DR. SHARON LYNN SPACE (NPI# 1134375058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134375058 |
Entity Type | Individual |
Full Name | DR. SHARON LYNN SPACE |
Credential | M.D. |
Practice Address |
565 Ashford Center Rd Ashford CT 06278-1720 |
Practice Telephone | 8604293444 |
Practice Fax Number | 8604291586 |
Mailing Telephone | 8604293444 |
Mailing Fax Number | 8604291586 |
Enumeration Date | 2008-08-12 |
Last Update Date | 2008-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
043362 | CT | Allopathic & Osteopathic Physicians |
Street Address |
565 ASHFORD CENTER RD |
City | ASHFORD |
State | CT |
Zip Code | 06278-1720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225463151 | Cheryl Jeanne Canavan | Physical Therapist | 82 Kidder Brook Rd, Ashford, CT 06278-1014 | 2013-09-11 |
1093790719 | Tracy Ann Will | Counselor | 436 Turnpike Rd, Ashford, CT 06278-1038 | 2005-12-14 |
1144426545 | Sunrise Counseling Center | Community/Behavioral Health | 436 Turnpike Rd, Ashford, CT 06278-1038 | 2007-06-22 |
1659371516 | Ashford Volunteer Fire Department Incorporated | Ambulance | 46 Westford Rd, Ashford, CT 06278-1113 | 2005-07-21 |
1679908958 | Vincent Alexander Xavier | Massage Therapist | 36 Birchwood Dr, Ashford, CT 06278-1208 | 2013-09-05 |
1194015529 | Cynthia May Lee | Massage Therapist | 211 Nott Hwy, Ashford, CT 06278-1340 | 2011-04-19 |
1730790858 | Antero Urgent Care | Emergency Medicine | 39 Nott Hwy Unit 7, Ashford, CT 06278-1341 | 2020-08-12 |
1457866485 | New England Center for Health and Nutrition LLC | Clinic/Center | 39 Nott Hwy, Ashford, CT 06278-1341 | 2017-12-13 |
1699865063 | Thao Doran | Family Medicine | 39 Nott Hwy Unit 4, Ashford, CT 06278-1341 | 2006-10-13 |
1861817314 | Misty Rose Doering | Nurse Practitioner | 39 Nott Hwy Unit 4, Ashford, CT 06278-1341 | 2014-02-20 |
Find all providers in zip 06278 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871776856 | Pediatric Hematology-oncology Associates, PC | Pediatrics | 405 Church St, Guilford, CT 06437-2003 | 2007-12-12 |
1205906419 | Joseph Michael Mcnamara | Pediatrics | 405 Church Street, Guilford, CT 06437-2003 | 2006-11-08 |
1184093163 | Vidya Puthenpura | Pediatrics | 20 York St, New Haven, CT 06510 | 2015-09-18 |
1275945115 | Rozalyn Levine Rodwin | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2014-05-27 |
1235577792 | Stephanie Diana Prozora | Pediatrics | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-06-06 |
1295039675 | Yale Hemophilia Treatment Center | Pediatrics | 333 Cedar Street, Department of Pediatrics, 2073 Lmp, New Haven, CT 06520-8064 | 2010-12-29 |
1740508050 | Juan Vasquez | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06510-3206 | 2010-05-11 |
1134350499 | Niketa C Shah | Pediatrics | 330 Cedar St, Lmp 2073, New Haven, CT 06510-3218 | 2009-08-05 |
1851534481 | Stephanie Ann Massaro | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06520-8064 | 2009-04-13 |
1982865903 | Prasanna J Ananth | Pediatrics | 35 Park St, New Haven, CT 06519-1110 | 2008-06-23 |
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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.