MICHAEL KORCZYKOWSKI (NPI# 1770644817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770644817 |
| Entity Type | Individual |
| Full Name | MICHAEL KORCZYKOWSKI |
| Credential | PA |
| Practice Address |
141 Shamrock Rd South Burlington VT 05403-5801 |
| Practice Telephone | 8023383553 |
| Practice Fax Number | 8023383532 |
| Mailing Telephone | 8023383553 |
| Mailing Fax Number | 8023383532 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0550031038 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
141 SHAMROCK RD |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416799 | Rachel Blair | Physician Assistant | L1 Stonehedge Dr, South Burlington, VT 05403-7320 | 2020-01-19 |
| 1811494669 | Kara Katherine Hankes | Physician Assistant | 325 Dorset St, South Burlington, VT 05403-6351 | 2018-04-09 |
| 1023170792 | Kellie Michele Malaney | Physician Assistant | 1775 Williston Rd Ste 220, South Burlington, VT 05403-6491 | 2006-12-15 |
| 1629056817 | Tracie L Hammond | Physician Assistant | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2006-01-06 |
| 1194246405 | Brittany Owens Bryan | Physician Assistant | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2017-06-28 |
| 1285006775 | Lauren Brogna Richard | Physician Assistant | 192 Tilley Drive, Uvm Medical Center - Orthopedics, South Burlington, VT 05403 | 2015-10-23 |
| 1427463090 | Laura Michelle Weiland | Physician Assistant | 62 Tilley Dr, South Burlington, VT 05403-4407 | 2014-06-23 |
| 1316298581 | Suzanne Decapua | Physician Assistant | 192 Tilley Dr, Uvm Medical Center - Orthopedics, South Burlington, VT 05403-4440 | 2012-09-27 |
| 1619223260 | Jessica Knight Savoy | Physician Assistant | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2012-08-01 |
| 1023389418 | Grigorios Delaportas | Physician Assistant | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2012-01-18 |
| Find all providers in SOUTH BURLINGTON | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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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.