MAUKS KOEPKE MEDICAL LLC (NPI# 1831185248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831185248 |
| Entity Type | Organization |
| Organization Name | MAUKS KOEPKE MEDICAL LLC |
| Practice Address |
57 North St Suite # 309-310 Danbury CT 06810-5660 |
| Practice Telephone | 2037940761 |
| Practice Fax Number | 2037315399 |
| Mailing Telephone | 2037940761 |
| Mailing Fax Number | 2037315399 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. KATHERINE ROY (OFFICE MANAGER) |
| Authorized Official Telephone | 2037434168 |
| Authorized Official Credential | BBA, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
========= | CT | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
========= | CT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ========= | CT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ========= | CT | Allopathic & Osteopathic Physicians |
| Y | 174400000X | Specialist | ========= | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | AETNA | 3188644 | 01 |
| CT | HEALTHNET | 2V4400 | 01 |
| CT | OXFORD | P2879962 | 01 |
| Street Address |
57 NORTH ST SUITE # 309-310 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678492 | Joseph J Bianchini | Podiatrist | 57 North St, Suite 108, Danbury, CT 06810-5660 | 2005-06-09 |
| 1750816120 | Gregory Banks Counseling, LLC | Counselor | 57 North St, Suite 217, Danbury, CT 06810-5660 | 2017-04-24 |
| 1649711839 | Wholelistic Self, LLC | Counselor | 57 North St, Suite 312, Danbury, CT 06810-5660 | 2017-03-20 |
| 1649628991 | Ismail Khalil Almokyad | Student in an Organized Health Care Education/Training Program | 57 North St, Danbury, CT 06810-5660 | 2016-05-27 |
| 1104274521 | Majed Abdullah Y Alfi | Student in an Organized Health Care Education/Training Program | 57 North St, Suite 311, Danbury, CT 06810-5660 | 2016-05-26 |
| 1598113003 | Ahmad Ali Alharbi | Student in an Organized Health Care Education/Training Program | 57 North St, Suite 311, Danbury, CT 06810-5660 | 2016-05-25 |
| 1669820163 | Swati Patel | Student in an Organized Health Care Education/Training Program | 57 North St, Suite 311, Danbury, CT 06810-5660 | 2016-05-25 |
| 1538543459 | Francie Vanbuskirk | Dental Hygienist | 57 North St, Danbury, CT 06810-5660 | 2015-07-10 |
| 1982088704 | George Hanna | Student in an Organized Health Care Education/Training Program | 57 North St, Danbury, CT 06810-5660 | 2015-07-10 |
| 1477934990 | Ali Ershadi | Student in an Organized Health Care Education/Training Program | 57 North St, Danbury, CT 06810-5660 | 2015-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245769868 | Joanne Braca | Specialist | 39 Eastwood Rd, Danbury, CT 06811-3628 | 2017-06-07 |
| 1689121899 | Linda Kuti-kingham | Specialist | 36 Old Lantern Rd, Danbury, CT 06810-8444 | 2016-09-06 |
| 1114303005 | Noreen Dolan-harris | Specialist | 16 Contemporary Dr, Danbury, CT 06811-2968 | 2015-08-03 |
| 1083011589 | Pamela Denise Garrison | Specialist | 17 Cherokee Dr, Danbury, CT 06811-2825 | 2014-11-26 |
| 1790197176 | Jeannine Sam | Specialist | 16 Blackberry Rd, Danbury, CT 06811-3815 | 2014-05-20 |
| 1093141061 | Maxine E Wilson | Specialist | 15 Scuppo Rd, Unit1001, Danbury, CT 06811-5303 | 2013-09-22 |
| 1265866974 | Stephen H. Epstein | Specialist | 59 Woodcrest Lane, Danbury, CT 06810 | 2013-08-29 |
| 1962765008 | Sara Edwards | Specialist | 14 Concord Rd, Danbury, CT 06810-6331 | 2012-06-22 |
| 1962764654 | Rona Jan Levine | Specialist | 2 Silversmith Dr, Danbury, CT 06811-2602 | 2012-06-09 |
| 1033471883 | Susan Ann Mercatante | Specialist | 2b Boyce Rd, Danbury, CT 06811-4329 | 2012-06-07 |
| Find all providers in DANBURY | ||||
Please comment or provide details below to improve the information on MAUKS KOEPKE MEDICAL LLC.
| 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.