VADZIM CHYZHYK (NPI# 1093128720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093128720 |
Entity Type | Individual |
Full Name | VADZIM CHYZHYK |
Credential | MD |
Practice Address |
409 W Oak St Carbondale IL 62901 |
Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
Practice Telephone | 6185294455 |
Practice Fax Number | 6183511287 |
Mailing Telephone | 6184575200 |
Enumeration Date | 2014-06-10 |
Last Update Date | 2020-10-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036.137880 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | STATE PHYSICIAN LICENSE | 036.137880 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
100 Dr Warren Tuttle Dr, Harrisburg, IL 629462718 | 6185294455 | 6183511287 |
Street Address |
409 W OAK ST |
City | CARBONDALE |
State | IL |
Zip Code | 62901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366445975 | Agnes Blanche Delaney | Physician Assistant | 409 W Oak St, Carbondale, IL 62901-1464 | 2005-05-27 |
1003466269 | Lukas Ward | Physician Assistant | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-09-18 |
1720632508 | Kaitlin Elizabeth Behnken | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-07-30 |
1356995401 | Cassandra Chambers | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-07-27 |
1992280598 | Corrie Lynn Farris | Physician Assistant | 409 W Oak St, Carbondale, IL 62901-1464 | 2018-09-28 |
1497255947 | Kimberly Hankins | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2018-02-20 |
1689029993 | Ashley L. Brown | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2016-04-25 |
1669833026 | Jessica Milburn | Nurse Practitioner | 409 W Oak St, Carbondale, IL 62901-1464 | 2016-03-14 |
1093193773 | Andrea Williams | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1414 | 2015-05-13 |
1730578535 | Desiree Castonguay | Physician Assistant | 409 W Oak St, 202, Carbondale, IL 62901-1414 | 2015-01-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
Find all providers in zip 62901 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275510240 | Lakshmi D Mizin | Internal Medicine | 187 Fallbrook St, Carbondale, PA 18407-1861 | 2005-12-29 |
1720632508 | Kaitlin Elizabeth Behnken | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-07-30 |
1356995401 | Cassandra Chambers | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-07-27 |
1689029993 | Ashley L. Brown | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2016-04-25 |
1093193773 | Andrea Williams | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1414 | 2015-05-13 |
1487096962 | Krishna Chaitanya Cherukuri | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2013-07-24 |
1790047736 | Stephen Otieno Awuor | Internal Medicine | 409 W Oak St, Carbondale, IL 62901 | 2012-06-14 |
1982983599 | Shahabuddin Mohammad | Internal Medicine | 409 W Oak St, Carbondale, IL 62901 | 2011-08-12 |
1891948014 | Gangadhar Rao Malasana | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2008-10-31 |
1891973418 | Arun J Shingala Md PC | Internal Medicine | 141 Salem Ave, Rm 301, Carbondale, PA 18407 | 2008-02-06 |
Find all providers in CARBONDALE |
City | CARBONDALE |
Zip Code | 62901 |
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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.