Active NPI
Mladen Kolovrat, PA
- Physician Assistant
- Exeter, NH
National Provider Identifier
1487947875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1206
- Practice address
- 1 Hampton Rd
Suite 200
Exeter, NH 03833-4848 - Phone
- (603) 775-7575
- Fax
- (603) 778-9680
- NPI assigned
- May 18, 2011
- Last updated
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1206 | NH | Primary |
Addresses
Primary practice location
1 Hampton Rd
Suite 200
Exeter, NH 03833-4848
Mailing address
1 Hampton Rd
Suite 200
Exeter, NH 03833-4848
Phone (603) 775-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1206 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care, P.a. | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Advanced Chiropractic Life Center, Inc | Past | Accepting new patients |
Locations
290 Branch Ave
Providence, RI 02904
Phone (401) 722-8880
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Interoperability endpoints
- mkolovrat@aosm1214.srs-direct.com
Organizations & group practices 3
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.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Point of Service
- Ormond Beach, FL
- NPI 1144567751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1487947875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HAMPTON RD",
"address_2": "SUITE 200",
"city": "EXETER",
"state": "NH",
"postal_code": "038334848",
"telephone_number": "603-775-7575",
"fax_number": "603-778-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HAMPTON RD",
"address_2": "SUITE 200",
"city": "EXETER",
"state": "NH",
"postal_code": "038334848",
"telephone_number": "603-775-7575",
"fax_number": "603-778-9680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLOVRAT",
"first_name": "MLADEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.