DR. MARIA MIKOLAENKO


Address: 2979 Main St, Bridgeport, CT 06606-4284
Phone: 2033822345

DR. MARIA MIKOLAENKO (NPI# 1063824761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063824761
Entity Type Individual
Full Name DR. MARIA MIKOLAENKO
Credential DO
Practice Address 2979 Main St
Bridgeport
CT 06606-4284
Mailing Address 1290 Silas Deane Hwy
Wethersfield
CT 06109-4337
Practice Telephone 2033822345
Practice Fax Number 2033660868
Enumeration Date 2014-05-29
Last Update Date 2020-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
66720 CT Allopathic & Osteopathic Physicians
N 207QA0505X Family Medicine
Specialization: Adult Medicine
OS15147 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE LICENSE OS15147 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
16 Station Rd Ste 5, Bellport, NY 117132449 6312863995
1545 9th St Sw, Vero Beach, FL 329624312 7722578224 7722133157
787 37th St Ste 140, Vero Beach, FL 32960 7722578224 7722133157

Office Location

Street Address 2979 MAIN ST
City BRIDGEPORT
State CT
Zip Code 06606-4284

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598761512 Joseph A Rose Internal Medicine 2979 Main St, Bridgeport, CT 06606-4252 2005-06-23
1639787013 Alexa Miller Nurse Practitioner 2979 Main St, Bridgeport, CT 06606-4284 2020-07-21
1508487034 Daniel Kaplan Physician Assistant 2979 Main St, Bridgeport, CT 06606-4284 2020-05-06
1982187175 Kelly Anne Caulfield Physician Assistant 2979 Main St, Bridgeport, CT 06606-4284 2018-09-13
1043791478 Danielle C Rivera Nurse Practitioner 2979 Main St, Bridgeport, CT 06606-4284 2018-08-23
1235647181 Stephanie Larose Nurse Practitioner 2979 Main St, Bridgeport, CT 06606-4284 2018-01-12
1043761042 Kylie Gargano Nurse Practitioner 2979 Main St, Bridgeport, CT 06606-4284 2016-10-14
1326495474 Janelle Duah Internal Medicine 2979 Main St, Bridgeport, CT 06606-4284 2016-05-18
1891082079 Linette Yadira Rosario Tejeda Family Medicine 2979 Main St, Bridgeport, CT 06606-4284 2011-07-07
1699909432 Anja Wagner Internal Medicine 2979 Main St, Bridgeport, CT 06606-4284 2009-05-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1578192001 Karin Alexandra Skalina Student in an Organized Health Care Education/Training Program 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 2020-04-06
1720641293 Valeriia Klymenko Student in an Organized Health Care Education/Training Program 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2019-04-19
1821579996 Ashley Liese Nurse Practitioner Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 2018-08-27
1699261289 Gema Estefania Giler-sacoto Student in an Organized Health Care Education/Training Program St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2018-07-06
1114418365 Jona Bumci Physician Assistant 3180 Main St Ste 304, Bridgeport, CT 06606 2018-05-23
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1861867442 Marie Dorothea Lisieski Social Worker 2400 Main Street, Bridgeport, CT 06606 2015-12-08
1548603384 Gerald E. Hedley Internal Medicine 390 Charles Street Unit #101, Bridgeport, CT 06606 2013-04-11
1487997581 Gerald Micalizzi, M.d., LLC Radiology 558 Fairview Avenue, Bridgeport, CT 06606 2013-03-27
Find all providers in zip 06606

Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477068773 Emily T Carter Family Medicine 968 Fairfield Ave, Bridgeport, CT 06605-1116 2017-12-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871067447 Christina Marie Bolduc Falzone Family Medicine 35 Talcottville Rd Ste 1, Vernon, CT 06066-5261 2019-01-17
1760724165 John Ordway Alden Family Medicine 20 Loeffler Rd, T521c, Bloomfield, CT 06002-2276 2013-03-23
1598098881 Anita Boyd Bennett Family Medicine 1249 Boulevard, West Hartford, CT 06119-1603 2009-09-17
1740329168 Seymour Isaac Kummer Family Medicine 67 N Park St, Ellington, CT 06029-4135 2007-02-05
1225101991 Syed Hyder Reza Family Medicine 345 Main Ave, Pmcc, Norwalk, CT 06851-1547 2006-11-17
1356433486 Windsor Locks Medical Center, LLP Family Medicine 73 Old County Road, Windsor Locks, CT 06096 2006-09-28
1609982834 Angelika Jovin Family Medicine 27 Commerce St, Clinton, CT 06413-2054 2006-08-21
1720014798 James M. Perlotto Family Medicine 55 Lock St., New Haven, CT 06520-8237 2006-06-23
1184666430 Alicja Jadwiga Harbut IIi Family Medicine 25 Clinton St, New Britain, CT 06053-3509 2006-06-12
1740265925 Yogesh Kumar Katechia Family Medicine 2 Lathrop Ave, Norwich, CT 06360-2309 2005-12-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City BRIDGEPORT
Zip Code 06606

Improve Information

Please comment or provide details below to improve the information on DR. MARIA MIKOLAENKO.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches