DR. INNA KOTLYARENKO (NPI# 1144423427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144423427 |
Entity Type | Individual |
Full Name | DR. INNA KOTLYARENKO |
Credential | DDS |
Practice Address |
10425 W North Ave Suite 335 Wauwatosa WI 53226 |
Practice Telephone | 4144763909 |
Mailing Telephone | 4144763909 |
Mailing Fax Number | 4144763909 |
Enumeration Date | 2007-06-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
3358 | WI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33468300 | 05 |
Street Address |
10425 W NORTH AVE SUITE 335 |
City | WAUWATOSA |
State | WI |
Zip Code | 53226 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841721388 | Elevate Physical Therapy | Clinic/Center | 10425 W North Ave, 324, Wauwatosa, WI 53226-2416 | 2017-03-26 |
1811347958 | University of Wisconsin System-non Payroll | Audiologist | 10425 W North Ave, Suite 110, Wauwatosa, WI 53226-2416 | 2016-06-20 |
1972974079 | Bright Beginnings Psychiatry LLC | Psychiatry & Neurology | 10425 W North Ave, Suite 314, Wauwatosa, WI 53226-2416 | 2015-10-14 |
1679811848 | Melissa K Smothers | Psychologist | 10425 W North Ave, Ste 239, Wauwatosa, WI 53226-2416 | 2013-01-23 |
1710248125 | Stacy Hajinian Michels | Dentist | 10425 W North Ave, Suite 302, Wauwatosa, WI 53226-2416 | 2012-06-01 |
1578871422 | Heather Lauren Zingler | Audiologist | 10425 W North Ave, Suite 110, Wauwatosa, WI 53226-2416 | 2010-09-14 |
1205016912 | Patricia K.b. Chirillo | Audiologist | 10425 W North Ave, Suite 110, Wauwatosa, WI 53226-2416 | 2007-11-09 |
1841404464 | Randal G Stelzner | Dentist | 10425 W North Ave, Suite #335, Wauwatosa, WI 53226-2416 | 2007-05-10 |
1427180843 | Thomas Warren Frost | Dentist | 10425 W North Ave, Suite 249, Wauwatosa, WI 53226-2416 | 2007-03-12 |
1861521171 | Maryann Reese | Marriage & Family Therapist | 10425 W North Ave, Suite 314, Wauwatosa, WI 53226-2416 | 2007-03-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
Find all providers in zip 53226 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588131163 | Shiloh Joshua Golden | Dentist | 10625 W North Ave Ste 320, Wauwatosa, WI 53226-2315 | 2018-10-31 |
1699205336 | Patrick T Clancy | Dentist | 11904 W North Ave Ste 105, Wauwatosa, WI 53226-2062 | 2017-06-15 |
1396190476 | Katharine Nelson Suwalski | Dentist | 7626 Warren Ave, Wauwatosa, WI 53213-2258 | 2016-04-26 |
1538360086 | Leonard R. Machi | Dentist | 12217 W North Ave, Wauwatosa, WI 53226-2056 | 2007-05-31 |
1073725586 | John R Wussow | Dentist | 10225 W. Capitol Dr, Wauwatosa, WI 53222 | 2007-05-04 |
1508084245 | John L Scheels | Dentist | 6803 W Wells St, Wauwatosa, WI 53213-3811 | 2007-04-20 |
1447375431 | Timothy Richard Kirkpatrick | Dentist | 11040 W Bluemound Rd, Suite 201, Wauwatosa, WI 53226 | 2007-03-20 |
1518011485 | Geoffrey L. Mykleby | Dentist | 8700 W Watertown Plank Rd Ste 11, Wauwatosa, WI 53226-3595 | 2007-01-22 |
1316004864 | Robin Ann Gorman | Dentist | 6101 W Vliet St, Suite 101, Wauwatosa, WI 53213-2485 | 2007-01-03 |
1376608257 | Tom Tongas | Dentist | 2380 N 124th St, Wauwatosa, WI 53226-1071 | 2006-12-22 |
Find all providers in WAUWATOSA |
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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.