Provider Demographics
NPI:1124047196
Name:KAPLAN, MICHAEL J (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1579 STRAITS TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762
Mailing Address - Country:US
Mailing Address - Phone:203-758-1272
Mailing Address - Fax:203-758-1070
Practice Address - Street 1:1579 STRAITS TURNPIKE
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762
Practice Address - Country:US
Practice Address - Phone:203-758-1272
Practice Address - Fax:203-758-1070
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT034194207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT341940OtherCONNECTICARE INSURANCE
CT00134194000OtherANTHEM BC FAMILY PLAN
CT010034194CT01OtherANTHEM BC BS OF CT
CT0R0384OtherHEALTHNET
CTNHS375OtherOXFORD HEALTH PLANS
CT1341940Medicaid
CT501812OtherAETNA HEALTHCARE
CTNHS375OtherOXFORD HEALTH PLANS