KEVIN P. SHEA (NPI# 1225035694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225035694 |
| Entity Type | Individual |
| Full Name | KEVIN P. SHEA |
| Credential | MD |
| Practice Address |
Uconn Medical Group 263 Farmington Ave Farmington CT 06030-0001 |
| Practice Telephone | 8606796600 |
| Practice Fax Number | 8606796649 |
| Mailing Telephone | 8606796600 |
| Mailing Fax Number | 8606796649 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 029051 | CT | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
029051 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1290519 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414826 | Kevin Shea | Pharmacy | 432 Cedarville Rd, Easton, PA 18042-6907 | 2018-07-26 |
| 1336150218 | Kevin G Shea | Orthopaedic Surgery | 725 Welch Rd, Palo Alto, CA 94304 | 2006-08-10 |
| 1265474324 | Kevin W Shea | Internal Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2006-06-12 |
| 1730146457 | Kevin S Shea | Radiology | 100 High St, Buffalo, NY 14203-1126 | 2006-04-27 |
| Street Address |
UCONN MEDICAL GROUP 263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922069 | Courtney Danielle Holmes | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2005-06-16 |
| 1487101465 | Luriza Glynn | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-09-07 |
| 1871040287 | Diane Cichy | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-09-01 |
| 1023460789 | Alexandra Shaw | Physician Assistant | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-07-06 |
| 1700233327 | Hillary Kathleen Siddons | Audiologist | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-6228 | 2016-05-24 |
| 1518312321 | Denise Desimone | Social Worker | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-04-29 |
| 1811368194 | Lauren Brennan | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2015-10-13 |
| 1346633435 | Elizabeth Ann Connole-pond | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2015-03-12 |
| 1912315201 | Britta Lucretia Shute | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2014-07-30 |
| 1164846226 | Vinutha Maregowda | Internal Medicine | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336151232 | James Lee Pace | Orthopaedic Surgery | 399 Farmington Ave Ste 300, Farmington, CT 06032-1979 | 2006-08-12 |
| 1487684882 | Joseph J Caldwell | Orthopaedic Surgery | 167 Livermore Falls Rd, Farmington, ME 04938-6241 | 2006-07-03 |
| 1912935461 | Victor M Brown | Orthopaedic Surgery | 1101 Weber Road, Suite203, Farmington, MO 63640 | 2006-06-30 |
| 1215980420 | Richard Lawrence Lawton | Orthopaedic Surgery | 2300 E 30th St Ste 101, Farmington, NM 87401-8990 | 2006-05-18 |
| 1801443387 | Berkbigler Orthopaedics and Sports Specialists LLC | Orthopaedic Surgery | 606 Maple Valley Dr, Farmington, MO 63640-1976 | 2019-08-20 |
| 1689168486 | Arthur Louis Kasimer-colon | Orthopaedic Surgery | 263 Farmington Ave, Farmington, CT 06030 | 2018-06-15 |
| 1154700854 | Stephen Brandon Luczak | Orthopaedic Surgery | 263 Farmington Ave., Farmington, CT 06030-4037 | 2015-05-27 |
| 1568860641 | Parkcrest Orthopedics LLC | Orthopaedic Surgery | 508 W Pine St, Farmington, MO 63640-1426 | 2014-12-05 |
| 1972915072 | Zachary Cavanaugh | Orthopaedic Surgery | 263 Farmington Ave, Marb Mc 4037, Farmington, CT 06032-1956 | 2014-05-22 |
| 1144664715 | Olga Solovyova | Orthopaedic Surgery | 263 Farmington Avenue, Farmington, CT 06030 | 2013-04-25 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.