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Active NPI 1194984443 Individual Practitioner Male Practitioner

Phil James Nyderek

Contractor - Home Modifications • Greenup, KY

Professional Overview & Biography Verified Profile Summary

Phil Nyderek is a registered healthcare professional specializing in Contractor - Home Modifications in Greenup, KY. Practice services are available at 103 ASHMOORE DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

103 Ashmoore Drive

Greenup, KY 41144

Telephone 7408216973
Fax 6064731389

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor - Home Modifications in Greenup, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Greenup, KY (8 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor - Home Modifications Primary Specialty

NUCC Taxonomy Code: 171WH0202X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2778632 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active May 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2015

Registered at 103 ASHMOORE DRIVE, GREENUP, KY 41144 (Tel: 7408216973)

📍
Updated Business Mailing Address May 12, 2015

Registered at 103 ASHMOORE DRIVE, GREENUP, KY 41144 (Tel: 7408216973)

👤
Provider Name / Credentials Updated May 12, 2015

Recorded as PHIL NYDEREK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2015

Contractor

🟢
Initial NPI Registration & Enumeration June 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194984443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2008
Last Update: May 12, 2015
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

103 Ashmoore Drive

Greenup, KY 41144

Phone: 7408216973

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.