MR. ADOLPH MICHAEL WYCHULIS (NPI# 1023001617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023001617 |
| Entity Type | Individual |
| Full Name | MR. ADOLPH MICHAEL WYCHULIS |
| Credential | MD |
| Practice Address |
24 S Main St Shenandoah PA 17976-2331 |
| Practice Telephone | 5704621033 |
| Practice Fax Number | 5704621171 |
| Mailing Telephone | 5704621033 |
| Mailing Fax Number | 5704621171 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD418365 | PA | Other Service Providers |
| Street Address |
24 S MAIN ST |
| City | SHENANDOAH |
| State | PA |
| Zip Code | 17976-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063561041 | Main Street Medical Center Inc | Internal Medicine | 24 South Main Street, Shenandoah, PA 17976 | 2007-01-09 |
| 1518417690 | Eric E. Petterson P.C. | Internal Medicine | 1 S Main St, Shenandoah, PA 17976 | 2016-10-12 |
| 1770875940 | Patricia Ce Domin-shorten | Pharmacist | 42 Main Street, Rite Aid Pharmacy, Shenandoah, PA 17976 | 2011-05-06 |
| 1962603605 | Alexine M Rajnic | Speech-Language Pathologist | 101 E Washington St, Shenandoah Manor Nursing Home, Shenandoah, PA 17976 | 2007-05-30 |
| 1003296997 | Sherley Vasquez | Physical Therapist | 201 Swatara Rd, Shenandoah, PA 17976-1232 | 2015-06-04 |
| 1730139460 | Trinity Mission of Shenandoah Heights, LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2006-05-11 |
| 1902404569 | Shenandoah Heights Healthcare LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2020-10-15 |
| 1215579925 | Morgan Rae Aulenbach | Physical Therapist | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2019-10-14 |
| 1033665930 | Logan J. Zeitler | Occupational Therapist | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2016-08-30 |
| 1124484241 | Ridgeview Operations LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2016-01-05 |
| Find all providers in zip 17976 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134254741 | Women's Healthcare Affiliates, P. A. | Specialist | 9180 Pinecroft Drive, Ste 100, Shenandoah, TX 77380 | 2007-02-22 |
| 1932107067 | Marco A Giannotti | Specialist | 9180 Pinecroft Dr Ste 100, Shenandoah, TX 77380 | 2005-07-12 |
| 1477551059 | Khoa Trong Nguyen | Specialist | 920 Medical Plaza Dr, Suite 380, Shenandoah, TX 77380-3260 | 2005-07-08 |
| 1285074047 | Evergreen Neurosurgery Center, Pllc | Specialist | 111 Vision Park Blvd Ste 260, Shenandoah, TX 77384 | 2013-06-26 |
| 1548418338 | Specialists for Women | Specialist | 9200 Pinecroft Dr, 350, Shenandoah, TX 77380-3279 | 2008-09-04 |
| 1255515235 | A. G. Moore M.d, P.a. | Specialist | 1120 Medical Plaza Dr, Suite 340, Shenandoah, TX 77380-3242 | 2007-12-26 |
| 1164604104 | Michelle A Hanes Mdpa | Specialist | 1120 Medical Plaza Dr, Suite 150, Shenandoah, TX 77380-3242 | 2007-12-01 |
| 1255513297 | Michelle M. Mulder, M.d.p.a. | Specialist | 1120 Medical Plaza Dr, Suite #150, Shenandoah, TX 77380-3242 | 2007-12-01 |
| 1326228115 | Blake A. Berryhill | Specialist | 9180 Pinecroft Dr Ste 100, Shenandoah, TX 77380-3880 | 2007-11-08 |
| 1326163916 | Womens Centre for Well Being Pa | Specialist | 1120 Medical Plaza Dr, 200, Shenandoah, TX 77380-3242 | 2007-03-20 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 17976 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.