FRANS J WACKERS (NPI# 1073502621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073502621 |
| Entity Type | Individual |
| Full Name | FRANS J WACKERS |
| Credential | MD |
| Practice Address |
20 York Street Y-nhh South Pavilion 2nd Fl New Haven CT 06510 |
| Mailing Address |
300 George St New Haven CT 06511-6624 |
| Practice Telephone | 2036882433 |
| Practice Fax Number | 2036889258 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
020985 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001209857 | 05 |
| Street Address |
20 YORK STREET Y-NHH SOUTH PAVILION 2ND FL |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990586 | Olivia Michelle Mulla | Physician Assistant | 20 York Street, Cb-329, New Haven, CT 06510 | 2020-07-28 |
| 1861000770 | Courtney Lois Miniter | Nurse Anesthetist, Certified Registered | 20 York Street, New Haven, CT 06510-3220 | 2020-07-16 |
| 1396369245 | Andrea Ellen Para Lincoln | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-06-05 |
| 1679195275 | Paul Stockhammer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-18 |
| 1386266054 | Ayomipo Sarah Madein | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 266, New Haven, CT 06510-3220 | 2020-05-15 |
| 1437771300 | Juan Jose Silva Campos | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-13 |
| 1659993855 | Eliaz Nahum Brumer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-11 |
| 1942820477 | Long Qian | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-24 |
| 1043830649 | Eesha Vijaykumar Natarajan | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-23 |
| 1316567589 | Danish Mohammed Zaidi | Student in an Organized Health Care Education/Training Program | 20 York Street, Tompkins 226, New Haven, CT 06510-3220 | 2020-04-17 |
| 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 | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669412961 | Aditya R Daftary | Radiology | 205 Church Street, 3rd Floor, New Haven, CT 06510-1805 | 2006-06-07 |
| 1912239625 | Anne Marie Boustani | Radiology | 20 York St, New Haven, CT 06510-3220 | 2010-02-04 |
| 1689813966 | Manijeh Zehtabchi | Radiology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510 | 2009-02-11 |
| 1992788335 | Carol H Lee | Radiology | 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519-1369 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174812986 | Alena Kreychman | Radiology | 4 Talcott Gln Unit D, Farmington, CT 06032-3523 | 2011-04-01 |
| 1528231677 | David S Karimeddini | Radiology | 263 Farmington Ave, Farmington, CT 06030-0001 | 2008-04-09 |
| 1326134701 | Antonio Obando | Radiology | 950 Campbell Avenue, West Haven, CT 06516-2700 | 2006-10-05 |
| 1346274255 | Robert Gumbardo | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
| 1780618694 | Mark Johnson | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
| 1598799405 | Robert Lehman | Radiology | 385 Main St S, Union Square Bldg#2, Southbury, CT 06488-4240 | 2006-07-10 |
| 1992739809 | Ying-sek Chan | Radiology | 385 Main St S, Union Square, Southbury, CT 06488-4240 | 2006-07-10 |
| 1114959541 | Matthew Bushey | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-07 |
| 1275565640 | Michael Malin | Radiology | 385 Main St S, Union Square, Southbury, CT 06488-4240 | 2006-07-07 |
| 1457347833 | Scott Williams | Radiology | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4694 | 2005-09-21 |
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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.