MELISSA MARIE CZAKO (NPI# 1255564464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255564464 |
| Entity Type | Individual |
| Full Name | MELISSA MARIE CZAKO |
| Credential | PA |
| Practice Address |
20 York Street New Haven CT 06511 |
| Mailing Address |
237 Elm St Old Saybrook CT 06475-1119 |
| Practice Telephone | 2036882182 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2309 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 Bokum Rd, Essex, CT 064261500 | 8607670796 | 8607671146 |
| Street Address |
20 YORK STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502621 | Frans J Wackers | Radiology | 20 York Street, Y-nhh South Pavilion 2nd Fl, New Haven, CT 06510 | 2005-10-17 |
| 1750990586 | Olivia Michelle Mulla | Physician Assistant | 20 York Street, Cb-329, New Haven, CT 06510 | 2020-07-28 |
| 1861000770 | Courtney Lois Miniter | Nurse Anesthetist, Certified Registered | 20 York Street, New Haven, CT 06510-3220 | 2020-07-16 |
| 1396369245 | Andrea Ellen Para Lincoln | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-06-05 |
| 1679195275 | Paul Stockhammer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-18 |
| 1386266054 | Ayomipo Sarah Madein | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 266, New Haven, CT 06510-3220 | 2020-05-15 |
| 1437771300 | Juan Jose Silva Campos | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-13 |
| 1659993855 | Eliaz Nahum Brumer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-11 |
| 1942820477 | Long Qian | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-24 |
| 1043830649 | Eesha Vijaykumar Natarajan | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588860316 | Kerry Theresa Digby | Physician Assistant | 220 Boardman Building, Plastic and Reconstructive Surgery, New Haven, CT 06510 | 2007-06-27 |
| 1922085885 | Tracy E Benjamin | Physician Assistant | Yale New Haven Hospital, 1450 Chapel Street, New Haven, CT 06511 | 2005-12-30 |
| 1154956878 | Angela Preda | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2020-03-04 |
| 1467083519 | Rebecca M Arko | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2020-01-28 |
| 1558914960 | Michael K Sullivan | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2019-07-24 |
| 1891270732 | Janina Amasia Suero | Physician Assistant | 20 York St, New Haven, CT 06510-3202 | 2018-09-26 |
| 1962983486 | Christopher L Campbell | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2018-08-23 |
| 1275013468 | Melanie Anne Santos | Physician Assistant | 1450 Chapel St, New Haven, CT 06511 | 2018-08-16 |
| 1548756679 | Anastasia Elisabeth Matijcio | Physician Assistant | 1450 Chapel St, New Haven, CT 06511 | 2018-07-01 |
| 1265930648 | Carla Isabel Becerra | Physician Assistant | 333 Cedar St, New Haven, CT 06510-3206 | 2018-01-31 |
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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.