MEDICARE: DR. ELIZABETH MARIA MELNYCHUK D.O.

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	207Q00000X	Family Medicine Physician	054752	CT
2	207Q00000X	Family Medicine Physician	198820	NY
3	207Q00000X	Family Medicine Physician	83834	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1629263397	OTHER	CT	1316369895

General Provider Information

NPI Number	:	1629263397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH MARIA MELNYCHUK D.O.

Provider Business Mailing Address
First Line	:	5750 JOHNSTON ST STE 205
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-5345
Country	:	US
Telephone Number	:	337-991-9276
Fax Number	:

Provider Business Practice Location Address
First Line	:	6650 RIVERS AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-4809
Country	:	US
Telephone Number	:	337-991-9276
Fax Number	:

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

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	10/07/2025

Similar Medicare Providers

1457202038 — CANDICE THOMPSON
Practice Location Address:

6650 RIVERS AVE STE 100
NORTH CHARLESTON, SC
29406-4809

Practice Phone: 919-619-7879
Practice Fax:

1497607899 — TOTAL CARE OF SC, LLC
Practice Location Address:

6650 RIVERS AVE STE 100
NORTH CHARLESTON, SC
29406-4809

Practice Phone: 843-942-9551
Practice Fax:

1730212028 — YOUR COUNSELING SERVICES INC
Practice Location Address:

6650 RIVERS AVE
NORTH CHARLESTON, SC
29406-4809

Practice Phone: 843-576-5400
Practice Fax:

1700904760 — HOLLY H HADLEY PSY.D.
Practice Location Address:

6650 RIVERS AVE
N CHARLESTON, SC
29406-4809

Practice Phone: 843-278-5221
Practice Fax: 877-417-5177

1730367707 — ROCHE INSULIN DELIVERY SYSTEMS, INC.
Practice Location Address:

6650 RIVERS AVE
NORTH CHARLESTON, SC
29406-4809

Practice Phone: 800-280-7801
Practice Fax: 317-570-5300

1629389887 — NIRAVKUMAR SHAH PT, DPT
Practice Location Address:

6650 RIVERS AVE STE 100
N CHARLESTON, SC
29406-4809

Practice Phone: 803-220-5785
Practice Fax:

Directions to “ DR. ELIZABETH MARIA MELNYCHUK D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.