Provider Demographics
NPI:1356392641
Name:LYUBCHIK, VOLODYMYR (MD)
Entity type:Individual
Prefix:
First Name:VOLODYMYR
Middle Name:
Last Name:LYUBCHIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-363-5000
Mailing Address - Fax:508-363-5430
Practice Address - Street 1:123 SUMMER STREET
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608
Practice Address - Country:US
Practice Address - Phone:508-363-5000
Practice Address - Fax:508-363-5430
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213102207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherTHREE RIVERS
2134016OtherFIRST HEALTH
67570OtherFALLON COMMUNITY HEALTH P
7881469OtherCIGNA HEALTH PLAN
AA1235OtherHARVARD PILGRIM HEALTHCAR
J27426OtherBLUE CARE ELECT
2015871OtherMEDICAID WELFARE
MA2015871Medicaid
A35816OtherMEDICARE B
042472266OtherONE HEALTH PLAN
MA110034379AMedicaid
3643728OtherAETNA US HEALTHCARE
J27426OtherBLUE SHIELD INDEMNITY
0405153OtherEVERCARE
51140OtherCHILDRENS MEDICAL SECURIT
042472266OtherPRIVATE HEALTHCARE SYSTEM
784046OtherMVP HEALTH CARE
51140OtherHEALTHY START
J27426OtherBLUE SHIELD HMO BLUE
042472266OtherONE HEALTH PLAN
7881469OtherCIGNA HEALTH PLAN