ARTEM TKACHENKO DO
NPI 1316688740
General Practice in Wpafb, OH

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since April 07, 2022PECOS Enrolled

88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR., WPAFB, OH 45433(937) 257-0837 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2024, Apr 7, 2022 (2 updates tracked since 2022).

On this page

About Artem Tkachenko Do NPPES

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

ARTEM TKACHENKO DO (NPI 1316688740) is an individual general practice provider in Wpafb, Ohio, licensed in Ohio (34.016980) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2022).

NPPES Registry Identity

NPI1316688740

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameARTEM TKACHENKOCredential: DO

Location Address88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.Wpafb, OH 45433

Mailing Address88th Medical Group, 4881 Maple Sugar Dr.Wpafb, OH 45433

Phone(937) 257-0837

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2022

Enumeration DateApril 7, 2022

Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1316688740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OH · 34.016980

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

88TH MEDICAL GROUP, Wpafb, OH 45433

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Artem Tkachenko Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204214604

PECOS Enrollment IDI20251107002479

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.