| NPI | 1275571945 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-06-03 |
| Last Updated | 2014-10-02 |
| Mailing Address | 1618 Astor Dr Cherry Hill, NJ 08003-3548 United States Phone: (215) 969-8446 | Fax: (215) 969-4451 📍 View Map |
| Primary Practice Address | 11400 Bustleton Ave Philadelphia, PA 19116-2815 United States Phone: (215) 969-8446 | Fax: (215) 969-4451 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 0015313860007 | - |
| Other (non-Medicare) | PA | 0443857000 | INDEPENDENCE BLUE CROSS |
| Other (non-Medicare) | NJ | 0443857000 | AMERIHEALTH |
| Other (non-Medicare) | PA | 1761748 | UNITED HEALTHCARE |
| Other (non-Medicare) | PA | 2213876003 | CIGNA |
| Other (non-Medicare) | PA | 5764478 | AETNA |
| MEDICAID | NJ | 7185201 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RG0100X – Internal Medicine, Gastroenterology | PA | MD 055985-L |
| No | 207RG0100X – Internal Medicine, Gastroenterology | NJ | MA 064781 |
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About NPI 1275571945
Oleg Volchonok M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275571945. The primary specialty listed is Internal Medicine, Gastroenterology. The provider is located in Philadelphia, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1275571945?
NPI 1275571945 belongs to Oleg Volchonok M.D., a Internal Medicine, Gastroenterology in Philadelphia, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1275571945 active?
The current status of NPI 1275571945 in the NPPES registry is Active. The record was last updated on 2014-10-02.
What specialty is NPI 1275571945?
NPI 1275571945 is classified under the taxonomy Internal Medicine, Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1275571945?
You can verify NPI 1275571945 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1275571945?
The primary practice address on file for NPI 1275571945 is 11400 Bustleton Ave, Philadelphia, PA 19116-2815. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1275571945 issued?
NPI 1275571945 was first issued (enumerated) on 2006-06-03. The NPPES record was last updated on 2014-10-02.
Practice Location Map
Oleg Volchonok is located at 11400 Bustleton Ave, Philadelphia, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Oleg Volchonok. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1275571945. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Gastroenterology | MD 055985-L | PA |
| Internal Medicine, Gastroenterology | MA 064781 | NJ |