DR. OLEH I JACYKEWYCZ


Address: 1400 Independence Ave Sw, Rm: 1409-sbldg, Washington, DC 20250-0002
Phone: 2027203893

DR. OLEH I JACYKEWYCZ (NPI# 1700159803) 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) 1700159803
Entity Type Individual
Full Name DR. OLEH I JACYKEWYCZ
Credential M.D.
Practice Address 1400 Independence Ave Sw
Rm: 1409-sbldg
Washington
DC 20250-0002
Practice Telephone 2027203893
Mailing Telephone 2027203893
Enumeration Date 2012-02-21
Last Update Date 2012-02-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center MD6710 DC Ambulatory Health Care Facilities

Office Location

Street Address 1400 INDEPENDENCE AVE SW
RM: 1409-SBLDG
City WASHINGTON
State DC
Zip Code 20250-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710255047 Department of Agriculture Clinic/Center 1400 Independence Ave Sw, Medical Services - Room: 1409-sbldg, Washington, DC 20250-0002 2011-12-01

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1568904043 Washington Center for Weight Management and Research Clinic/Center 1828 18th St Nw Unit B, Washington, DC 20009-5576 2016-11-15
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Competitor

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City WASHINGTON
Zip Code 20250

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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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