Tetiana Kihiczak Bazarko, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

000914 Issued in CT

Practice address

389 Highland Ave
Waterbury, CT 06708-3444

Phone

(203) 754-0879

Fax

(203) 757-4123

NPI assigned

Dec 18, 2006

Last updated

Aug 6, 2019By 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 5

Addresses

Other names 1

• Tetiana Kihiczak Bazarko Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11307/brand/1/csg/1/fhir/r4

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.

• Peter T Labarbera, DPM

  • Foot Surgery Podiatrist
  • Waterbury, CT
  • NPI 1497937163
  NPD (past)
• Foot & Ankle Specialists of NJ LLC

  • Podiatrist
  • Newark, NJ
  • NPI 1982778171
  NPD (past)
• Oleg Frank MD PC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1134454549
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1861555245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 HIGHLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 HIGHLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083444",
            "telephone_number": "203-754-0879",
            "fax_number": "203-757-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZARKO",
        "first_name": "TETIANA",
        "middle_name": "KIHICZAK",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000914",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00271900",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00271900",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00271900",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CT",
            "license": "000914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TETIANA",
            "last_name": "BAZARKO",
            "middle_name": "KIHICZAK",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Taylor N Battiste
• Nicole Baum
• Daniel P Baxter, P.A.
• Esther Shalva Baylis, LCSW
• Lynn Baylis, P.A.
• Shawn Bazemore
• Joyce Lawton Bea, RPT
• Amanda Beamon
• Shomari Beamon, LPC
• Jodie Beauchamp

• Primary Podiatric Medicine Podiatrist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Primary Podiatric Medicine Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.

Verify at the official NPI Registry.