MARK HAROLD MIKULICS (NPI# 1083614614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083614614 |
| Entity Type | Individual |
| Full Name | MARK HAROLD MIKULICS |
| Credential | M.D. |
| Practice Address |
15644 Pomerado Rd Suite 204 Poway CA 92064-2400 |
| Mailing Address |
Po Box 1180 Poway CA 92074-1180 |
| Practice Telephone | 8584515740 |
| Practice Fax Number | 8584519176 |
| Mailing Telephone | 8584515740 |
| Mailing Fax Number | 8584519176 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2010-11-05 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G64129 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
15644 POMERADO RD SUITE 204 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578529731 | Paul Neustein | Urology | 15644 Pomerado Rd, Suite 206, Poway, CA 92064-2400 | 2006-04-25 |
| 1720565526 | Kimberly Nicole Skillicorn | Psychologist | 15644 Pomerado Rd, Poway, CA 92064-2400 | 2018-07-24 |
| 1811445646 | Pacifico West Rx, Inc. | Pharmacy | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2016-09-21 |
| 1164885869 | Lauren Elisabeth Pichard | Psychologist | 15644 Pomerado Rd, Suite 305, Poway, CA 92064-2400 | 2016-03-30 |
| 1285090902 | Jocelyn Moll | Nurse Practitioner | 15644 Pomerado Rd, Ste 206, Poway, CA 92064-2419 | 2016-01-11 |
| 1922485176 | Janet Wells | Acupuncturist | 15644 Pomerado Rd, Suite 306, Poway, CA 92064-2419 | 2015-04-27 |
| 1811399660 | Katherine Fleming | Physician Assistant | 15644 Pomerado Rd, Suite 202, Poway, CA 92064-2400 | 2014-09-24 |
| 1467882779 | Thrive Rx Specialty Pharmacy Corporation | Pharmacy | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2013-11-22 |
| 1346675618 | Resetsleepcom Inc | Clinic/Center | 15644 Pomerado Rd, Suite 200, Poway, CA 92064-2400 | 2013-09-05 |
| 1508203506 | Maryna Blom | Pharmacist | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609864834 | Paul C Milling | Orthopaedic Surgery | 13221 Valle Verde Ter, Poway, CA 92064-1619 | 2005-10-11 |
| 1467625210 | James F Marino M D Inc | Orthopaedic Surgery | 12630 Monte Vista Rd, Suite 105, Poway, CA 92064-2530 | 2008-04-11 |
| 1477681393 | Paul C Milling M D A Professional Corporation | Orthopaedic Surgery | 13221 Valle Verde Ter, Poway, CA 92064-1619 | 2007-03-01 |
| 1033293840 | James Francis Marino | Orthopaedic Surgery | 12630 Monte Vista Rd, Suite 105, Poway, CA 92064-2530 | 2006-10-25 |
| 1891809257 | James Michael Bried | Orthopaedic Surgery | 15525 Pomerado Rd, Suite A-1, Poway, CA 92064-2435 | 2006-08-19 |
| 1164536538 | Brad Steven Cohen | Orthopaedic Surgery | 15525 Pomerado Rd, Suite A-1, Poway, CA 92064-2435 | 2006-08-19 |
| 1033223425 | Philip Gregory Bohart | Orthopaedic Surgery | 15525 Pomerado Rd, Suite A-1, Poway, CA 92064-2435 | 2006-08-19 |
| 1831203231 | Arch Health Partners | Orthopaedic Surgery | 15525 Pomerado Rd, Suite A-1, Poway, CA 92064-2435 | 2006-08-19 |
| 1407803687 | Philip J Balikian | Orthopaedic Surgery | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2006-05-31 |
| 1083676639 | William W Winternitz Jr. | Orthopaedic Surgery | 12630 Monte Vista Rd, #105, Poway, CA 92064-2526 | 2006-04-06 |
| Find all providers in POWAY | ||||
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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.