JAN IDZIKOWSKI (NPI# 1629074505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629074505 |
Entity Type | Individual |
Full Name | JAN IDZIKOWSKI |
Credential | PA |
Practice Address |
273 County Rd New London NH 03257-5736 |
Practice Telephone | 6035262911 |
Enumeration Date | 2005-06-24 |
Last Update Date | 2020-01-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1188 | NH | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
585 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 42889057 | 05 |
Street Address |
273 COUNTY RD |
City | NEW LONDON |
State | NH |
Zip Code | 03257-5736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174124705 | Samantha Marie Rossignol | Student in an Organized Health Care Education/Training Program | 273 County Rd, New London, NH 03257-5736 | 2020-11-02 |
1437780376 | Jennifer Norris | Student in an Organized Health Care Education/Training Program | 273 County Rd, New London, NH 03257-5736 | 2020-01-29 |
1578046496 | Madelynn Vassallo | Social Worker | 273 County Rd, New London, NH 03257-5736 | 2018-09-07 |
1639610611 | The New London Hospital Association, Inc. | Ambulance | 273 County Rd, New London, NH 03257-5736 | 2017-03-10 |
1851842678 | Elke Melody | Dietitian, Registered | 273 County Rd, New London, NH 03257-5736 | 2016-10-17 |
1801342936 | Birgit Humpert | Dietitian, Registered | 273 County Rd, New London, NH 03257-5736 | 2016-08-29 |
1184019804 | New London Hospital Inc | General Acute Care Hospital | 273 County Rd, New London, NH 03257-5736 | 2015-03-31 |
1124432216 | John Malcolm | Family Medicine | 273 County Rd, New London, NH 03257 | 2014-06-17 |
1053721340 | Rebecca Wood | Internal Medicine | 273 County Rd, New London, NH 03257-5736 | 2014-05-07 |
1750701595 | John Lagasse | Registered Nurse | 273 County Rd, New London, NH 03257-5736 | 2014-04-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295357218 | Glenn L Perreault | Pharmacist | 82 Newport Rd, New London, NH 03257 | 2020-05-13 |
1740733047 | Patricia Martick-campbell | Counselor | 32 Goosehole Lane, New London, NH 03257 | 2016-08-03 |
1033535836 | Concord Pediatric Dentistry of New London, Pllc | Point of Service | 299 Main St., New London, NH 03257 | 2014-03-17 |
1285926071 | Nicholas Chester Reynolds Jr. | Surgery | 153 Seamans Road, New London, NH 03257 | 2011-05-11 |
1366693426 | Marlene G Meinelt | Social Worker | 35 Newport Road, New London, NH 03257 | 2008-10-08 |
1053562140 | Olivia Powers Weathers | Chiropractor | 71 Pleasant Street, New London, NH 03257 | 2008-10-07 |
1851569768 | Gregory P. Gutgsell Dds & Darren M Phipps Dds, Prof Assn | Dentist | 125 Newport Road, New London, NH 03257 | 2008-02-13 |
1093992000 | Christine Ann Dube | Family Medicine | 273 Country Road, New London, NH 03257 | 2008-01-22 |
1477743615 | Elizabeth Ann Johnston | Social Worker | The Gallery, 276 Newport Rd., Suite 202, New London, NH 03257 | 2007-07-25 |
1922215946 | Anthony Joseph Yuskaitis | Family Medicine | 868 Morgan Hill Rd., New London, NH 03257 | 2007-05-17 |
Find all providers in zip 03257 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558319194 | Arthur S Welch | Physician Assistant | 50 Fair Harbour Pl, Suite 2-a, New London, CT 06320-4731 | 2006-05-05 |
1508429275 | Marissa Ann Sylvester | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2019-04-18 |
1295213320 | Kelsey Bestall | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2018-07-31 |
1669889481 | Heather Nickerson | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2014-07-14 |
1669809927 | L&m Medical Group | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2013-10-02 |
1699910489 | Taryn Fabian | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2008-12-08 |
1669684205 | Margo R. Coffey | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2007-05-04 |
1326182650 | Juan C Delprado | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2007-02-19 |
1275696304 | Marcelle Loranger Cashman | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2006-12-19 |
1134132244 | Jenine Decaprio Gesino | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2006-08-14 |
Find all providers in NEW LONDON |
City | NEW LONDON |
Zip Code | 03257 |
Please comment or provide details below to improve the information on JAN IDZIKOWSKI.
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.