MRS. SUANNE KOLESNIK (NPI# 1629253976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629253976 |
| Entity Type | Individual |
| Full Name | MRS. SUANNE KOLESNIK |
| Credential | PA |
| Practice Address |
61 Pomeroy Ave Meriden CT 06450-7101 |
| Practice Telephone | 2036945350 |
| Practice Fax Number | 2036947650 |
| Mailing Telephone | 2036945350 |
| Mailing Fax Number | 2036947650 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 001945 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
001945 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
61 POMEROY AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043394083 | Christina A Plantier | Physician Assistant | 61 Pomeroy Ave, Meriden, CT 06450-7101 | 2006-10-25 |
| 1912428202 | Brad Petitti | Physician Assistant | 61 Pomeroy Ave, Meriden, CT 06450-7482 | 2017-06-28 |
| 1902268675 | Sajidmahmad Saeed Bhamji | Family Medicine | 61 Pomeroy Ave, Meriden, CT 06450-7482 | 2016-03-22 |
| 1548562499 | Comprehensive Dialysis Care LLC | Clinic/Center | 61 Pomeroy Ave, Meriden, CT 06450 | 2010-11-29 |
| 1639406044 | Connecticut Sleep Medicine, LLC | Internal Medicine | 61 Pomeroy Ave, Meriden, CT 06450-7101 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295741825 | Lisa Marie Ambrogio-decola | Physician Assistant | 435 Lewis Ave Ste 103, Meriden, CT 06451-2101 | 2006-08-01 |
| 1588290613 | Isabel Nodiff | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-03-20 |
| 1538715883 | Matthew Decaprio | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-08-13 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1558730507 | Timothy Allen Lincoln II | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2015-09-21 |
| 1407043557 | Ashley Allatin | Physician Assistant | 435 Lewis Ave, Department of Surgery, Meriden, CT 06451-2101 | 2007-10-02 |
| 1467526681 | Eileen A Tobin | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2006-11-20 |
| 1013011154 | Henry Vladyka | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798362 | Brandon H Kusako | Physician Assistant | 34 Maple St Dept Of, Norwalk, CT 06850-3815 | 2020-10-26 |
| 1073137097 | Page Renee Burns | Physician Assistant | 40 Bertrose Ave, Milford, CT 06460-5906 | 2020-06-05 |
| 1043848575 | Caitlin Ann Kimberly | Physician Assistant | 40 Avalon Dr Unit 6331, Milford, CT 06460-8956 | 2020-03-30 |
| 1699307199 | Lindy Carelli | Physician Assistant | 330 Washington St Ste 410, Norwich, CT 06360-2700 | 2020-02-12 |
| 1174166722 | Jacqueline Clarizio | Physician Assistant | 5520 Park Ave Ste 300, Trumbull, CT 06611-3465 | 2019-10-25 |
| 1699260109 | Kristen Jean Mosher | Physician Assistant | 31 Cloverdale Ave, Shelton, CT 06484-2538 | 2018-06-27 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1477964344 | Samuel Silva | Physician Assistant | 226 White St., Danbury, CT 06810 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
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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.