DR. JILL CHRISTIE ROTRUCK (NPI# 1154680932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154680932 |
| Entity Type | Individual |
| Full Name | DR. JILL CHRISTIE ROTRUCK |
| Credential | M.D. |
| Practice Address |
40 Temple St New Haven CT 06510 |
| Mailing Address |
40 Temple St New Haven CT 06510-2715 |
| Practice Telephone | 2037852020 |
| Mailing Telephone | 2037852020 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | A131444 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | WV | Student, Health Care | |
| Y | 207WX0110X |
Ophthalmology Specialization: Pediatric Ophthalmology and Strabismus Specialist |
60313 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 711 Van Ness Ave, Lions Eye Clinic, San Francisco, CA 941023244 | 4156003901 | 4156003949 |
| Street Address |
40 TEMPLE ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167240 | Radiology Consultants, P.C. | Specialist | 40 Temple St, Suite 2b, New Haven, CT 06510-2715 | 2005-10-07 |
| 1396298485 | Kirsten Ackerman | Dietitian, Registered | 40 Temple St, Suite 7b, New Haven, CT 06510-2715 | 2016-07-26 |
| 1457700866 | Rachel Ebling | Psychologist | 40 Temple St, Suite 6d, New Haven, CT 06510-2715 | 2016-06-07 |
| 1831543347 | Eileen Linda Chang | Student in an Organized Health Care Education/Training Program | 40 Temple St, New Haven, CT 06510-2715 | 2016-04-20 |
| 1306217302 | Jessica Nargi | Dietitian, Registered | 40 Temple St, 7b, New Haven, CT 06510-2715 | 2015-10-15 |
| 1679953863 | Yvonne Wang | Ophthalmology | 40 Temple St, New Haven, CT 06510-2715 | 2015-06-03 |
| 1851707723 | Rabin Dahal | Psychiatry & Neurology | 40 Temple St, New Haven, CT 06510-2715 | 2014-07-10 |
| 1225443997 | Jay Chong Wang | Ophthalmology | 40 Temple St, New Haven, CT 06510-2715 | 2014-06-21 |
| 1376982033 | Lisa Ann Castagnola | Social Worker | 40 Temple St, Suite 7c, New Haven, CT 06510-2715 | 2013-06-17 |
| 1386081024 | Signy M Peck | Social Worker | 40 Temple St, New Haven, CT 06510-2715 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 207WX0110X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Pediatric Ophthalmology and Strabismus Specialist |
| An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931829 | Andrew Joseph Levada | Ophthalmology | 1201 W Main St, Waterbury, CT 06708-3105 | 2005-06-10 |
| 1982639654 | Paul J Rychwalski | Ophthalmology | 282 Washington St, Hartford, CT 06106-3322 | 2006-07-11 |
| 1386642163 | Stephen A Mathias | Ophthalmology | 69 Sand Pit Rd, Suite 101, Danbury, CT 06810-4004 | 2005-07-14 |
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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.