PHIL JAMES NYDEREK SR.
NPI 1194984443
Contractor - Home Modifications in Greenup, KY

Active since June 03, 2008
103 ASHMOORE DRIVE, GREENUP, KY 41144(740) 821-6973(606) 473-1389 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Contractor
  • Home Modifications

About PHIL NYDEREK

This page provides the complete NPI Profile along with additional information for Phil Nyderek, a provider established in Greenup, Kentucky with a medical specialization in Contractor, focusing in home modifications . The healthcare provider is registered in the NPI registry with number 1194984443 assigned on June 2008. The practitioner's primary taxonomy code is 171WH0202X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1194984443 Verify this NPI
Provider Name
PHIL JAMES NYDEREK SR.
Gender
Male
Entity Type
Individual
Location Address
103 ASHMOORE DRIVE GREENUP, KY 41144
Location Phone
(740) 821-6973
Location Fax
(606) 473-1389
Mailing Address
103 ASHMOORE DRIVE GREENUP, KY 41144
Mailing Phone
(740) 821-6973
Mailing Fax
(606) 473-1389
Is Sole Proprietor?
Yes
Enumeration Date
06-03-2008
Last Update Date
05-12-2015
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Contractor Home Modifications

Taxonomy Code
171WH0202X
Type
Other Service Providers
Taxonomy Description
A contractor who makes modifications to homes to accommodate a health condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2778632MEDICAID (05)OH 

Reviews for PHIL JAMES NYDEREK SR.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194984443, enumerated as an "individual" on June 03, 2008.

The provider is located at 103 ASHMOORE DRIVE GREENUP, KY 41144 and the phone number is (740) 821-6973.

Contractor with taxonomy code 171WH0202X and a focus in Home Modifications.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.