DR. CHRISTINA KOLADE (NPI# 1275608879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275608879 |
Entity Type | Individual |
Full Name | DR. CHRISTINA KOLADE |
Credential | D.O. |
Practice Address |
3851 Main St Bridgeport CT 06606-2864 |
Mailing Address |
3851 Main Street Bridgeport CT 06606 |
Practice Telephone | 2033723333 |
Practice Fax Number | 2033747515 |
Mailing Telephone | 2033723333 |
Mailing Fax Number | 2033747515 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
042947 | CT | Allopathic & Osteopathic Physicians |
Street Address |
3851 MAIN ST |
City | BRIDGEPORT |
State | CT |
Zip Code | 06606-2864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255372108 | New Era Rehabilitation Center,inc | Clinic/Center | 3851 Main St, Bridgeport, CT 06606-2864 | 2006-06-10 |
1699305318 | Precious Mcneil | Counselor | 3851 Main St, Bridgeport, CT 06606-2864 | 2020-01-22 |
1184106064 | Eriberto Santos | Occupational Therapist | 3851 Main St, Bridgeport, CT 06606-2864 | 2018-09-06 |
1376618611 | Ebenezer Kolade | Internal Medicine | 3851 Main St, Bridgeport, CT 06606-2864 | 2006-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
Find all providers in zip 06606 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285013896 | Doctors Specialty Care | Family Medicine | 27 Trovato St, Suite Number 103, Bridgeport, WV 26330-7002 | 2015-05-28 |
1972943785 | Phillip Bradley Hall | Family Medicine | 680 Genesis Blvd, Ste 201, Bridgeport, WV 26330-9135 | 2013-06-26 |
1205473725 | Applegate Health Services, Inc | Family Medicine | 27 Trovato St Ste 103, Bridgeport, WV 26330-7286 | 2019-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972127678 | Sound Recovery, Inc | Family Medicine | 110 Pellegrino Rd, Stonington, CT 06378-2129 | 2020-05-29 |
1043427115 | Lakshmi Basu | Family Medicine | 931 Bank St., New London, CT 06320-2702 | 2007-05-17 |
1083022230 | Staywell Health Care Inc | Family Medicine | 402 E Main St, Waterbury, CT 06702-1701 | 2014-07-31 |
1710312368 | Connecticut Addiction Medicine, LLC | Family Medicine | 546 Cromwell Ave, Suite 101, Rocky Hill, CT 06067-1800 | 2013-09-13 |
1972686707 | Virgil T Rona | Family Medicine | 500 Vine Street, Blue Hills Hosptial, Hartford, CT 06112 | 2006-10-23 |
1043239783 | Thomas R Defanti | Family Medicine | 75 Swantown Hl, North Stonington, CT 06359-1022 | 2006-07-19 |
1720017056 | Jay B Benson | Family Medicine | 546 Cromwell Ave, Suite 101, Rocky Hill, CT 06067-1800 | 2006-06-30 |
1215993993 | Richard D Smith | Family Medicine | 320 Pomfret St, Putnam, CT 06260-1836 | 2006-04-22 |
City | BRIDGEPORT |
Zip Code | 06606 |
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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.