box 29
Behavioral Connections of Wood County (BCWC)
Bowling Green, OH 43402-0029
Phone (419) 352-5387

Other identifiers 1

IdentifierTypeStateIssuer
192MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
235539-1NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1891754909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 29",
            "address_2": "BEHAVIORAL CONNECTIONS OF WOOD COUNTY (BCWC)",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434020029",
            "telephone_number": "419-352-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27072 CARRONADE DRIVE",
            "address_2": "BCWC",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515300",
            "telephone_number": "419-872-2419",
            "fax_number": "419-720-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHURAKOVSKI",
        "first_name": "GALINA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "235539-1",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.05.3537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.