MICHELLE A CRETELLA (NPI# 1255307823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255307823 |
| Entity Type | Individual |
| Full Name | MICHELLE A CRETELLA |
| Credential | MD |
| Practice Address |
131 Boston Post Rd East Lyme CT 06333-1605 |
| Mailing Address |
20 Andersen Ct Westerly RI 02891-3712 |
| Practice Telephone | 8607390348 |
| Practice Fax Number | 8607396779 |
| Mailing Telephone | 4015392461 |
| Mailing Fax Number | 4015392663 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD10078 | RI | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
49231 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
131 BOSTON POST RD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562799 | Kathryn A Leindecker | Occupational Therapist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2005-07-19 |
| 1306477385 | Alison L Stewart | Physical Therapy Assistant | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2020-01-29 |
| 1649828005 | Physiocare Physical Therapy and Sports Medicine, LLC | Occupational Therapist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2019-08-29 |
| 1396390951 | Resolute Flanders LLC | Dentist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2019-08-09 |
| 1124578026 | Hongqi Acupuncture & Wellness Center | Acupuncturist | 131 Boston Post Rd, Mailbox 273, East Lyme, CT 06333-1605 | 2016-10-04 |
| 1093141376 | Diane Phimister, Ma, LLC | Marriage & Family Therapist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2013-09-18 |
| 1124383591 | Sarah S Mcnamara | Physical Therapist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2012-07-11 |
| 1841489168 | Shoreline Physical Therapy, LLC | Occupational Therapist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2007-10-23 |
| 1396938445 | Flanders Pediatrics, LLC | Nurse Practitioner | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2007-08-22 |
| 1790902245 | Dr. Robert E. Levin | Internal Medicine | 131 Boston Post Rd, Suite 5, East Lyme, CT 06333 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575541 | Alaina Anne King | Counselor | 315 Flanders Rd Ste A, East Lyme, CT 06333 | 2018-04-17 |
| 1477861391 | Hong Qi | Acupuncturist | 26 Sandpiper Lane, East Lyme, CT 06333 | 2010-09-14 |
| 1124164777 | Maureen Lynn Spitzer | Psychiatry & Neurology | 15 Chesterfield Road, Suite 212, East Lyme, CT 06333 | 2007-01-30 |
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1164534384 | Kim Shepardson Watson | Social Worker | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-01 |
| 1033125323 | James Anthony Dyer | Dentist | 131 Boston Post Road, East Lyme, CT 06333 | 2006-07-31 |
| 1467484337 | Stop and Shop Supermarket Co LLC | Pharmacy | 248 Flanders Road, East Lyme, CT 06333 | 2006-07-07 |
| 1902849839 | Carol A Thompson | Marriage & Family Therapist | 29 Chesterfield Road, East Lyme, CT 06333 | 2006-06-14 |
| 1629452156 | Amie Frederick | Physician Assistant | 305 Flanders Rd, East Lyme, CT 06333 | 2015-07-15 |
| Find all providers in zip 06333 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246306 | Pediatric Health Associates of Coneecticut, LLC | Pediatrics | 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 | 2019-07-03 |
| 1073943668 | Pediatric Walk In Care LLC | Pediatrics | 141 B Hazard Avenue, Enfield, CT 06082-5412 | 2013-11-18 |
| 1225319445 | Enfield Pediatric Associates,p.c. | Pediatrics | 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 | 2011-09-01 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
| 1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
| 1649314279 | Charles Ray Jones | Pediatrics | 111 Park St Ste F, New Haven, CT 06511-5412 | 2007-02-16 |
| 1427110469 | Radhika Malhotra | Pediatrics | 100 Bank St, Suite 307, Seymour, CT 06483-2806 | 2006-12-15 |
| 1386704682 | Andrews Adu Adade | Pediatrics | 18 Hillandale Ave, Stamford, CT 06902-2808 | 2006-12-11 |
| 1982706032 | John Gerald Pitegoff | Pediatrics | 1225 Silver St, Middletown, CT 06457-3920 | 2006-09-01 |
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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.