BIANA KORJEVSKY MICO (NPI# 1295111888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295111888 |
| Entity Type | Individual |
| Full Name | BIANA KORJEVSKY MICO |
| Credential | FNP-BC |
| Practice Address |
195 Worcester St Suite 102 Wellesley MA 02481-5568 |
| Mailing Address |
62 Brucewood St West Roxbury MA 02132-1304 |
| Practice Telephone | 6172191510 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2016-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2278675 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
195 WORCESTER ST SUITE 102 |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660540 | Erica Ellen Johnson | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2005-09-26 |
| 1679821938 | Surbhi Rohatgi | Internal Medicine | 195 Worcester St, Wellesley, MA 02481-5568 | 2012-08-16 |
| 1184910275 | Wellesley Dialysis LLC | Clinic/Center | 195 Worcester St, Wellesley, MA 02481-5568 | 2011-06-27 |
| 1457527277 | Nicole Marie Larue | Internal Medicine | 195 Worcester St, Wellesley, MA 02481-5568 | 2008-05-01 |
| 1285793141 | About Women By Women | Clinic/Center | 195 Worcester St, Wellesley, MA 02481-5568 | 2006-12-07 |
| 1750489522 | Allison Marlene August | Specialist | 195 Worcester St, Wellesley, MA 02481-5568 | 2006-09-20 |
| 1871528935 | Eve N Sobel | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2006-07-11 |
| 1598701179 | Jennifer Paterson | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2006-06-21 |
| 1598705022 | Janet M Chang | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2006-06-06 |
| 1760438170 | Denise Mayo | Internal Medicine | 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912409905 | Patricia D Ayer | Nurse Practitioner | 38 Martin Rd, Wellesley, MA 02481-2442 | 2018-03-06 |
| 1952856577 | Van Nhan Nguyen | Nurse Practitioner | 984 Worchester St, Wellesley, MA 02482-7933 | 2016-08-24 |
| 1245614957 | Alexandra Alexandra Rogers | Nurse Practitioner | 984 Worcester Street, Wellesley, MA 02482 | 2015-07-13 |
| 1811482391 | Leslie Anne Bublick | Nurse Practitioner | 978 Worcester St, Wellesley, MA 02482-3709 | 2018-06-26 |
| 1104344415 | Courtney Healy | Nurse Practitioner | 978 Worcester St Fl 2, Wellesley, MA 02482-3709 | 2017-09-07 |
| 1225414840 | Brooke Butterfield | Nurse Practitioner | 188 Linden St, Wellesley, MA 02482-7933 | 2015-08-05 |
| 1255710869 | Danelle Debye | Nurse Practitioner | 65 Walnut St., Suite 500, Wellesley, MA 02481 | 2015-05-28 |
| 1235532896 | Haley Schram | Nurse Practitioner | 188 Linden St, Wellesley, MA 02482-7933 | 2014-09-26 |
| 1568895787 | Sudi Baker | Nurse Practitioner | 65 Walnut St, Suite 500, Wellesley, MA 02481-2118 | 2013-08-12 |
| 1831533538 | Darcy Turner | Nurse Practitioner | 65 Walnut St, Suite 500, Wellesley, MA 02481-2118 | 2013-04-24 |
| Find all providers in WELLESLEY | ||||
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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.