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Deactivated NPI 1063758092 Deactivated / Inactive NPI Male Practitioner

Dr. Vladimir Bougaenko , PhD, ND, LAC

Acupuncturist • Spring Valley, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Vladimir Bougaenko has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2012
NPI Deactivation Date May 26, 2020
Total Practice Duration ~8 Years of Practice (2012 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Vladimir Bougaenko, PhD, ND, LAC was a registered Acupuncturist practicing in Spring Valley, NY. Throughout an active medical career spanning 8 years, Dr. Bougaenko provided care at the practice location at 7 S MYRTLE AVE until profile deactivation on 2020-05-26.

Practice Location & Contact Primary Location

Practice Address

7 S Myrtle Ave

Spring Valley, NY 109775543

Telephone 8453712740
Fax 8453712739

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Spring Valley, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Spring Valley, NY (4031 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

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License NY 000438-1

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 26, 2020

Record deactivated on May 26, 2020

NPI Profile Active December 19, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 19, 2012

Registered at 7 S MYRTLE AVE, SPRING VALLEY, NY 109775543 (Tel: 8453712740)

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Updated Business Mailing Address December 19, 2012

Registered at 7 S MYRTLE AVE, SPRING VALLEY, NY 109775543 (Tel: 8453712740)

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Provider Name / Credentials Updated December 19, 2012

Recorded as VLADIMIR BOUGAENKO, PH.D., N.D., L.AC.,

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2012

Acupuncturist (License #000438-1 in NY)

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Initial NPI Registration & Enumeration December 19, 2012

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: 1063758092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2012
Last Update: December 19, 2012
Deactivation Date: May 26, 2020

Mailing Address

7 S Myrtle Ave

Spring Valley, NY 109775543

Phone: 8453712740

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.