MEDICARE: JOHN MICHAEL HURCHIK DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ER0200X	Radiology Podiatrist	PO3515	FL
2	213ES0000X	Sports Medicine Podiatrist	PO3515	FL
3	213E00000X	Podiatrist	PO3515	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NT293	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0309964Y0MA01	OTHER	BCBS OF NH

General Provider Information

NPI Number	:	1124089842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MICHAEL HURCHIK DPM

Provider Business Mailing Address
First Line	:	5841 ARGERIAN DR STE 102
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4505
Country	:	US
Telephone Number	:	813-788-1006
Fax Number	:	407-671-4155

Provider Business Practice Location Address
First Line	:	5841 ARGERIAN DR STE 102
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4505
Country	:	US
Telephone Number	:	813-788-1006
Fax Number	:	407-671-4155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	04/14/2025

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Directions to “ JOHN MICHAEL HURCHIK DPM” Practice Location

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