TATIANA MASYK MD NPI 1184624934

NPI Information

NPI: 1184624934
Provider Name: TATIANA MASYK, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6480 ROCKSIDE WOODS BLVD S STE 330
INDEPENDENCE, OH
ZIP 44131
Phone: (567) 316-6755
Get Directions

Tatiana Masyk, MD is a family medicine in Independence, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Tatiana Masyk, MD NPI is 1184624934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6480 ROCKSIDE WOODS BLVD S STE 330
INDEPENDENCE, OH
ZIP 44131-222
Phone: (567) 316-6755
Fax: (216) 238-9526

The NPI 1184624934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 8/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		35.072419	OHIO	No
2	207Q00000X	Family Medicine		4301069338	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2722265	MEDICAID	OHIO
2	4917088	MEDICAID	MICHIGAN
3	6088	OTHER		HPM
4	0804610531	OTHER	MICHIGAN	BCBS
5	03605	OTHER	MICHIGAN	PARAMOUNT
6	117183	OTHER		GLHP
7	117183	OTHER	MICHIGAN	CARE CHOICES
8	5418586	OTHER		AETNA
9	P00343617	OTHER		RRMC
10	000000491867	OTHER		ANTHEM
11	4623463	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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