SPECIALISTS IN WOMEN'S HEALTHCARE PC (NPI# 1114928827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114928827 |
| Entity Type | Organization |
| Organization Name | SPECIALISTS IN WOMEN'S HEALTHCARE PC |
| Practice Address |
134 Grandview Ave Ste 210 Waterbury CT 06708-2507 |
| Practice Telephone | 2037542535 |
| Practice Fax Number | 2037540788 |
| Mailing Telephone | 2037542535 |
| Mailing Fax Number | 2037540788 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2013-04-18 |
| Authorized Official Name | MR. JOHN CONRAD KACZMAREK (MD PRESIDENT) |
| Authorized Official Telephone | 2037542535 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004190310 | 05 |
| Street Address |
134 GRANDVIEW AVE STE 210 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245714567 | Barbara Rymer | Nurse Practitioner | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2018-09-21 |
| 1407120751 | Vanessa Daou | Advanced Practice Midwife | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2012-03-05 |
| 1205144300 | Daniel P Baxter | Physician Assistant | 134 Grandview Ave, Suite 101, Waterbury, CT 06708-2507 | 2010-09-23 |
| 1811204985 | Kathleen Lea Sullivan | Nurse Practitioner | 134 Grandview Ave, 208, Waterbury, CT 06708-2507 | 2010-09-09 |
| 1114232832 | Theresa F Piliero | Nurse Practitioner | 134 Grandview Ave, Suite 202, Waterbury, CT 06708-2507 | 2010-08-18 |
| 1194956045 | Kristen D Graff Beardslee | Advanced Practice Midwife | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2009-07-27 |
| 1922245745 | Kelly Lynn Palmer | Occupational Therapist | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2009-01-15 |
| 1548423973 | Jenna A Logiudice | Obstetrics & Gynecology | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2008-07-07 |
| 1285821603 | Cybill Shelby Thomas | Nurse Practitioner | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2007-09-30 |
| 1497945315 | Claudia L Grogean | Obstetrics & Gynecology | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1649235235 | Gabriel George Hakim | Obstetrics & Gynecology | 18 Merrill St, Waterbury, CT 06708-2603 | 2006-04-18 |
| 1851354534 | Linda M Matonis | Obstetrics & Gynecology | 133 Scovill St, Suite 303, Waterbury, CT 06706-1127 | 2006-04-11 |
| 1467832675 | Christine Simone Armstrong | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2015-06-02 |
| 1871898536 | Naugatuck Valley Women's Health Specialists, PC | Obstetrics & Gynecology | 133 Scovill St, Suite 314, Waterbury, CT 06706-1127 | 2011-01-11 |
| 1548423973 | Jenna A Logiudice | Obstetrics & Gynecology | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2008-07-07 |
| 1518129741 | Molly Margaret Shipman | Obstetrics & Gynecology | 60 Westwood Ave, Suite 100, Waterbury, CT 06708-2460 | 2008-06-29 |
| 1124280631 | Meghan Marie Slemmens | Obstetrics & Gynecology | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-06-26 |
| 1750558656 | Elizabeth Anne Kelly | Obstetrics & Gynecology | 60 Westwood Ave, Suite 100, Waterbury, CT 06708-2460 | 2008-05-12 |
| 1497945315 | Claudia L Grogean | Obstetrics & Gynecology | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2007-07-26 |
| Find all providers in WATERBURY | ||||
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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.