KEVAN CLIFFORD HEROLD (NPI# 1083709463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083709463 |
| Entity Type | Individual |
| Full Name | KEVAN CLIFFORD HEROLD |
| Credential | MD |
| Practice Address |
800 Howard Ave Yale Physicians Bldg New Haven CT 06520 |
| Mailing Address |
Po Box 9805 300 George St 6th Flr New Haven CT 06536-0805 |
| Practice Telephone | 2037852140 |
| Practice Fax Number | 2037856414 |
| Mailing Telephone | 2037857998 |
| Mailing Fax Number | 2037856414 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
044448 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
800 HOWARD AVE YALE PHYSICIANS BLDG |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621419 | John P Fulkerson | Orthopaedic Surgery | 800 Howard Ave, New Haven, CT 06519-1369 | 2005-07-01 |
| 1467068163 | Catherine Aileen Chagnon | Physical Medicine & Rehabilitation | 800 Howard Ave, New Haven, CT 06519-1369 | 2020-09-17 |
| 1508408915 | Rebecca Lynne Tallarita | Nurse Practitioner | 800 Howard Ave, New Haven, CT 06519 | 2019-10-17 |
| 1598323610 | Brianne Krawczyk | Pharmacist | 800 Howard Ave, Hvc Center-2nd Floor, New Haven, CT 06519 | 2019-06-04 |
| 1467017277 | Gabriel B Lerner | Student in an Organized Health Care Education/Training Program | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-05-07 |
| 1467915413 | Sarah Elizabeth Savoia | Physician Assistant | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-04-08 |
| 1992287577 | Brittany Cyr | Pharmacist | 800 Howard Ave, New Haven, CT 06519-1369 | 2018-08-30 |
| 1700395506 | Lauren Katherine Fagan | Audiologist | 800 Howard Ave, New Haven, CT 06519-1369 | 2017-09-25 |
| 1548784093 | Megan Frank Harari | Nurse Practitioner | 800 Howard Ave, Ste 1st Floor, Room 133, New Haven, CT 06519 | 2017-07-26 |
| 1942723168 | Jamie B Freeman | Physician Assistant | 800 Howard Ave, Yale Neurosurgery, New Haven, CT 06519-1369 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881124626 | Kathryn Elliott Nagel | Student in an Organized Health Care Education/Training Program | 15 York Street, Lmp 1091b, Ynhh - Im Pediatrics, New Haven, CT 06520 | 2017-06-14 |
| 1013399666 | Cosman Camilo Mandujano | Student in an Organized Health Care Education/Training Program | 330 Cedar Street Ynhh, Department of Surgery, New Haven, CT 06520 | 2015-06-19 |
| 1457619751 | Andrew Philip Notarianni | Anesthesiology | 333 Cedar St., Tompkins 3, Yusm Department of Anesthesiology, New Haven, CT 06520 | 2012-04-25 |
| 1619254992 | Deniz Balci | Student in an Organized Health Care Education/Training Program | Ankara Universitesi Ibni Sina Hastanesi, Genel Cerrahi Ad. Sihhiye, Ankara, ANKARA 06520 | 2011-11-15 |
| 1427333244 | Alexander Goehler | Radiology | 333 Cedar Steet, Yale New Haven Hospital, New Haven, CT 06520 | 2011-10-12 |
| 1841529575 | Maison Chen | Radiology | 333 Cedar St, Te2, Yale Dx Radiology, New Haven, CT 06520 | 2009-12-08 |
| 1134394323 | Nicole Marie Brown | Pediatrics | 333 Cedar Street Shm Ie-61, New Haven, CT 06520 | 2008-04-28 |
| 1851566228 | Arianne Jeaneve Boylan | Neurological Surgery | Yale Department of Neurosurgery, 333 Cedar Street, New Haven, CT 06520 | 2008-04-28 |
| 1679757629 | William Gee Chang | Internal Medicine | Bb114 330 Cedar St, Yale Nephrology, New Haven, CT 06520 | 2007-12-27 |
| 1447458666 | Alejandra Valencia | Psychologist | 230 South Frontage Rd., The Yale Child Study Center, New Haven, CT 06520 | 2007-07-10 |
| Find all providers in zip 06520 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205120490 | Patricia R Peter | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2011-06-05 |
| 1740412675 | Raimund I Herzog | Internal Medicine | 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2009-08-11 |
| 1477793529 | Irina G Rosewater | Internal Medicine | 200 Orchard St, Ste 207, New Haven, CT 06511-3206 | 2009-03-03 |
| 1083889695 | Renata Da Silva Belfort De Aguiar | Internal Medicine | 789 Howard Ave, 2nd Floor, New Haven, CT 06519-1304 | 2008-04-24 |
| 1831360742 | Clare Ann Flannery | Internal Medicine | 333 Cedar Street, Lsog 304a, New Haven, CT 06520-8063 | 2008-03-19 |
| 1487870101 | Sonia Hegde | Internal Medicine | 46 Prince St, Suite 302, New Haven, CT 06519-1600 | 2007-04-18 |
| 1114050663 | John J Wysolmerski | Internal Medicine | 789 Howard Ave, Dana Clinic Building, New Haven, CT 06520-8020 | 2007-03-13 |
| 1093851321 | Kai H Yang | Internal Medicine | 200 Orchard St, #207, New Haven, CT 06511 | 2007-01-30 |
| 1659417889 | Philip Andrew Goldberg | Internal Medicine | 200 Orchard St, Ste 207, New Haven, CT 06511-5363 | 2007-01-29 |
| 1669537890 | Francis P Wilson | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2006-12-27 |
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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.