DWAYNE PATRICK HAGENOW (NPI# 1184134025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184134025 |
| Entity Type | Individual |
| Full Name | DWAYNE PATRICK HAGENOW |
| Practice Address |
35 River Rd Ste 2 Cos Cob CT 06807-2759 |
| Practice Telephone | 2034220679 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
54.001127 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
35 RIVER RD STE 2 |
| City | COS COB |
| State | CT |
| Zip Code | 06807-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999866 | Trevor M Flouty | Home Health Aide | 532 E Putnam Ave Ste 22, Cos Cob, CT 06807 | 2019-08-28 |
| 1780805036 | Richard A Greenberg | Dentist | 211 A East Putnam Avenue, Cos Cob, CT 06807 | 2007-05-02 |
| 1841312097 | Peter Harvey Maher | Specialist | 10 Hilton Heath, Cos Cob, CT 06807 | 2007-04-06 |
| 1174643530 | Maryellen Pachler Pachler Kennell | Nurse Practitioner | 399 East Putnam Ave., 2nd Floor Suite #1, Cos Cob, CT 06807 | 2007-03-30 |
| 1730249293 | Mary M Lennon | Counselor | 126 East Putnam Ave, 2nd Fl W, Cos Cob, CT 06807 | 2006-12-12 |
| 1508952375 | Michael John Mack | Dentist | 40 E. Putnam Ave., Cos Cob, CT 06807 | 2006-10-05 |
| 1366558454 | Kevin Allan Root | Counselor | 132 East Putnam Ave, Cos Cob, CT 06807 | 2006-08-22 |
| 1538666573 | Sean Sutton | Dentist | 391 E Putnam Ave, Cos Cob, CT 06807 | 2018-04-06 |
| 1306043062 | Jill V. Tesei | Counselor | 399 East Putnam Ave., 2nd Floor Suite 1, Cos Cob, CT 06807 | 2007-06-27 |
| 1902972649 | Tangley Canpbell Lloyd | Social Worker | 132 E Putnam Ave, Cos Cob, CT 06807 | 2006-11-27 |
| Find all providers in zip 06807 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902157480 | Nicole E Delage | Specialist/Technologist | 31 River Rd, Suite 100, Cos Cob, CT 06807-2152 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901019 | Jessica Handy | Specialist/Technologist | 45 Cottage Rd, Oakdale, CT 06370-1051 | 2020-10-28 |
| 1770183030 | Adrienne Lara Fedyna Dembeck | Specialist/Technologist | 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 | 2020-10-27 |
| 1194324665 | Francesca Chirico | Specialist/Technologist | 34 Farms Village Rd, Simsbury, CT 06070-2344 | 2020-10-25 |
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1427657816 | Riley J Burns | Specialist/Technologist | 49 Farrell Rd, Newtown, CT 06470-1205 | 2020-10-18 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1720686215 | Liana Suarez | Specialist/Technologist | 31 Yates St, West Haven, CT 06516-1142 | 2020-10-15 |
| 1598363095 | Shayna Deluca | Specialist/Technologist | 178 New State Rd Apt 8, Manchester, CT 06042-7941 | 2020-10-15 |
| 1376150045 | Anna E Viscuso | Specialist/Technologist | 201 Regan Rd Apt 35a, Vernon Rockville, CT 06066-2861 | 2020-09-28 |
| 1881200962 | Keenan Thomas Love | Specialist/Technologist | 80 Shunpike Rd Unit 202, Cromwell, CT 06416-4402 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.