Ekaterina Kholyavka, NP-C | |
1120 E Broad St, Elyria, OH 44035-6306 | |
(440) 365-2600 | |
Not Available |
Full Name | Ekaterina Kholyavka |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1120 E Broad St, Elyria, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487109724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.019685 (Ohio) | Primary |
Entity Name | Wooster Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
Entity Name | Mobile Medical Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
Mailing Address | Practice Location Address |
---|---|
Ekaterina Kholyavka, NP-C 1957 Cooper Foster Park Rd, Amherst, OH 44001-1207 Ph: (440) 989-3801 | Ekaterina Kholyavka, NP-C 1120 E Broad St, Elyria, OH 44035-6306 Ph: (440) 365-2600 |
Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 | |
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312 | |
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Ms. Amy M. King, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454 | |
Teneisha Taquae Craighead, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-452-0740 |