DR. MARK JOHN DADDIO (NPI# 1295729424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295729424 |
| Entity Type | Individual |
| Full Name | DR. MARK JOHN DADDIO |
| Credential | D.P.M. |
| Practice Address |
385 Main St West Haven CT 06516-4312 |
| Practice Telephone | 2039338606 |
| Practice Fax Number | 2039329571 |
| Mailing Telephone | 2039338606 |
| Mailing Fax Number | 2039329571 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2009-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000600 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004127777 | 05 |
| Street Address |
385 MAIN ST |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189556 | Glenn Charles Vitale | Podiatrist | 385 Main St, Suite 10, West Haven, CT 06516-4312 | 2005-07-22 |
| 1275929119 | Sarah Shipley | Assistant, Podiatric | 385 Main St, West Haven, CT 06516-4312 | 2015-04-07 |
| 1457752107 | Kripa Plapetta Damodharan | Nurse Practitioner | 385 Main St, Ste 2, West Haven, CT 06516-4312 | 2014-09-12 |
| 1881868842 | Stanleyjwolfeddspc | Dentist | 385 Main St, Suite4, West Haven, CT 06516-4312 | 2008-04-21 |
| 1912076886 | Connecticut Podiatry Group, P.C. | Podiatrist | 385 Main St, West Haven, CT 06516-4312 | 2006-11-07 |
| 1700860608 | Stanley Jack Wolfe | Dentist | 385 Main St, West Haven, CT 06516-4312 | 2005-12-05 |
| 1366436594 | Joseph Anthony Saracco IIi | Podiatrist | 385 Main St, West Haven, CT 06516-4312 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189556 | Glenn Charles Vitale | Podiatrist | 385 Main St, Suite 10, West Haven, CT 06516-4312 | 2005-07-22 |
| 1083033666 | Ashley Anne Bruno | Podiatrist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2014-04-10 |
| 1962820522 | Michael Ian Gazes | Podiatrist | 950 Campbell Ave, Va Ct Healthcare System - Surgical Service/112, West Haven, CT 06516-2770 | 2014-04-01 |
| 1073666590 | Christine Claire Salonga | Podiatrist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2007-01-19 |
| 1366436594 | Joseph Anthony Saracco IIi | Podiatrist | 385 Main St, West Haven, CT 06516-4312 | 2005-09-02 |
| 1396743753 | Steven D Vyce | Podiatrist | 950 Campbell Ave, Vact, Ms 112, West Haven, CT 06516-2770 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672722 | Hartford Orthopedic Surgeons, PC | Podiatrist | 9 Cranbrook Blvd Fl 2, Enfield, CT 06082-3889 | 2020-09-04 |
| 1538530571 | Connecticut Podiatry Group | Podiatrist | 31 Washington Ave, North Haven, CT 06473-2355 | 2015-10-16 |
| 1972974830 | Connecticut Podiatry Group,p.c. | Podiatrist | 128 Saltonstall Pkwy, East Haven, CT 06512-2425 | 2015-10-16 |
| 1760862445 | Ankur Ashok Patel | Podiatrist | 168 New Milford Tpke Unit 1a, New Preston Marble Dale, CT 06777-1601 | 2015-06-08 |
| 1194103200 | Sean Wayne Lazarus Dpm LLC | Podiatrist | 920 Little Meadow Rd, Guilford, CT 06437-1649 | 2015-05-08 |
| 1790172930 | Rachel Hannah Albright | Podiatrist | 800 Post Rd Ste 302, Darien, CT 06820-4622 | 2015-04-24 |
| 1023403102 | Andrew H Litchfield | Podiatrist | 1111 Cromwell Ave Bldg 4, Rocky Hill, CT 06067-3449 | 2015-04-05 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1245658681 | Chelsea Viola | Podiatrist | 350 Center Rock Grn Ste 3, Oxford, CT 06478-3170 | 2014-04-02 |
| 1871848382 | Core Podiatry LLC | Podiatrist | 1753 Meriden-waterbury Tpke, Southington, CT 06489-0770 | 2012-07-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.