ANDREW PAUL MACKENZIE (NPI# 1053375915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053375915 |
| Entity Type | Individual |
| Full Name | ANDREW PAUL MACKENZIE |
| Credential | M.D. |
| Practice Address |
346 Pomfret St Putnam CT 06260-1871 |
| Practice Telephone | 8609280832 |
| Practice Fax Number | 8609633837 |
| Mailing Telephone | 8609280870 |
| Mailing Fax Number | 8609633837 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 217664 | NY | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
47186 | CT | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
217664 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
346 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083687057 | Jeanne Bedard | Nurse Practitioner | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-02-09 |
| 1033437074 | Carlos Morales | Surgery | 346 Pomfret St, Putnam, CT 06260-1871 | 2010-05-15 |
| 1366613614 | Dkh Diabetes Self Managment Education | Clinic/Center | 346 Pomfret St, Putnam, CT 06260-1871 | 2008-03-14 |
| 1306964580 | Virginia Rose Shea | Nurse Practitioner | 346 Pomfret St, Putnam, CT 06260-1871 | 2007-03-27 |
| 1609928183 | David L. Yeager, Md | Nurse Practitioner | 346 Pomfret St, Putnam, CT 06260-1871 | 2007-01-17 |
| 1124179106 | David L. Yeager, Md PC | Specialist | 346 Pomfret St, Putnam, CT 06260-1871 | 2007-01-16 |
| 1588737613 | Day Kimball Hospital Diabetes Education Program | Clinic/Center | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-11-16 |
| 1437170495 | Denise L Sikorski | Dietitian, Registered | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-07-22 |
| 1366471427 | P Subakeesan | Internal Medicine | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-07-01 |
| 1811955396 | Michael E Baum | Surgery | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
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| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275801771 | Physician Services of Northeast | Obstetrics & Gynecology | 320 Pomfret St, Suite Csb2, Putnam, CT 06260-1836 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356509996 | Katherine Shister Kohari | Obstetrics & Gynecology | 1 Long Wharf Dr Fl 2, New Haven, CT 06511-5991 | 2008-05-30 |
| 1356478408 | David Jacob Nochimson | Obstetrics & Gynecology | 15 Donahue Rd, North Granby, CT 06060-1404 | 2007-02-27 |
| 1043235567 | Richard Roger Viscarello Jr. | Obstetrics & Gynecology | 1275 Summer Street, Suite 306, Stamford, CT 06905-5315 | 2006-07-13 |
| 1801826680 | Physicians for Women's Health LLC | Obstetrics & Gynecology | 22 Waterville Road, Avon, CT 06001-1380 | 2006-07-04 |
| 1326349887 | Juliet Mushi | Obstetrics & Gynecology | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2010-11-15 |
| 1902114747 | Arch Med Group Inc | Obstetrics & Gynecology | 41 Crossroads Plz, Ste 102, West Hartford, CT 06117-2402 | 2010-09-14 |
| 1629399290 | Frances F Hsieh | Obstetrics & Gynecology | 1 Hospital Plz, Stamford, CT 06902-3602 | 2010-06-18 |
| 1477873131 | Audrey Anne Merriam | Obstetrics & Gynecology | 1 Long Wharf Dr Fl 2, New Haven, CT 06511-5991 | 2010-06-04 |
| 1346474202 | Jennifer Lee Wong | Obstetrics & Gynecology | 800 Howard Ave, New Haven, CT 06519-1369 | 2009-05-06 |
| 1811155849 | State of Connecticut Health Center | Obstetrics & Gynecology | 263 Farmington Ave, Ob/gyn Hbp Group, Farmington, CT 06030-0001 | 2008-05-27 |
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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.