Physician Compare National (NPI:1811915366)

HEALTHCARE PROVIDER: WALTER MELNYCZENKO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1811915366
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648303511
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100728001108
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MELNYCZENKO
	Individual professional last name
Provider First Name	WALTER
	Individual professional first name
Provider Middle Name	I
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4220 S 27TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	MILWAUKEE
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	532211855
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4147641330
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y