Stephen Gerald Wychock in Ashtabula - Pediatrics
Stephen Gerald Wychock - NPI 1760489413
Stephen Gerald Wychock is a Pediatrics in Ashtabula, Ohio. Stephen Gerald Wychock practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephen Gerald Wychock is 1760489413. The last update date is 2007-10-04.
Stephen Gerald Wychock's current location address is 607 Lake Ave, Ashtabula, Ohio. You can contact this provider via phone number 4409642035 and fax number 4409640699. The mailing address for Stephen Gerald Wychock is 607 Lake Ave, Ashtabula, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Gerald Wychock |
|---|---|
| Address | 607 Lake Ave, Ashtabula, Ohio |
| Phone Number | 4409642035 |
| Fax Number | 4409640699 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1760489413 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 607 Lake Ave |
|---|---|
| City | Ashtabula |
| State | Ohio (OH) |
| Post Code | 440043262 |
| Phone Number | 4409642035 |
| Fax Number | 4409640699 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT-6573 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P-12042976 | OH | MULTIPLAN | |
| 2160561 | OH | FIRST HEALTH | |
| 2361699 | OH | -- | |
| 233508 | PA | HEALTH AMERICA HEALTH ASS | |
| WY756076 | PA | HIGHMARK BC/BS | |
| 320301 | OH | ANTHEM BC/BS GROUP# | |
| 320302 | OH | ANTHEM BC/BS IND# | |
| 200346640-00 | OH | WORKERS' COMP GROUP# |
Post Comment/ Review Below
What is the Stephen Gerald Wychock's unique identification number?
The Stephen Gerald Wychock has been assigned the NPI (National Provider Identifier) Number 1760489413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Stephen Gerald Wychock is physically located?
The Stephen Gerald Wychock is physically situated at the following address: 607 Lake Ave, Ashtabula, OH, 440043262.
What is the Stephen Gerald Wychock's specialty and taxonomy code?
The Stephen Gerald Wychock's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760489413 to Stephen Gerald Wychock?
The Centers for Medicare & Medicaid Services originally issued the 1760489413 to Stephen Gerald Wychock on 2005-07-07.
When was the information pertaining to Stephen Gerald Wychock most recently updated or revised?
The details related to Stephen Gerald Wychock, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-04.
NPI Number: 1841294345
Address: 11435 Wellshire Commons Cir Apt 1808, Charlotte, NC