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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: August 09, 2026.

About Phil James Nyderek Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHIL JAMES NYDEREK SR. (NPI 1194984443) is an individual home modifications provider in Greenup, Kentucky and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1194984443
Entity TypeIndividualMale
Primary Taxonomy171WH0202X
Provider Legal NamePHIL JAMES NYDEREK SR.
Location Address103 ASHMOORE DRIVEGreenup, KY 41144
Mailing Address103 Ashmoore DriveGreenup, KY 41144 · (740) 821-6973 · Fax (606) 473-1389
Phone(740) 821-6973
Fax(606) 473-1389
Sole ProprietorYes
Enumeration DateJune 3, 2008
Last NPPES UpdateMay 12, 2015
✔ NPI 1194984443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractor · Home ModificationsOther Service Providers
Taxonomy Code171WH0202X
Definition
A contractor who makes modifications to homes to accommodate a health condition.
103 ASHMOORE DRIVE, Greenup, KY 41144
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Other Identifiers 1

Medicaid2778632OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phil Nyderek's NPI number?

The NPI number for Phil Nyderek is 1194984443. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Phil Nyderek located?

Phil Nyderek practices at 103 Ashmoore Drive, Greenup, KY 41144. The listed phone number is (740) 821-6973.

What is Phil Nyderek's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for Phil Nyderek was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.