DR. MARK JAMES WASYLENKO M.D. NPI 1992793780

NPI Information

  • NPI: 1992793780
  • Provider Name: DR. MARK JAMES WASYLENKO, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 115 BRUSHY CREEK RD
    EASLEY, SC
    ZIP 29642
  • Phone: (864) 855-1633

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NPI Details

DR. Mark James Wasylenko, M.D. is a specialist in Easley, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Mark James Wasylenko, M.D. NPI is 1992793780. 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:

115 BRUSHY CREEK RD
EASLEY, SC
ZIP 29642-120
Phone: (864) 855-1633
Fax: (864) 855-1323

The enumeration date for this NPI number is 10/6/2005 and was last updated on 10/4/2011.

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
1174400000XSpecialistYes

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
1278069MEDICAIDSOUTH CAROLINA
2F50460MEDICARE UPIN
3F504606089MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

NPI Synchronization or Removal

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