IRINA GUTSALYUK PA NPI 1073522942

NPI Information

NPI: 1073522942
Provider Name: IRINA GUTSALYUK, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3931 LOUISANA AVE. S.
ST. LOUIS PARK, MN
ZIP 55426
Phone: (952) 993-2079
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Irina Gutsalyuk, PA is a surgical physician assistant in St. Louis Park, MN with 21 years of experience. Irina Gutsalyuk, PA NPI is 1073522942. 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:

3931 LOUISANA AVE. S.
ST. LOUIS PARK, MN
ZIP 55426
Phone: (952) 993-2079
Fax: (716) 887-5045

The NPI 1073522942 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 8/7/2006 and was last updated on 11/16/2012.

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	363AS0400X	Physician Assistant	Surgical	009810-1	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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