Michele Diane Koleszar, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

028587 Issued in CT

Practice address

4675 Main St
Bridgeport, CT 06606-1813

Phone

(203) 372-9998

Fax

(203) 373-9095

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1225064447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-372-9998",
            "fax_number": "203-373-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-372-9998",
            "fax_number": "203-373-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESZAR",
        "first_name": "MICHELE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CT",
            "license": "028587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001285875",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yevgenia Kochian, LPC
• Christina Kolade, D.O.
• Ebenezer Kolade, M.D.
• Jennifer Elovich Kolakowski, LSCW
• Patricia Kolbusz
• Tessa Rose Konczylo, PA-C
• Mikhail Kondratiuk, M.D.
• Konecny Chiropractic Centers LLC
• Jonathan Peter Konecny, DC
• Katelyn Lee Koning, LPC

• Gynecology Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.