JUDE F CLANCY (NPI# 1124016217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124016217 |
| Entity Type | Individual |
| Full Name | JUDE F CLANCY |
| Credential | MD |
| Practice Address |
111 Goose Ln Yale New Haven Shoreline Medical Center Ste 2400 Guilford CT 06437-5101 |
| Mailing Address |
Po Box 9805 300 George Street 6th Floor New Haven CT 06536-0805 |
| Practice Telephone | 2034582097 |
| Practice Fax Number | 2034581592 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
037893 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001378935 | 05 |
| Street Address |
111 GOOSE LN YALE NEW HAVEN SHORELINE MEDICAL CENTER STE 2400 |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982692794 | Thomas E Verdone | Specialist | 111 Goose Ln, Guilford, CT 06437-5101 | 2005-10-06 |
| 1417509225 | Kejal Amin | Pharmacist | 111 Goose Ln, Guilford, CT 06437-5101 | 2019-07-11 |
| 1841462488 | Ssc II LLC | Clinic/Center | 111 Goose Ln, Guilford, CT 06437-5101 | 2008-03-24 |
| 1124299664 | Sarah Elizabeth Rogers | Physical Therapist | 111 Goose Ln, Suite 2500, Guilford, CT 06437-5101 | 2008-03-12 |
| 1861673691 | Daniel M Greif | Internal Medicine | 111 Goose Ln, Guilford, CT 06437-5101 | 2007-11-20 |
| 1386836849 | Alvin Donald Greenberg | Specialist | 111 Goose Ln, Ste 2300, Guilford, CT 06437-5101 | 2007-08-17 |
| 1124247325 | Cheryl Lea Robaczynski | Dietitian, Registered | 111 Goose Ln, Ynhh Shoreline Medical Center, Guilford, CT 06437-5101 | 2007-04-25 |
| 1538388350 | Susann Caroline Boroczky | Dietitian, Registered | 111 Goose Ln, Guilford, CT 06437-5101 | 2007-04-24 |
| 1891918850 | Yale New Haven Hospital | Dietitian, Registered | 111 Goose Ln, Office #1806, Guilford, CT 06437-5101 | 2007-04-10 |
| 1043305402 | Jody Heffernan | Nurse Practitioner | 111 Goose Ln, Guilford, CT 06437-5101 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012148 | Guilford Holistic Health Practitioners, LLC | Clinic/Center | 5 Durham Rd Ste B6, Guilford, CT 06437 | 2018-08-10 |
| 1043738594 | Stephanie Rose Weady | Physical Therapist | 753 Boston Post Road Suite 101, Guilford, CT 06437 | 2017-09-05 |
| 1104221019 | Holistic Psychotherapy | Social Worker | 35 Boston St., Guilford, CT 06437 | 2014-11-04 |
| 1083030332 | Frank Edward West | Marriage & Family Therapist | 17 E. River Rd, Guilford, CT 06437 | 2014-03-11 |
| 1063845188 | Stephanie Gerrish O'sullivan | Health Educator | 623 Village Walk, Guilford, CT 06437 | 2013-08-13 |
| 1205279247 | Jared Macklin | Internal Medicine | 800 Boston Post Rd Ste 201, Guilford, CT 06437 | 2013-04-09 |
| 1821364019 | Elan Gorshein | Internal Medicine | Yale-new Haven Shoreline Medical Center, 111 Goose Lane, Suite 1300, Guilford, CT 06437 | 2012-04-01 |
| 1740411396 | Denise Lewis Roberts | Social Worker | 2 Guile Road, Guilford, CT 06437 | 2009-07-30 |
| 1487882437 | Bryce E Mcmanus | Chiropractor | 133 State Street, Guilford, CT 06437 | 2009-06-29 |
| 1215139654 | Eleanor D Weissberg | Pediatrics | 64 Prospect Ave, Guilford, CT 06437 | 2007-06-05 |
| Find all providers in zip 06437 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1447248604 | L Veronica Lee | Internal Medicine | 111 Goose Ln Ste 2400, Guilford, CT 06437-5101 | 2005-10-12 |
| 1861673691 | Daniel M Greif | Internal Medicine | 111 Goose Ln, Guilford, CT 06437-5101 | 2007-11-20 |
| 1780665067 | Albert J Sinusas | Internal Medicine | 111 Goose Ln, Yale-new Haven Shoreline Medical, Suite 2400, Guilford, CT 06437-5101 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922527050 | Lindacare Inc. | Internal Medicine | 20 Church St Ste 1780, Hartford, CT 06103-1246 | 2017-09-09 |
| 1740678135 | Post-acute Cardiology Care LLC | Internal Medicine | 30 Old Kings Hwy S Ste 160, Darien, CT 06820-4519 | 2015-01-07 |
| 1144630328 | Allison Padegimas | Internal Medicine | 1062 Barnes Rd Ste 300, Wallingford, CT 06492-2576 | 2014-04-28 |
| 1871913244 | Jason Michael Goodman | Internal Medicine | 111 Osborne St Fl 3, Danbury, CT 06810-6000 | 2014-04-23 |
| 1669899829 | Kyla D'angelo | Internal Medicine | 1260 Silas Deane Hwy Ste 109, Wethersfield, CT 06109-4363 | 2014-03-26 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| 1427311711 | Qurat-ul-ain Jelani | Internal Medicine | Section of Cardiovascular Medicine., Yale New Haven Hospital. 20. York Street, New Haven, CT 06510 | 2012-06-21 |
| 1760744643 | Michael M Cebrik | Internal Medicine | 4 Oxford Court, Avon, CT 06001-4556 | 2012-06-15 |
| 1467710657 | Andrew Beck | Internal Medicine | 112 Quarry Rd Ste 400, Trumbull, CT 06611-4877 | 2012-04-25 |
| 1316203482 | James J Purcell | Internal Medicine | 31 Woodland Street, Apt. 4p, Hartford, CT 06105 | 2012-04-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUDE F CLANCY.
| 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.