DR. ANTONINA YAKOVLEVNA KOLESNIKOVA (NPI# 1598932592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598932592 |
Entity Type | Individual |
Full Name | DR. ANTONINA YAKOVLEVNA KOLESNIKOVA |
Credential | MD |
Practice Address |
1140 Varnum St Ne Washington DC 20017-2151 |
Practice Telephone | 2022696430 |
Mailing Telephone | 2022696430 |
Enumeration Date | 2008-05-09 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | MD036833 | DC | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD036833 | DC | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
15825 Shady Grove Rd Ste 140, Rockville, MD 208504015 | 3018699776 |
Street Address |
1140 VARNUM ST NE |
City | WASHINGTON |
State | DC |
Zip Code | 20017-2151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194725184 | Gail S Kerr | Internal Medicine | 1140 Varnum St Ne, Suite #201, Washington, DC 20017-2151 | 2005-07-31 |
1144641713 | Capital Consulting Services, LLC | Internal Medicine | 1140 Varnum St Ne, Pmb 105, Washington, DC 20017-2151 | 2013-12-26 |
1457693012 | Phs Medical Specialists Pmb107 | General Acute Care Hospital | 1140 Varnum St Ne, Pmb107, Washington, DC 20017-2151 | 2013-03-21 |
1710240114 | Dal Yoo Md LLC | Internal Medicine | 1140 Varnum St Ne, Suite 102, Washington, DC 20017-2151 | 2012-06-20 |
1366710766 | Providence Health Services, Inc | General Acute Care Hospital | 1140 Varnum St Ne, Pmb 200, Washington, DC 20017-2151 | 2011-12-13 |
1750659272 | Phs Family Medicine & Pediatrics Pmb103 | Pediatrics | 1140 Varnum St Ne, Pmb103, Washington, DC 20017-2151 | 2011-12-12 |
1326316936 | Phs Internal Medicine Pmb202 | General Acute Care Hospital | 1140 Varnum St Ne, Pmb 202, Washington, DC 20017-2151 | 2011-12-09 |
1457666000 | Nana Yaw Asamoah-mensah, M.d.,p.c. | Psychiatry & Neurology | 1140 Varnum St Ne, Suite 205, Washington, DC 20017-2153 | 2010-08-06 |
1730492422 | Andre S Michalak Md PC | Clinic/Center | 1140 Varnum St Ne, Suite 208b, Washington, DC 20017-2151 | 2010-07-22 |
1922335561 | Bustos & Associates, LLC | Preferred Provider Organization | 1140 Varnum St Ne, Pmb 105, Washington, DC 20017-2151 | 2009-11-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
Find all providers in zip 20017 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619453388 | Suvi Bhubendra Rasaiah | Internal Medicine | 106 Irving St Nw Ste 201, Washington, DC 20010-2993 | 2018-07-16 |
1740691054 | Divya Shankaranarayanan | Internal Medicine | 2150 Pennsylvania Ave Nw Ste 3-438, Washington, DC 20037-3201 | 2014-05-09 |
1285075218 | Ziad Alkhouri | Internal Medicine | 730 24th St Nw Ste 17, Washington, DC 20037-2543 | 2013-07-05 |
1649478462 | Roopali Gupta | Internal Medicine | 110 Irving St Nw Ste Nw # 2a-70, Washington, DC 20010-2976 | 2007-07-03 |
1205045010 | Malcolm C. Cox | Internal Medicine | Of Veterans Affairs Offfice of Academic Affili, 810 Vermont Ave., Nw, Washington, DC 20420-0001 | 2007-05-21 |
1881782464 | Stephen Wayne Olson | Internal Medicine | Walter Reed Army Medical Center 6900 Georgia Ave, Washington, DC 20307-0001 | 2006-10-10 |
1285731620 | Fred Irwin Polsky | Internal Medicine | 4100 Cathedral Ave Nw, Apt. Ph-16, Washington, DC 20016-3584 | 2006-09-20 |
1700807674 | Serban A Dragoi | Internal Medicine | 3800 Reservoir Rd Nw # 6-phc, Washington, DC 20007-2113 | 2006-07-23 |
1902835028 | Vascular Access Center of Washington Dc, LLC | Internal Medicine | 1010 Vermont Ave Nw, Suite 300, Washington, DC 20005-4902 | 2006-07-01 |
1821042359 | Violet Habwe | Internal Medicine | 730 24th Street Nw, Suite 17, Washington, DC 20037 | 2006-05-20 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20017 |
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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.