DR. OLEG VOLCHONOK (NPI# 1275571945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275571945 |
| Entity Type | Individual |
| Full Name | DR. OLEG VOLCHONOK |
| Credential | M.D. |
| Practice Address |
11400 Bustleton Ave Philadelphia PA 19116-2815 |
| Mailing Address |
1618 Astor Dr Cherry Hill NJ 08003-3548 |
| Practice Telephone | 2159698446 |
| Practice Fax Number | 2159694451 |
| Mailing Telephone | 2159698446 |
| Mailing Fax Number | 2159694451 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MA 064781 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD 055985-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 0443857000 | 01 |
| PA | UNITED HEALTHCARE | 1761748 | 01 |
| PA | CIGNA | 2213876003 | 01 |
| PA | AETNA | 5764478 | 01 |
| PA | 0015313860007 | 05 | |
| NJ | AMERIHEALTH | 0443857000 | 01 |
| NJ | 7185201 | 05 |
| Street Address |
11400 BUSTLETON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19116-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710307087 | Oleg Antonov Md PC | Dermatology | 11400 Bustleton Ave, Philadelphia, PA 19116-2815 | 2014-04-24 |
| 1396186201 | Oleg Antonov Md PC | Specialist | 11400 Bustleton Ave, Philadelphia, PA 19116 | 2013-07-09 |
| 1780962795 | Rds Rehabilitation Associates, P.C. | Specialist | 11400 Bustleton Ave, Philadelphia, PA 19116-2815 | 2011-07-25 |
| 1790951390 | Oleg Volchonok, Md, PC | Internal Medicine | 11400 Bustleton Ave, Philadelphia, PA 19116-2815 | 2008-05-02 |
| 1841481561 | Oleg Antonov | Family Medicine | 11400 Bustleton Ave, Philadelphia, PA 19116-2815 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334466 | Ambassador Home Care Services LLC | Homemaker | 118080 Bustleton Av, Suite 301, Philadelphia, PA 19116 | 2020-07-23 |
| 1669919445 | Lenore Pierce Bailey | Social Worker | 15100 Dahlia Drive, Philadelphia, PA 19116 | 2017-01-31 |
| 1477938991 | Jessica Gabriela Dashevsky | Counselor | 467 Parlin St, Philadelphia, PA 19116 | 2015-07-27 |
| 1174949697 | Absolute Therapy Care LLC | Physical Therapist | 10125 Verree Rd Ste 100, Philadelphia, PA 19116 | 2014-03-07 |
| 1790107936 | Philmont Homecare, LLC | Home Health | 14500 Bustleton Avenue, Suite 208, Philadelphia, PA 19116 | 2014-01-07 |
| 1417381609 | Able Ambulance Inc. | Ambulance | 1017 Haldeman Ave., Philadelphia, PA 19116 | 2013-08-25 |
| 1821356718 | Timur Kakhramanov | Nurse Practitioner | 301 W.byberry Rd, Unit F-6, Philadelphia, PA 19116 | 2012-04-27 |
| 1982975173 | Simon Perelshteyn | Internal Medicine | 10172 Verree Rd, Philadelphia, PA 19116 | 2012-01-19 |
| 1841574449 | Irene Feldman | Pharmacist | 10000 Busteloton Ave, Philadelphia, PA 19116 | 2011-10-03 |
| 1992095590 | Long Life Ambulance, LLC | Ambulance | 10065 Sandmeyer Lane, 103, Philadelphia, PA 19116 | 2011-04-15 |
| Find all providers in zip 19116 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1013150796 | Richard Mao Wu | Internal Medicine | 132 S. 10th Street, Main Bldg, Ste 430, Philadelphia, PA 19107 | 2009-04-11 |
| 1811148430 | Kian Makipour | Internal Medicine | 3401 North Broad St, Philadelphia, PA 19130 | 2008-10-01 |
| 1982865127 | Shivan Jatin Mehta | Internal Medicine | 423 Guardian Dr, Blockley Hall 1137, Philadelphia, PA 19104-4865 | 2008-06-20 |
| 1730204355 | Rahul Anand Nathwani | Internal Medicine | 132 S 10th St Ste 480, Philadelphia, PA 19107-5244 | 2007-03-20 |
| 1386729705 | Blake Gastroenterology Associates, LLC | Internal Medicine | 6827-31 Germantown Ave, Philadelphia, PA 19119-2113 | 2006-10-25 |
| 1942393830 | John Patrick Lynch | Internal Medicine | 415 Curie Blvd, 600 Crb, Philadelphia, PA 19104-4306 | 2006-10-02 |
| 1962428433 | Keith Joseph Buhl | Internal Medicine | 1403 Rhawn Street, Philadelphia, PA 19111-2430 | 2006-07-15 |
| 1366476020 | Michael J Rosner | Internal Medicine | 4242 Cottman Ave, Philadelphia, PA 19135-1118 | 2006-07-10 |
| 1558300152 | Xiaoli Ma | Internal Medicine | 121 N 9th St, Philadelphia, PA 19107-2410 | 2006-06-06 |
| 1730154774 | David Alan Sass | Internal Medicine | 132 South 10th Street, 480 Main Building, Philadelphia, PA 19107 | 2006-02-22 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19116 |
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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.