Mylaurel Medical Group Wa, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MYLAUREL MEDICAL GROUP WA, PLLC

Practice address

8756 Grand Ave NE
Bainbridge Island, WA 98110-2905

Phone

(917) 613-9004

NPI assigned

Jul 30, 2025

Organization subpart

No

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

Authorized official

Name

Branko Kolvek

Title

Coo

Phone

(347) 497-2452

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1689557340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "917-613-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8756 GRAND AVE NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102905",
            "telephone_number": "917-613-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLAUREL MEDICAL GROUP WA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "KOLVEK",
        "authorized_official_first_name": "BRANKO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "347-497-2452"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen L. Morice, PA
• Miriam Morrow, ARNP
• Perry D Mostov, DO
• Charlene Ruth Moy, MS LMFT
• Chase Keaton Myers, LMHC
• Katherine Lenore Blair Nack
• Michelle Naden, PHD
• Ellen Napolitano
• Nathan G Russell DDS PC
• Nellie McCarty, Licsw, PLLC

• General Practice Physician in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.