NIKOLAI KINACHTCHOUK


Address: 4705 Towne Ctr, Suite 102, Saginaw, MI 48604-2818
Phone: 9897902984

NIKOLAI KINACHTCHOUK (NPI# 1306830963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306830963
Entity Type Individual
Full Name NIKOLAI KINACHTCHOUK
Credential M.D.
Practice Address 4705 Towne Ctr
Suite 102
Saginaw
MI 48604-2818
Practice Telephone 9897902984
Practice Fax Number 9897902983
Mailing Telephone 9897902984
Mailing Fax Number 9897902983
Enumeration Date 2005-09-09
Last Update Date 2008-09-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine NK065669 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4564863 05

Office Location

Street Address 4705 TOWNE CTR
SUITE 102
City SAGINAW
State MI
Zip Code 48604-2818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134496292 Jennifer Radewahn Physician Assistant 4705 Towne Ctr, Ste 102, Saginaw, MI 48604-2818 2011-11-17
1649597998 Ascension St. Mary's Hospital Plastic Surgery 4705 Towne Ctr, Suite 104, Saginaw, MI 48604-2818 2010-04-27
1063739654 Ascension St. Mary's Hospital Surgery 4705 Towne Ctr, Suite 104, Saginaw, MI 48604-2818 2010-04-22
1285806471 Jacob C. Ninan Md PC Internal Medicine 4705 Towne Ctr, Suite 204, Saginaw, MI 48604-2818 2008-03-27
1568630952 Jeffrey R Levin Md PC Psychiatry & Neurology 4705 Towne Ctr, Ste 302, Saginaw, MI 48604-2818 2008-02-19
1003004086 Michigan Advanced Neurology Center, Pllc Psychiatry & Neurology 4705 Towne Ctr, Ste. 201, Saginaw, MI 48604-2818 2007-10-04
1639263098 William John Pittas Plastic Surgery 4705 Towne Ctr, Suite 104, Saginaw, MI 48604-2818 2006-10-02
1851327159 Debasish Mridha Psychiatry & Neurology 4705 Towne Ctr, Suite 201, Saginaw, MI 48604-2818 2006-06-25
1982642898 Plasencia Family Medicine Pllc Family Medicine 4705 Towne Ctr, Suite 202, Saginaw, MI 48604-2818 2006-06-03
1760466346 Jorge Plasencia Family Medicine 4705 Towne Ctr, Suite 202, Saginaw, MI 48604-2818 2005-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366090318 Paulette Marie Giltrop Technician 2930 Eddy St, Saginaw, MI 48604 2019-09-03
1821419797 Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc Clinic/Center 4685 E. Mcleod Dr., Saginaw, MI 48604 2013-12-19
1245508811 Universal Health Group, Inc Chiropractor 4700 East Mcleod, Saginaw, MI 48604 2011-12-09
1982980751 Vivid Idea Rehab Home Health 2101 West Stoker Dr, Saginaw, MI 48604 2011-10-25
1518266683 Rashad H Leflore Driver 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 2011-03-15
1033392089 Raquel N. Dorin Physical Therapist 2716 Liberty, Saginaw, MI 48604 2007-12-13
1760604854 Matthew Thomas Kisabeth Optometrist 5650 Bay Road, Saginaw, MI 48604 2007-05-02
1861613556 Loretta O'donnell Pathology 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 2007-05-01
1265652325 Tracey M Mallek Physical Therapist 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 2007-04-30
1588783062 Harprabhjit Singh Internal Medicine 4680 Mcleod Dr E., Saginaw, MI 48604 2007-03-28
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639730963 Rawan A Amir Internal Medicine 3279 Schust Rd Apt 205, Saginaw, MI 48603-8104 2019-06-26
1639660095 Mi Health Physician Pllc Internal Medicine 33 White Tail Creek Rd Ste 3, Saginaw, MI 48638-5896 2018-05-22
1811486558 Mi Health Solutions PC Internal Medicine 3150 Hallmark Ct Ste 2, Saginaw, MI 48603-2173 2018-05-08
1174031298 Prime Internists Pllc Internal Medicine 3175 Christy Way S Ste 8, Saginaw, MI 48603-2210 2018-01-11
1790212637 Jamal Fadhel Internal Medicine 3875 Bay Rd Ste 4s, Saginaw, MI 48603-2423 2017-05-22
1972036317 Anam Ali Khan Internal Medicine 4705 Towne Centre Rd Ste 204, Saginaw, MI 48604-2819 2017-04-04
1003353350 Imran Mir Md Internal Medicine 3757 Prairie Creek Ln, Saginaw, MI 48603-1280 2017-01-25
1447510425 Covenant Medical Center, Inc Internal Medicine 1447 N Harrison, Saginaw, MI 48602 2012-05-23
1831412931 Connie J Braun Md Pllc Internal Medicine 2605 Weiss St, Saginaw, MI 48602 2010-03-04
1922238013 Sirisha Maddipatla Venkata Rama Internal Medicine 123 Ivanhoe Dr Apt J8, Saginaw, MI 48638-6440 2009-07-23
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Competitor

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City SAGINAW
Zip Code 48604

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Dataset Information

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.

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