SURESH CEC IL D'MELLO (NPI# 1144387838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144387838 |
| Entity Type | Individual |
| Full Name | SURESH CEC IL D'MELLO |
| Credential | M.D. |
| Practice Address |
19 Halls Rd Old Lyme CT 06371-1457 |
| Practice Telephone | 8604348300 |
| Mailing Telephone | 8604348300 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 033565 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001335654 | 05 |
| Street Address |
19 HALLS RD |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255435558 | Terrence A Doherty | Family Medicine | 19 Halls Rd, Old Lyme, CT 06371-1457 | 2006-09-08 |
| 1568993046 | Michelle M Gienau, Lcsw, LLC | Social Worker | 19 Halls Rd, # 234, Old Lyme, CT 06371-1457 | 2017-03-25 |
| 1275991028 | Robert Dean | Psychologist | 19 Halls Rd, #234, Old Lyme, CT 06371-1457 | 2016-02-08 |
| 1841693074 | Transcendere, LLC | Clinic/Center | 19 Halls Rd, Suite 234, Old Lyme, CT 06371-1457 | 2014-10-02 |
| 1437599750 | Constance Macleod Hunter | Occupational Therapist | 19 Halls Rd, Suite 204, Old Lyme, CT 06371-1457 | 2013-07-01 |
| 1639517162 | Michelle Kathryn Deyorio | Occupational Therapist | 19 Halls Rd, Old Lyme, CT 06371-1457 | 2013-06-06 |
| 1285071928 | Megan E Grills | Occupational Therapist | 19 Halls Rd, Suite 204, Old Lyme, CT 06371-1457 | 2013-06-03 |
| 1497018147 | Integrative Family Health & Wellness, LLC | Naturopath | 19 Halls Rd, Suite 208, Old Lyme, CT 06371-1457 | 2012-06-18 |
| 1558628040 | Laura A Munro | Naturopath | 19 Halls Rd, Suite 208, Old Lyme, CT 06371-1457 | 2012-04-20 |
| 1699047662 | Melissa Ann Knowlton | Physical Therapist | 19 Halls Rd, Suite 201, Old Lyme, CT 06371-1457 | 2012-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761877 | Sabine Odonnell LLC | Marriage & Family Therapist | 80 Halls Rd, Old Lyme, CT 06371 | 2019-10-15 |
| 1619487162 | Emily Chung | Pharmacist | 42 Browns Ln, Old Lyme, CT 06371 | 2017-10-10 |
| 1659822088 | Mona Saleh Hassan | Nurse Practitioner | Medoptions, 55 Hatchetts Hill Road, Old Lyme, Ct, CT 06371 | 2016-10-20 |
| 1740653278 | New England Pa LLC | Physician Assistant | 5 Davis Road East, Old Lyme, CT 06371 | 2015-11-05 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1285956987 | Karl R. Friedmann | Family Medicine | 40 Coult Lane, Old Lyme, CT 06371 | 2010-02-22 |
| 1285844977 | Cary L. Walker | Social Worker | 6 Town Street, Lyme, CT 06371 | 2007-05-23 |
| 1578784765 | Lynne Zimmerman | Psychologist | 16 Library Ln, Old Lyme, CT 06371 | 2007-05-02 |
| 1588784375 | Jan Fitzgerald Briscoe | Marriage & Family Therapist | 81 Halls Rd Unit C, Old Lyme, CT 06371 | 2007-03-29 |
| 1588702583 | Karl M Goldkamp | Naturopath | 81 Halls Road, Old Lyme, CT 06371 | 2007-02-02 |
| Find all providers in zip 06371 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285956987 | Karl R. Friedmann | Family Medicine | 40 Coult Lane, Old Lyme, CT 06371 | 2010-02-22 |
| 1255435558 | Terrence A Doherty | Family Medicine | 19 Halls Rd, Old Lyme, CT 06371-1457 | 2006-09-08 |
| 1083771745 | Jay Allan Graves | Family Medicine | 19 Halls Rd, Old Lyme, CT 06371-1457 | 2007-01-02 |
| 1538116348 | Anisha Rajesh Parekh | Family Medicine | 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371-1537 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638299 | Alyssa Mary Brown | Family Medicine | 82 Welles Dr, Newington, CT 06111-2625 | 2020-10-29 |
| 1598370389 | Korinne Fern Croce X | Family Medicine | 52 Meadowood Dr, New Milford, CT 06776-5732 | 2020-09-09 |
| 1619580263 | Chelsea Nicole Alves | Family Medicine | 111 Connecticut Blvd, East Hartford, CT 06108-3015 | 2020-08-24 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1598397192 | Healthmed Family Care | Family Medicine | 1209 S Broad St, Wallingford, CT 06492-1714 | 2020-02-11 |
| 1457991333 | Diane Iannini | Family Medicine | 16 Bridge End Farm Ln, Sandy Hook, CT 06482-1055 | 2020-01-08 |
| 1396382685 | Optimum Regenerative Care LLC | Family Medicine | 46 Benson Dr, Danbury, CT 06810-7231 | 2019-12-05 |
| 1801455761 | Steven John Rigatti | Family Medicine | 157 Uconn Ave, Glastonbury, CT 06033-1348 | 2019-06-13 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1336703586 | Shazia Josephine Joseph | Family Medicine | 12 Village St Ste 5, North Haven, CT 06473-3828 | 2019-04-23 |
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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.