DR. JEANNETTE CHINCHILLA (NPI# 1063448181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063448181 |
| Entity Type | Individual |
| Full Name | DR. JEANNETTE CHINCHILLA |
| Credential | M.D. |
| Practice Address |
677 S Main St Cheshire CT 06410-3158 |
| Mailing Address |
677 S Main St Ste 4 Cheshire CT 06410-3161 |
| Practice Telephone | 2032722382 |
| Practice Fax Number | 2032720071 |
| Mailing Telephone | 2032722382 |
| Mailing Fax Number | 2032720071 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 029729 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001297292 | 05 |
| Street Address |
677 S MAIN ST |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881674398 | Yasser Shaheen | Pain Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2006-01-19 |
| 1629436597 | Kelley Mollor | Registered Nurse | 677 S Main St, Cheshire, CT 06410-3158 | 2016-02-05 |
| 1255745741 | Comprehensive Pain Clinic PC | Pain Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2014-06-12 |
| 1386826790 | Brian C Cohen | Internal Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2007-11-28 |
| 1134319205 | Paula M. Bevilacqua M.d. LLC | Dermatology | 677 S Main St, Cheshire, CT 06410-3158 | 2007-07-25 |
| 1598805277 | Dana M Correale | Dermatology | 677 S Main St, Cheshire, CT 06410-3158 | 2007-02-08 |
| 1659453249 | James Donald Grenon | Chiropractor | 677 S Main St, Suite 1b, Cheshire, CT 06410-3158 | 2006-10-20 |
| 1558443150 | Daniel Ruddy | Chiropractor | 677 S Main St, Suite 1b, Cheshire, CT 06410-3158 | 2006-10-20 |
| 1790715209 | Paula Michele Bevilacqua | Dermatology | 677 S Main St, Cheshire, CT 06410-3158 | 2006-07-03 |
| 1528005675 | David Stair | Internal Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2006-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366973679 | Jonathan Uhl | Pediatrics | 435 Highland Ave Ste 110, Cheshire, CT 06410-2583 | 2017-03-27 |
| 1427389808 | Richard Bertram Wilber | Pediatrics | 100 Nob Hill Rd, Cheshire, CT 06410-1746 | 2010-01-25 |
| 1184899536 | Brian Matthew Liebler | Pediatrics | 435 Highland Ave, #110, Cheshire, CT 06410-2572 | 2008-04-28 |
| 1104881085 | Karalyn Kinsella | Pediatrics | 435 Highland Ave, #110, Cheshire, CT 06410 | 2006-04-20 |
| 1699730119 | Elizabeth Rodney Herz | Pediatrics | 435 Highland Ave., #110, Cheshire, CT 06410-3145 | 2006-04-18 |
| 1184689606 | Louis M Dimauro | Pediatrics | 435 Highland Ave., #110, Cheshire, CT 06410 | 2006-04-18 |
| 1477510675 | Pediatric Associates of Cheshire PC | Pediatrics | 435 Highland Ave., #110, Cheshire, CT 06410 | 2006-05-01 |
| 1659336626 | James Edward O'connor | Pediatrics | 435 Highland Ave., #110, Cheshire, CT 06410 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514292 | Medical Center of East Hartford LLC | Pediatrics | 580 Burnside Ave Ste 2, East Hartford, CT 06108-3579 | 2020-07-01 |
| 1841856721 | Jutta Nemec | Pediatrics | 9 Meadow Pl, Old Greenwich, CT 06870-2114 | 2019-05-15 |
| 1396201307 | My Catholic Doctor, P.l.l.c. | Pediatrics | 711 Silvermine Rd, New Canaan, CT 06840-4329 | 2019-02-14 |
| 1710442694 | Staci Ruth Cicero | Pediatrics | 11 Crimmins Rd, Darien, CT 06820-5327 | 2019-02-05 |
| 1740760032 | Glastonbury Pediatrics | Pediatrics | 131 New London Tpke Ste 322, Glastonbury, CT 06033-2246 | 2018-08-16 |
| 1386158467 | Pm Pediatrics of Connecticut | Pediatrics | 1459 New Britain Ave, West Hartford, CT 06110-1659 | 2017-11-28 |
| 1801247861 | John Frederick Harper | Pediatrics | 175 Scott Swamp Rd, Farmington, CT 06032-3124 | 2016-06-30 |
| 1831540715 | Hilary Christina Hoffmeister | Pediatrics | 41 Jones Park Dr, Riverside, CT 06878-2205 | 2016-06-22 |
| 1811381726 | Jessica Weyman Tutolo | Pediatrics | 290 Western Blvd, Glastonbury, CT 06033-1236 | 2015-03-28 |
| 1114328796 | Michal A Manaster | Pediatrics | 1515 Summer St., Suite 101, Stamford, CT 06905-5150 | 2014-09-15 |
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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.