Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851107635 Individual Practitioner Male Practitioner

Edward Frazier Sirchuk

Peer Specialist • Harbor, OR

Professional Overview & Biography Verified Profile Summary

Edward Sirchuk is a registered healthcare professional specializing in Peer Specialist in Harbor, OR. Practice services are available at 15957 HIGHWAY 101 S STE 11 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15957 Highway 101 S Ste 11

Harbor, OR 974158507

Telephone 5418139142

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Harbor, OR

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

Practicing in Harbor, OR (3408 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

CMS Verified: 2024-12-07
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

NUCC Taxonomy Code: 251T00000X

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 07, 2024

NPI status registered as active in NPPES database

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Updated Practice Location December 07, 2024

Registered at 15957 HIGHWAY 101 S STE 11, HARBOR, OR 974158507 (Tel: 5418139142)

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Updated Business Mailing Address December 07, 2024

Registered at GENERAL DELIVERY, HARBOR, OR 974159999 (Tel: 5418139142)

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Provider Name / Credentials Updated December 07, 2024

Recorded as EDWARD SIRCHUK

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2024

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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Initial NPI Registration & Enumeration December 06, 2024

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: 1851107635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2024
Last Update: December 07, 2024
Sole Proprietor: Yes

Mailing Address

General Delivery

Harbor, OR 974159999

Phone: 5418139142

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.