MS. MARIYA BOZHENOK (NPI# 1194077487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194077487 |
Entity Type | Individual |
Full Name | MS. MARIYA BOZHENOK |
Credential | PA-C |
Practice Address |
4101 Evans Ave Fort Myers FL 33901 |
Mailing Address |
Po Box 111600 Naples FL 34108-0127 |
Practice Telephone | 2399393456 |
Practice Fax Number | 2397902432 |
Mailing Telephone | 2393330630 |
Mailing Fax Number | 2393330631 |
Enumeration Date | 2012-10-10 |
Last Update Date | 2016-06-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
PA9106816 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4101 EVANS AVE |
City | FORT MYERS |
State | FL |
Zip Code | 33901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235192337 | Arthur T Young | Optometrist | 4101 Evans Ave, Fort Myers, FL 33901-9310 | 2006-04-10 |
1396350203 | Mallory Elora Thompson | Optometrist | 4101 Evans Ave, Fort Myers, FL 33901-9310 | 2020-09-09 |
1821622366 | Christopher Matthew Trimble | Hearing Instrument Specialist | 4101 Evans Ave, Fort Myers, FL 33901-9310 | 2020-02-24 |
1770069528 | Bethany J Nelson | Optometrist | 4101 Evans Ave, Fort Myers, FL 33901-9310 | 2018-07-16 |
1457780108 | Olga Gilman | Physician Assistant | 4101 Evans Ave, Fort Myers, FL 33901-9310 | 2013-11-04 |
1821359274 | David J. Overholt | Optometrist | 4101 Evans Ave, Fort Myers, FL 33901 | 2012-06-01 |
1912165416 | Allison B Yee | Ophthalmology | 4101 Evans Ave, Fort Myers, FL 33901 | 2008-05-30 |
1326198656 | Douglas F Bittner | Nurse Anesthetist, Certified Registered | 4101 Evans Ave, Fort Myers, FL 33901-9310 | 2007-01-11 |
1891862173 | Robert L Underberg | Optometrist | 4101 Evans Ave, Fort Myers, FL 33901 | 2006-11-29 |
1952477333 | Surgicare Center | Clinic/Center | 4101 Evans Ave, Fort Myers, FL 33901-9310 | 2006-11-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
Find all providers in zip 33901 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649742628 | Viergela Deshommes Joseph | Nurse Practitioner | 2040 Collier Ave Ste A, Fort Myers, FL 33901-8124 | 2019-01-01 |
1699286740 | Rachel Lynn Ile Myers | Nurse Practitioner | 14015 Danpark Loop, Fort Myers, FL 33912-6854 | 2017-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33901 |
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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.