Joseph F Mikolic, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R 133937-2 Issued in MN

Practice address

75 Mackubin St
Saint Paul, MN 55102-2021

Phone

(651) 222-4265

NPI assigned

Apr 5, 2006

Sex

Male

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)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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

• Hennepin County

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1780790345
  NPD (past)
• Manuel R Moran

  • Ambulatory Surgical Clinic/Center
  • Saint Cloud, MN
  • NPI 1669971735
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1790747566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MACKUBIN ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022021",
            "telephone_number": "651-222-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MACKUBIN ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022021",
            "telephone_number": "651-222-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLIC",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R 133937-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600 89 800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikemarekcounseling
• Tara Mikenas
• Jennifer L Mikkelson, NP
• Melissa Mikkonen, LPCC
• Kayley Mikolajczyk, DPT
• Kathleen Mikula Lomen, MA, LMFT
• Kathryn M Milbert, OTR/L
• Krista Ann Milbrandt, R.N.
• Jessica Lauree Milbrath, LICSW
• Kyah Fons Miles

• Certified Registered Nurse Anesthetist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.