Vassily Mihailoff, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

012135 Issued in ME

Practice address

28 W Cole Rd
Biddeford, ME 04005-9428

Phone

(207) 284-6114

Fax

(207) 282-6118

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1013959618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W STE 360",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713604",
            "telephone_number": "201-821-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W COLE RD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059428",
            "telephone_number": "207-284-6114",
            "fax_number": "207-282-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHAILOFF",
        "first_name": "VASSILY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "ME",
            "license": "012135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0104586Y0ME01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "002110",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1042105",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125300000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard J Mendez, OD
• Katherine F. Meredith, LCPC
• Michael A. Merriam, M.D.
• Michael J Quigley MD PA
• Lynn M Michienzi, RDH
• Christine Miller, WHNP
• Mind Care PLLC
• Deanna B Minsky
• Miracle Home Care
• Hilary Mitchell-Clark, L.M.T.

• Allergy & Immunology Physician in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Allergy & Immunology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.