IVAN SHVACHUK MD NPI 1154346393

NPI Information

NPI: 1154346393
Provider Name: IVAN SHVACHUK, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1101 NOTT ST
SCHENECTADY, NY
ZIP 12308
Phone: (518) 243-4000
Get Directions

Ivan Shvachuk, MD is a family medicine in Schenectady, NY with 40 years of experience. 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. Ivan Shvachuk, MD NPI is 1154346393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1101 NOTT ST
SCHENECTADY, NY
ZIP 12308-425
Phone: (518) 243-4000

The NPI 1154346393 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 7/12/2006 and was last updated on 7/8/2007.

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		240695	NEW YORK	Yes
2	207R00000X	Internal Medicine		240695	NEW YORK	X

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	11568824	OTHER		CAQH
2	4149461	OTHER	NEW YORK	MVP
3	10115093	OTHER	NEW YORK	CDPHP
4	240SD1	OTHER	NEW YORK	BLUE CROSS
5	070209000089	OTHER	NEW YORK	FIDELIS CARE
6	RB1117	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
7	000411953001	OTHER	NEW YORK	BSNENY
8	I61712	MEDICARE UPIN	NEW YORK

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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