IAN HASKELL MIKOLAJ (NPI# 1417417015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417417015 |
| Entity Type | Individual |
| Full Name | IAN HASKELL MIKOLAJ |
| Credential | MD |
| Practice Address |
5190 Neil Rd Reno NV 89502-6599 |
| Practice Telephone | 7752849111 |
| Mailing Telephone | 7752849111 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NV | Student, Health Care |
| Street Address |
5190 NEIL RD |
| City | RENO |
| State | NV |
| Zip Code | 89502-6599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073538468 | David L. Carlson | Psychiatry & Neurology | 5190 Neil Rd, 215, Reno, NV 89502-6599 | 2006-07-13 |
| 1013476332 | Isaac Wentz | Student in an Organized Health Care Education/Training Program | 5190 Neil Rd, Reno, NV 89502-6599 | 2019-03-16 |
| 1871024927 | Benjamin Andrew Mclean | Student in an Organized Health Care Education/Training Program | 5190 Neil Rd, #215, Reno, NV 89502-6599 | 2017-03-21 |
| 1023470275 | Daniel Psoinos | Psychiatry & Neurology | 5190 Neil Rd, Suite 215, Reno, NV 89502 | 2016-03-27 |
| 1396107595 | Brian Berrett | Psychiatry & Neurology | 5190 Neil Rd, Suite 215, Reno, NV 89502 | 2016-03-26 |
| 1487016267 | James Stockton | Psychiatry & Neurology | 5190 Neil Rd, Suite 215, Reno, NV 89502-6599 | 2016-03-22 |
| 1760853907 | University of Nevada School of Medicine Multispecialty Group Practice | Social Worker | 5190 Neil Rd, #215, Reno, NV 89502-6599 | 2015-10-14 |
| 1134590375 | University of Nevada School of Medicine Multi-specialty Group Practice | Psychiatry & Neurology | 5190 Neil Rd, #215, Reno, NV 89502-6599 | 2015-10-14 |
| 1033536289 | Brian Joseph Mckinney | Psychiatry & Neurology | 5190 Neil Rd, Suite 215, Reno, NV 89502-6599 | 2014-03-26 |
| 1538355383 | Emily M. Powers | Counselor | 5190 Neil Rd, #215, Reno, NV 89502-6599 | 2007-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949840 | Mekha Omarimuhammad | Student in an Organized Health Care Education/Training Program | 2505 Rio Rico Ct, Reno, NV 89523-6213 | 2020-07-08 |
| 1912529744 | Michelle Loubet | Student in an Organized Health Care Education/Training Program | 18600 Wedge Pkwy Ste 104, Reno, NV 89511-3036 | 2020-05-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1710516620 | Gianni Boitano Perano | Student in an Organized Health Care Education/Training Program | 1664 N Virginia Street Brigham Building/316, Reno, NV 89557-0001 | 2020-04-02 |
| 1699303750 | Loren Fisher | Student in an Organized Health Care Education/Training Program | 1664 N Virginia Street Brigham Bldg 316, Reno, NV 89557-0169 | 2020-04-01 |
| 1821626698 | Haviva Kobany | Student in an Organized Health Care Education/Training Program | 3465 Ridgecrest Dr, Reno, NV 89512-1443 | 2020-03-29 |
| 1508493800 | Martin Azzam | Student in an Organized Health Care Education/Training Program | 4210 Amber Marie Ln, Reno, NV 89503-1022 | 2020-03-25 |
| 1003441197 | Marisa Ann Sewell | Student in an Organized Health Care Education/Training Program | 1664 N Virginia Ave Unr School of Medicine, Reno, NV 89557-0001 | 2020-03-09 |
| 1104478411 | Taryn Bales | Student in an Organized Health Care Education/Training Program | 6340 Antero Dr, Reno, NV 89523-2845 | 2019-07-16 |
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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.