DR. LAURIE ANN BAIN (NPI# 1134125834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134125834 |
| Entity Type | Individual |
| Full Name | DR. LAURIE ANN BAIN |
| Credential | M.D. |
| Practice Address |
357 Hartford Tpke Vernon CT 06066-4838 |
| Practice Telephone | 8608719441 |
| Practice Fax Number | 8608710227 |
| Mailing Telephone | 8608719441 |
| Mailing Fax Number | 8608710227 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 028806 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
357 HARTFORD TPKE |
| City | VERNON |
| State | CT |
| Zip Code | 06066-4838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849385 | Andrea M. Thoman | Nurse Practitioner | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2005-05-24 |
| 1205391778 | Crystal Anne Valley-ortyl | Nurse Practitioner | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2019-02-08 |
| 1568853711 | Kristen Maloney | Nurse Practitioner | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2015-02-10 |
| 1194945683 | Elizabeth Ann Martin | Pediatrics | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2007-04-26 |
| 1205937893 | Lara T Oneil | Nurse Practitioner | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2006-09-26 |
| 1063426773 | Amy D. H. Doody | Physician Assistant | 357 Hartford Tpke, Vernon, CT 06066-4800 | 2006-07-28 |
| 1386612828 | Deborah Staley | Pediatrics | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2006-03-10 |
| 1356318893 | Judy Huang-bulger | Pediatrics | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2006-03-03 |
| 1437126968 | Jerome E Lahman | Pediatrics | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2006-03-03 |
| 1831197474 | New England Dermatology Associates, Inc. | Dermatology | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2005-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055853 | Integrated Dermatology of Vernon, Pllc | Dermatology | 357 Hartford Tpke Fl 2, Vernon, CT 06066-4838 | 2019-10-24 |
| 1023026010 | Debra Ann Vinick | Dermatology | 357 Hartford Turnpike, New England Dermatology Associates, Vernon, CT 06066 | 2006-08-04 |
| 1831197474 | New England Dermatology Associates, Inc. | Dermatology | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2005-07-08 |
| 1255338836 | Robert David Greenberg | Dermatology | 357 Hartford Tpke, Vernon, CT 06066-4838 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477175966 | Young Skin | Dermatology | 1111 Summer St, Stamford, CT 06905-5508 | 2020-05-07 |
| 1922633213 | The Dermatology Center of Connecticut, LLC | Dermatology | 60 Church St Unit 4b, Wallingford, CT 06492-2340 | 2020-03-06 |
| 1023663424 | Dermatology Solutions, LLC | Dermatology | 35 E Main St Ste 118, Avon, CT 06001-3845 | 2019-08-03 |
| 1407374481 | Center for Skin Surgery & Dermatology, Pllc | Dermatology | 2928 Main St Ste 100, Glastonbury, CT 06033-1007 | 2017-08-30 |
| 1962933572 | Daniel Mark Klufas | Dermatology | 64 Tuckahoe Rd, Easton, CT 06612-2054 | 2017-03-24 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1457728883 | Integrated Dermatology of Clinton,llc | Dermatology | 8 E Main St Ste 101, Clinton, CT 06413-2058 | 2015-09-02 |
| 1760873210 | Nicholas V Perricone | Dermatology | 639 Research Pkwy, Meriden, CT 06450-7154 | 2015-02-05 |
| 1497160535 | Dean David George | Dermatology | 399 Farmington Ave Ste 260, Farmington, CT 06032-1979 | 2014-06-27 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
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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.