JULIANNE YANTACHKA ICATAR (NPI# 1326128422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326128422 |
| Entity Type | Individual |
| Full Name | JULIANNE YANTACHKA ICATAR |
| Credential | MD |
| Practice Address |
89 Hart St Bridgeport CT 06606-5048 |
| Mailing Address |
15 Prowitt St Norwalk CT 06855-1203 |
| Practice Telephone | 2035792229 |
| Mailing Telephone | 2032990792 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 039643 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001396432 | 05 |
| Street Address |
89 HART ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-5048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356432132 | Stephanie Klein | Obstetrics & Gynecology | 89 Hart St, Bridgeport, CT 06606 | 2006-09-27 |
| 1235544206 | Heather Kovac | Nurse Practitioner | 89 Hart St, Bridgeport, CT 06606-5048 | 2014-06-27 |
| 1609080431 | Jaimee A Benes Dettmer | Obstetrics & Gynecology | 89 Hart St, Bridgeport, CT 06606-5048 | 2007-05-10 |
| 1851429732 | George A Patterson | Obstetrics & Gynecology | 89 Hart St, Bridgeport, CT 06606-5048 | 2007-03-01 |
| 1245321777 | Angela F Campbell | Obstetrics & Gynecology | 89 Hart St, Bridgeport, CT 06606-5048 | 2006-09-28 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760699078 | Matthew Jason Honaker | Obstetrics & Gynecology | 902 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2007-05-17 |
| 1588781850 | Shabnam M. Kashani | Obstetrics & Gynecology | 4637 Main Street, Bridgeport, CT 06606-5048 | 2007-03-23 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1356432132 | Stephanie Klein | Obstetrics & Gynecology | 89 Hart St, Bridgeport, CT 06606 | 2006-09-27 |
| 1619076403 | Daniel Scott Gottschall | Obstetrics & Gynecology | 4797 Main St, Bridgeport, CT 06606 | 2006-09-21 |
| 1487682159 | Anthony Gerard Santomauro | Obstetrics & Gynecology | 4749 Main St, Bridgeport, CT 06606-1805 | 2006-06-29 |
| 1598704348 | Harold John Sauer | Obstetrics & Gynecology | Bridgeport Hospital, 267 Grand St, Bridgeport, CT 06610 | 2006-06-06 |
| 1063402584 | Djana Harp | Obstetrics & Gynecology | 510 Clinton Ave, Bridgeport, CT 06605-1701 | 2005-10-26 |
| 1285160200 | Wafa K Khadraoui | Obstetrics & Gynecology | 226 Mill Hill Ave, Bridgeport, CT 06610 | 2017-05-11 |
| 1952798613 | Ashley Bellamy | Obstetrics & Gynecology | 267 Grant St, Bridgeport, CT 06610-2805 | 2015-04-21 |
| Find all providers in BRIDGEPORT | ||||
| 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.