Galina Kazanikova, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0447875 Issued in KS

Practice address

6 Glen Cove Dr
Rockport, ME 04856-4272

Phone

(207) 661-2018

NPI assigned

Feb 27, 2009

Last updated

Nov 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, ME, WI, TX4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Josephs Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1942501747

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Ascension Medical Group-Southeast Wisconsin Inc

  dba Ascension Medical Group

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Maternal & Fetal Medicine Physician
  • Portland, ME
  • NPI 1063726891
  NPD
• North Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1972563070

  Internal Medicine

  NPD
• Rome Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Rome, NY
  • NPI 1376546440
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rome Memorial Hospital

  dba Delta Medical

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1700121894

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rome, NY
  • NPI 1306807193

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Boonville, NY
  • NPI 1336100767

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Regional Wound Care Center

  • Clinic/Center
  • Rome, NY
  • NPI 1356689004

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Camden Family Care

  • Primary Care Clinic/Center
  • Camden, NY
  • NPI 1891113965

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Rome, NY
  • NPI 1952362741

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Rome, NY
  • NPI 1376546440
  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  dba Chestnut Commons

  • Physical Therapy Clinic/Center
  • Rome, NY
  • NPI 1851489330

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1336389535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 217TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641909",
            "telephone_number": "347-542-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564272",
            "telephone_number": "207-661-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4280 Galt Ocean Dr Apt 10C",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333086105",
            "country_code": "US",
            "telephone_number": "718-683-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZANIKOVA",
        "first_name": "GALINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "04856",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0447875",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221106-1",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "0447875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa La-Ree Johnson
• Robert Charles Jorden, M.D.
• Kristin Kalajian, PA-C
• Kate Clement LCSW
• Charles F Kava, D.O.
• Norman Keller, PHYSICIAN ASSISTANT
• Deena Lufkin Kelley, PT, DPT
• Doreen M Kendall, D. O.
• Kennebec Pharmacy and Home Care LLC (Kennebec Pharmacy & Home Care)
• David G Kern, M.D.

• Internal Medicine Physician in Rockport, ME
• Providers in Rockport, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.