TARAS YURCHENKO


Address: 1100 Forrest Ave, Dover, DE 19904-3309
Phone: 3026744627

TARAS YURCHENKO (NPI# 1912559782) 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) 1912559782
Entity Type Individual
Full Name TARAS YURCHENKO
Credential PA-C
Practice Address 1100 Forrest Ave
Dover
DE 19904-3309
Practice Telephone 3026744627
Mailing Telephone 3026744627
Mailing Fax Number 3026744628
Enumeration Date 2019-07-11
Last Update Date 2019-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1100 FORREST AVE
City DOVER
State DE
Zip Code 19904-3309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861477077 Robert A Moyer Internal Medicine 1100 Forrest Ave, Dover, DE 19904-3309 2005-12-09
1215196027 Jinsong Zhang Internal Medicine 1100 Forrest Ave, Dover, DE 19904-3309 2008-06-06
1326227943 Jose Tuma-aid Internal Medicine 1100 Forrest Ave, Dover, DE 19904-3309 2007-10-31
1073614103 Infusion Solutions of Delaware Specialist 1100 Forrest Ave, Dover, DE 19904-3309 2006-09-25
1962507582 Rita Anne Lucey Clinical Nurse Specialist 1100 Forrest Ave, Dover, DE 19904-3309 2006-09-14
1760411698 Roberto Scaffidi Internal Medicine 1100 Forrest Ave, Dover, DE 19904-3309 2006-07-02
1568415909 Karen J Russell Nurse Practitioner 1100 Forrest Ave, Dover, DE 19904-3309 2006-05-18
1295702256 Nancy Jean Lemoi Physician Assistant 1100 Forrest Ave, Dover, DE 19904-3309 2006-03-08
1770550360 David Ramos Internal Medicine 1100 Forrest Ave, Dover, DE 19904-3309 2006-03-02
1699742585 Harjinder S Grewal Internal Medicine 1100 Forrest Ave, Dover, DE 19904-3309 2006-03-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215534318 Stanford Community Development Corporation, Inc Community Health Worker 111 South West Street, Suite 5, Dover, DE 19904 2020-10-02
1770145120 Cara May O'reilly Nurse Practitioner 540 S. Governors Ave, Ste 101a, Dover, DE 19904 2019-07-07
1639631716 Victoria Louise Sisson Physical Therapy Assistant 301 South Banning Street, Dover, DE 19904 2019-04-05
1336603091 Ashley Santana Counselor 32 West Lookerman Street, Suite #103, Dover, DE 19904 2019-01-28
1679059869 Vicdania Home Services Technician 1019 South Govenors Avenue, Dover, DE 19904 2018-07-11
1295221372 Pam Squared At Dover LLC Rehabilitation Hospital 1240 Mckee Road, Dover, DE 19904 2018-07-02
1871000869 Ronald Allen Beard Counselor 44 Carver Road, Dover, DE 19904 2017-12-29
1508376518 First State Orthopaedics, Pa Orthopaedic Surgery 285 Beiser Blvd, Ste 201, Dover, DE 19904 2017-10-04
1700325057 Center At Eden Hill LLC Skilled Nursing Facility 300 Banning Street, Dover, DE 19904 2017-02-20
1811352826 West Dover Dental, LLC Dentist 2 Greentree Drive, Dover, DE 19904 2015-12-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790119923 Sara Kay Proctor Physician Assistant 3228 San Jose Mission Dr, Dover, FL 33527-4746 2013-08-23
1003986837 Erin Chudzik-pryor Physician Assistant 125 Greentree Dr # 1, Dover, DE 19904-7648 2006-11-09
1073698619 Breckinridge Sievers Smith II Physician Assistant Kent General Hospital Emergency Department, 640 South State St., Dover, DE 19901 2006-10-25
1184643975 Denise Anne Hanley Gagnon Physician Assistant 701 Central Ave, Dover, NH 03820-3403 2006-07-19
1275507915 Paul Thomas Ciechoski Physician Assistant 175 Pickett Rd, Dover, PA 17315-3125 2006-02-16
1114410602 Sierra Rose Palochak Physician Assistant 1113 S State St, Dover, DE 19901-4112 2018-06-11
1841783479 Claire O'connell Physician Assistant 540 S Governors Ave Ste 101a, Dover, DE 19904-3530 2018-06-08
1386135887 Leland Davis IIi Physician Assistant 789 Central Ave, Dover, NH 03820-2526 2018-05-21
1962910604 Desiree Villeneuve Physician Assistant 789 Central Ave, Dover, NH 03820-2526 2018-01-16
1679098818 Jill A. Oliver Physician Assistant 770 Central Ave, Dover, NH 03820-3437 2017-08-09
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Competitor

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City DOVER
Zip Code 19904

Improve Information

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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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