Provider Demographics
NPI:1750392700
Name:SAYKO, TATYANA (MD)
Entity type:Individual
Prefix:MRS
First Name:TATYANA
Middle Name:
Last Name:SAYKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 SOUTHBRIDGE STREET
Mailing Address - Street 2:SAINT VINCENT MEDICAL GROUP IN AUBURN
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1332
Mailing Address - Country:US
Mailing Address - Phone:508-832-0173
Mailing Address - Fax:508-832-6479
Practice Address - Street 1:813 SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1323
Practice Address - Country:US
Practice Address - Phone:508-363-0173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
220387OtherLIC #
J27569OtherBCBS QUINCY
MA110080910AMedicaid
3565556OtherCIGNA AVON
469027OtherTUFTS HEALTH
86313OtherFALLON HEALTH CARE
AA13152OtherHARVARD PILGRIM
042103577OtherHMH TAX ID #
3568021OtherAETNA BLUE BELL
042103577OtherCONSOLIDATED HEALTH
220019OtherMEDICARE B
971043OtherNETWORK HEALTH
971043OtherNETWORK HEALTH
86313OtherFALLON HEALTH CARE
1211013OtherMASS HEALTH
3568021OtherAETNA BLUE BELL