LOUIS MOSES MENDELSON (NPI# 1104807403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104807403 |
| Entity Type | Individual |
| Full Name | LOUIS MOSES MENDELSON |
| Credential | MD |
| Practice Address |
836 Farmington Avenue Ste 207 West Hartford CT 06119 |
| Mailing Address |
836 Farmington Avenue Suite 207 West Hartford CT 06119 |
| Practice Telephone | 8602329911 |
| Practice Fax Number | 8602335996 |
| Mailing Telephone | 8602329911 |
| Mailing Fax Number | 8602335996 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207K00000X | Allergy & Immunology | 015685 | CT | Allopathic & Osteopathic Physicians |
| X | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
015685 | CT | Allopathic & Osteopathic Physicians |
| X | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
015685 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PREFERRED ONE | 226944 | 01 | |
| BLUE CROSS | 010015685CT01 | 01 | |
| OXFORD | P502156 | 01 | |
| CONNECTICARE | 051506 | 01 | |
| BLUE CROSS MEDICAID | 00115985000 | 01 | |
| HEALTHNET & HEALTHNET MED | OS2381 | 01 | |
| CIGNA | 2611105002 | 01 |
| Street Address |
836 FARMINGTON AVENUE STE 207 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760463400 | Jason O Lee | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-09 |
| 1568981918 | Kelly Schunder | Counselor | 836 Farmington Avenue, Suite 221b, West Hartford, CT 06119 | 2017-09-18 |
| 1093848988 | Gavin Schwarz | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119-1551 | 2007-03-13 |
| 1659354082 | James Paul Rosen | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-21 |
| 1457332298 | Jeffrey M Factor | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-09 |
| 1841271699 | Marshall P Grodofsky | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-09 |
| 1003897851 | Robert M Bedard | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119-1505 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942576947 | Wei An | Allergy & Immunology | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 | 2012-03-24 |
| 1760463400 | Jason O Lee | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-09 |
| 1669732756 | Allergy and Asthma Family Care LLC | Allergy & Immunology | 928 Farmington Ave, West Hartford, CT 06107-2229 | 2012-05-22 |
| 1609078708 | Shayna Beth Burke | Allergy & Immunology | 928 Farmington Ave, West Hartford, CT 06107-2227 | 2007-06-01 |
| 1093848988 | Gavin Schwarz | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119-1551 | 2007-03-13 |
| 1710080619 | Leonard Cohen | Allergy & Immunology | 928 Farmington Ave, West Hartford, CT 06107-2227 | 2006-09-06 |
| 1659354082 | James Paul Rosen | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-21 |
| 1609857473 | Jasmine M Abbosh | Allergy & Immunology | 836 Farmington Ave, Suite 207, West Hartford, CT 06119 | 2005-11-09 |
| 1457332298 | Jeffrey M Factor | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-09 |
| 1841271699 | Marshall P Grodofsky | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-09 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
Please comment or provide details below to improve the information on LOUIS MOSES MENDELSON.
| 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.