DR. CLARISSE D. CLEMONS FERRARA (NPI# 1265659916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265659916 |
| Entity Type | Individual |
| Full Name | DR. CLARISSE D. CLEMONS FERRARA |
| Credential | MD |
| Practice Address |
9 Castle Hill Rd Pawcatuck CT 06379-1958 |
| Mailing Address |
89 Castle Hill Rd Pawcatuck CT 06379-1978 |
| Practice Telephone | 8603039000 |
| Practice Fax Number | 8605993479 |
| Mailing Telephone | 8603039000 |
| Mailing Fax Number | 8605993479 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2010-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 150089 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 048178 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 150089-1 | 01 |
| CT | CONNECTICUT LICENSE | 048178 | 01 |
| Street Address |
9 CASTLE HILL RD |
| City | PAWCATUCK |
| State | CT |
| Zip Code | 06379-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982929816 | Cancer Screening Centers Inc | Family Medicine | 9 Castle Hill Rd, Pawcatuck, CT 06379-1958 | 2010-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957565 | Stacy Jean Wheland | Behavioral Analyst | 2 Hickory Ln, Pawcatuck, CT 06379 | 2017-12-11 |
| 1255882379 | Jacqueline M. Nichols-holden | Massage Therapist | 10 Croft Ct, Pawcatuck, CT 06379 | 2016-10-24 |
| 1972635027 | Roy C Gumpel | Internal Medicine | 86 Palmer Neck Rd, Pawcatuck, CT 06379 | 2007-03-12 |
| 1811062904 | Gene S Renz | Dentist | 101 West Broad Street, Pawcatuck, CT 06379 | 2006-11-22 |
| 1790746295 | Mary Sue Agostini | Physical Therapist | 158 South Broad Street, Dynamic Physical Therapy LLC, Pawcatuck, CT 06379 | 2006-04-01 |
| 1558907154 | Holden Hands Massage, LLC | Massage Therapist | 10 Croft Ct, Pawcatuck, CT 06379-1233 | 2019-11-19 |
| 1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
| 1093369852 | Ryan David Lee | Specialist/Technologist | 1 Fairway Ct, Pawcatuck, CT 06379-1240 | 2019-07-30 |
| 1891094116 | Susan Alfiero-bavasso | Speech-Language Pathologist | 2 Fairway Ct, Pawcatuck, CT 06379-1240 | 2011-03-25 |
| 1164935250 | Katharine Headley | Student in an Organized Health Care Education/Training Program | 61 Timber Ridge Rd, Pawcatuck, CT 06379-1241 | 2017-11-10 |
| Find all providers in zip 06379 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578126009 | Michaela Colleen Anderson | Emergency Medicine | 25 Dewhirst St, Bridgeport, CT 06606-4042 | 2019-04-19 |
| 1093216467 | Valentine David Galasyn | Emergency Medicine | 34 Buck Hill Rd, Canterbury, CT 06331-1201 | 2018-02-21 |
| 1508389859 | Medexpress Urgent Care Connecticut, P.C. | Emergency Medicine | 752 Washington Street, Middletown, CT 06457-2904 | 2017-07-19 |
| 1386173201 | Beaver Pond Brook Emergency Physicians LLC | Emergency Medicine | 3081 E Main St, Waterbury, CT 06705-3424 | 2017-06-05 |
| 1386095487 | Michael Gilio | Emergency Medicine | 145 Helen St, Hamden, CT 06514-4415 | 2016-06-29 |
| 1407201247 | Keith Bradley | Emergency Medicine | 66 Lilalyn Dr, Fairfield, CT 06825-1310 | 2016-04-29 |
| 1548655822 | Ronald G Thomas Md LLC | Emergency Medicine | 1310 Alexander Dr, Guilford, CT 06437-5031 | 2015-04-02 |
| 1760877674 | Lindsay Warren | Emergency Medicine | 10 Pamela Pl, Westport, CT 06880-3710 | 2015-03-30 |
| 1730580325 | Clinic 21 of Connecticut LLC | Emergency Medicine | 497 Westport Ave, Norwalk, CT 06851-4411 | 2014-09-15 |
| 1811315369 | Eduardo Sandoval Jr. | Emergency Medicine | 263 Farmington Ave Mc3955, Farmington, CT 03060-3955 | 2014-04-02 |
| 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.