DR. LISA LOUISE BRAILEY (NPI# 1285776708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285776708 |
Entity Type | Individual |
Full Name | DR. LISA LOUISE BRAILEY |
Credential | M.D. |
Practice Address |
1 Forest Pkwy Dianon Systems Shelton CT 06484-6147 |
Mailing Address |
21 Grove Ave Derby CT 06418-1615 |
Practice Telephone | 2039267124 |
Mailing Telephone | 2039066883 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2010-04-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
041659 | CT | Allopathic & Osteopathic Physicians |
N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
041659 | CT | Allopathic & Osteopathic Physicians |
Y | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
041659 | CT | Allopathic & Osteopathic Physicians |
Street Address |
1 FOREST PKWY DIANON SYSTEMS |
City | SHELTON |
State | CT |
Zip Code | 06484-6147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962480608 | Dianon Systems, Inc | Clinical Medical Laboratory | 1 Forest Pkwy, Shelton, CT 06484-6147 | 2006-01-04 |
1841440047 | Chandrika Sreekantaiah | Medical Genetics, Ph.D. Medical Genetics | 1 Forest Pkwy, Shelton, CT 06484-6147 | 2008-09-24 |
1659404481 | Gary Scott Tennyson | Pathology | 1 Forest Pkwy, Shelton, CT 06484-6147 | 2007-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
Find all providers in zip 06484 |
Taxonomy Code | 207SG0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Molecular Genetics |
A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598898900 | John Greg Howe | Medical Genetics | 333 Cedar St, Dept Laboratory Medicine, New Haven, CT 06520-8035 | 2007-03-14 |
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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.