MR. NICOLAS ANTICO (NPI# 1801352133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801352133 |
| Entity Type | Individual |
| Full Name | MR. NICOLAS ANTICO |
| Credential | PA-C |
| Practice Address |
90 Cynrose Pl Meriden CT 06451-2772 |
| Practice Telephone | 2033171208 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
90 CYNROSE PL |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| Find all providers in zip 06451 | ||||
| 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 |
|---|---|---|---|---|
| 1750991303 | Lana Chapman | Physician Assistant | 289 Curtis St Apt 2, Meriden, CT 06450-5910 | 2020-08-07 |
| 1043394083 | Christina A Plantier | Physician Assistant | 61 Pomeroy Ave, Meriden, CT 06450-7101 | 2006-10-25 |
| 1700405149 | Megan Elizabeth Ganzenmuller | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-04-15 |
| 1952956211 | Sara Frances Boudreau | Physician Assistant | 816 Broad St Ste 24, Meriden, CT 06450-4350 | 2019-08-05 |
| 1831741347 | Kelly Ann Meenan | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-07-15 |
| 1023597028 | Anthony Joseph Boguslawski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-08-09 |
| 1700372356 | Anne Elizabeth Carlson | Physician Assistant | 816 Broad St, Meriden, CT 06450-4350 | 2018-07-06 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1912428202 | Brad Petitti | Physician Assistant | 61 Pomeroy Ave, Meriden, CT 06450-7482 | 2017-06-28 |
| 1962931113 | Cassidy Ruocco | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2017-06-09 |
| Find all providers in MERIDEN | ||||
Please comment or provide details below to improve the information on MR. NICOLAS ANTICO.
| 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.