DR. HRISTO NIKOLA COLAKOVSKI (NPI# 1639257835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639257835 |
| Entity Type | Individual |
| Full Name | DR. HRISTO NIKOLA COLAKOVSKI |
| Credential | M.D. |
| Practice Address |
1880 Ridge Rd E Suite 1b Rochester NY 14622-2473 |
| Practice Telephone | 5852667540 |
| Practice Fax Number | 5852667406 |
| Mailing Telephone | 5852667540 |
| Mailing Fax Number | 5852667406 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
208580 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01789775 | 05 |
| Street Address |
1880 RIDGE RD E SUITE 1B |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14622-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068840 | Brenda Jean Iannucci | Internal Medicine | 1880 Ridge Rd E, Suite 5, Rochester, NY 14622-2473 | 2006-03-24 |
| 1225218803 | Judy N Fletcher | Specialist | 1880 Ridge Rd E, Suite 2 and 3, Rochester, NY 14622-2473 | 2007-11-12 |
| 1073663456 | David Michael Comisar | Social Worker | 1880 Ridge Rd E, Rochester, NY 14622-2473 | 2007-01-10 |
| 1134135247 | David Kevin Skeels | Dentist | 1880 Ridge Rd E, Suite 1a, Rochester, NY 14622-2473 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1730461534 | Rolonda Denise Johnson | Licensed Practical Nurse | 2409 Eastridge Rd, Apt162, Rochester, NY 14622 | 2011-09-16 |
| 1831489921 | Stephanie Lynn Cappotelli | Speech-Language Pathologist | 3284 Culver Road, Rochester, NY 14622 | 2011-04-11 |
| 1669609012 | Lavern Lorraine Sleugh-sharpe | Registered Nurse | 43 Rudman Road, Rochester, NY 14622 | 2009-06-12 |
| 1962645432 | Brandi Elizabeth Heberger | Massage Therapist | 1880 E. Ridge Rd., Suite 2, Rochester, NY 14622 | 2009-04-14 |
| 1952547879 | Deborah Lynn Joris | Licensed Practical Nurse | 2131 Titus Avenue, Rochester, NY 14622 | 2008-12-23 |
| 1073771929 | Jeanne A Lill | Pharmacist | 2200 Ridge Rd East, Wegmans Pharmacy, Rochester, NY 14622 | 2008-05-28 |
| 1306058433 | Internal Medicine On East Ridge, LLC | Internal Medicine | 1880 East Ridge Road, Suite 5, Rochester, NY 14622 | 2007-05-03 |
| 1720156987 | Thomas Robert Paonessa | Dentist | 4441 Culver Road, Rochester, NY 14622 | 2006-12-04 |
| Find all providers in zip 14622 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1356637482 | Hugh W Adams IIi | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642 | 2011-06-27 |
| 1407002371 | Center for Adolescent & Young Adult Health | Internal Medicine | 1081 Long Pond Rd, Suite 240, Rochester, NY 14626-5002 | 2008-08-12 |
| 1689845034 | Taylor B Starr | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642 | 2008-03-13 |
| 1700093176 | Merfake Semret | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154568707 | Alfred Bircaj | Internal Medicine | 270-05 76 Th Avenue, New Hyde Park, NY 11040 | 2009-01-18 |
| 1871747006 | Bensonhurst Mega Medical Care PC | Internal Medicine | 2761 Bath Ave Suite B1, Brooklyn, NY 11214 | 2008-11-14 |
| 1124276290 | Rangachar Keshava Prasad | Internal Medicine | 4578 Reliant Rd, Jamesville, NY 13078-6501 | 2008-09-03 |
| 1578739686 | Saroja Kesaviah Singa | Internal Medicine | 8 Chablis Dr, Dix Hills, NY 11746-5833 | 2008-05-08 |
| 1215105069 | Regina Belkin | Internal Medicine | 157 York St, Brooklyn, NY 11201-1508 | 2008-02-14 |
| 1669690061 | Pamela Ludmer | Internal Medicine | 2900 Purchase St, Student Health Center, Purchase, NY 10577-2131 | 2007-04-23 |
| 1083733026 | Mercy Medical Care, PC | Internal Medicine | 273 94th Street, Brooklyn, NY 11209 | 2007-03-29 |
| 1841337961 | Franklin Stuart Ward | Internal Medicine | 692 W 204th Street, New York, NY 10034 | 2007-01-30 |
| 1487720553 | Belkin Medical P.C. | Internal Medicine | 207 Berkeley Pl, Brooklyn, NY 11217-3801 | 2006-11-28 |
| 1588746291 | Hart Mart Medical Services Pllc | Internal Medicine | 669 Washington Ave Fl 1, Brooklyn, NY 11238-4005 | 2006-10-20 |
| Find all providers with the same taxonomy | ||||
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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.