MATTHEW SHAUGHNESSY (NPI# 1003264854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003264854 |
| Entity Type | Individual |
| Full Name | MATTHEW SHAUGHNESSY |
| Credential | MD |
| Practice Address |
330 Cedar St Ynhh- Dept of Surgery New Haven CT 06510-3218 |
| Mailing Address |
330 Cedar Street Ynhh- Dept of Surgery New Haven CT 06520-8062 |
| Practice Telephone | 2037857890 |
| Mailing Telephone | 2037857890 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235510967 | Matthew Bernard Shaughnessy | Dentist | 5000 Oberlin Ave, Lorain, OH 44053-3474 | 2015-06-18 |
| Street Address |
330 CEDAR ST YNHH- DEPT OF SURGERY |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215909072 | Jonathan Thomas Puchalski | Internal Medicine | 330 Cedar St, Boardman Building Rm 205, New Haven, CT 06510-3218 | 2006-02-06 |
| 1386171361 | Rajiv Jaisimha Iyengar | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2017-05-22 |
| 1356878987 | Michelle Catherinne Salazar Marulanda | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2017-05-14 |
| 1861928715 | Grace Chao | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2017-05-11 |
| 1346772449 | Mitsutomo Yamada | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh - Eb204, New Haven, CT 06510-3218 | 2017-03-29 |
| 1528500030 | Annmarie Shabazian | Physician Assistant | 330 Cedar St, Bb205, New Haven, CT 06510-3218 | 2016-11-15 |
| 1538517867 | Tareq Ghazi Sawan | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh, Department of Surgery, New Haven, CT 06510-3218 | 2016-05-26 |
| 1922456425 | Abedalrazaq Osama Alkukhun | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh Dept of Surgery, New Haven, CT 06510-3218 | 2016-05-25 |
| 1922455732 | Sameh Yousef | Student in an Organized Health Care Education/Training Program | 330 Cedar St, 107, New Haven, CT 06510-3218 | 2016-05-22 |
| 1437506326 | Lauren Pischel | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2016-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019689 | Mallori Wisuri | Student in an Organized Health Care Education/Training Program | 14505 Old 24 E, New Haven, IN 46774-9013 | 2020-06-27 |
| 1952920019 | Nazli Dizman | Student in an Organized Health Care Education/Training Program | 20 York St Tompkins 226, New Haven, CT 06510-3220 | 2020-04-09 |
| 1972132314 | Ross David Logan | Student in an Organized Health Care Education/Training Program | 20 York St Ste 226, New Haven, CT 06510-3220 | 2020-04-07 |
| 1194354043 | Christian Keene | Student in an Organized Health Care Education/Training Program | 625 Orange St Apt 43, New Haven, CT 06511-3840 | 2020-04-03 |
| 1639706146 | Kevin Jiang | Student in an Organized Health Care Education/Training Program | 330 Orchard St Ste 207, New Haven, CT 06511-4429 | 2020-03-25 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1275166407 | Joshua Braden | Student in an Organized Health Care Education/Training Program | 32277 Salt River Cir N, New Haven, MI 48048-3331 | 2020-02-17 |
| 1871125401 | Taylor Alexandra Babin | Student in an Organized Health Care Education/Training Program | 166 Hall St, New Haven, CT 06512-3148 | 2020-02-11 |
| 1952962649 | Su Jung Kim | Student in an Organized Health Care Education/Training Program | 111 Park St Apt 12t, New Haven, CT 06511-5421 | 2019-06-24 |
| 1144880691 | Durga Thakral | Student in an Organized Health Care Education/Training Program | 367 Cedar St Ste 317, New Haven, CT 06510-3222 | 2019-06-17 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.