KAREN MARIE PETROK (NPI# 1962423392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962423392 |
| Entity Type | Individual |
| Full Name | KAREN MARIE PETROK |
| Credential | APRN |
| Practice Address |
226 Mill Hill Ave 3rd Floor Bridgeport CT 06610-2826 |
| Mailing Address |
Po Box 415126 Boston MA 02241-0001 |
| Practice Telephone | 2033843394 |
| Practice Fax Number | 2033843829 |
| Mailing Telephone | 2033843394 |
| Mailing Fax Number | 2033843829 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
001573 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004188779 | 05 |
| Street Address |
226 MILL HILL AVE 3RD FLOOR |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719700 | Armand John Wolff | Internal Medicine | 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 | 2005-06-09 |
| 1306443296 | Zachary Edward Cipriano | Speech-Language Pathologist | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2020-10-05 |
| 1417560459 | Susan Carol Carbine | Physical Medicine & Rehabilitation | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2020-08-28 |
| 1013540319 | Erin Rudiak | Nurse Practitioner | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2020-02-15 |
| 1609436088 | Megan Charleston | Physical Therapist | 226 Mill Hill Ave, Bridgeport, CT 06610 | 2019-06-18 |
| 1962066993 | Metehan Imamoglu | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2019-04-25 |
| 1356905319 | Marisa Beals | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2019-04-25 |
| 1538722418 | Laura Tafuri | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2019-04-17 |
| 1396208526 | Omar Tarek Sobh | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2019-04-14 |
| 1659850196 | Alexandra Theresa Nelson | Speech-Language Pathologist | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952823072 | Judith Elizabeth Wiehl | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-07-11 |
| 1518331347 | Rebecca Ann Chanda | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4201 | 2015-11-17 |
| 1366828907 | Christine M Needham | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2015-08-05 |
| 1265823843 | Kelly Anne Ellison | Nurse Practitioner | 1905 Doctors Hospital Dr, Bridgeport, TX 76426-2260 | 2015-02-18 |
| 1518186808 | Lisa Maria Kegel | Nurse Practitioner | 439 Mill Hill Ave, Bridgeport, CT 06610 | 2007-04-25 |
| 1821177122 | Lorrie Dilucente | Nurse Practitioner | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2006-11-06 |
| 1083652176 | Gregory Howard Emmens II | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004469 | Joseph A Sarkis | Nurse Practitioner | 34 Blackwells Lndg, Brooklyn, CT 06234-2444 | 2020-05-15 |
| 1720543960 | Lia Sgambato | Nurse Practitioner | 263 Farmington Ave # 2875, Farmington, CT 06030-0001 | 2019-02-01 |
| 1588136295 | Tao Wang | Nurse Practitioner | 38 Michele Dr, Portland, CT 06480-1013 | 2018-12-19 |
| 1114417847 | Jennifer Lynn Trocola | Nurse Practitioner | 63 Myano Ln Apt 6, Stamford, CT 06902-4500 | 2018-05-17 |
| 1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
| 1639622962 | Joshua N Alderman | Nurse Practitioner | 353 Main St Ste 2, Manchester, CT 06040-4145 | 2016-08-03 |
| 1508224437 | Sheldon Leigh Stock | Nurse Practitioner | 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002-3077 | 2016-02-06 |
| 1548636673 | Cheryl Pappas | Nurse Practitioner | 111 Salem Tpke Ste 8, Norwich, CT 06360-7403 | 2015-08-12 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.