SOUTHEASTERN PULMONARY ASSOC. PC


Address: 155 Montauk Avenue, New London, CT 06320
Phone: 8604442223

SOUTHEASTERN PULMONARY ASSOC. PC (NPI# 1295754273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295754273
Entity Type Organization
Organization Name SOUTHEASTERN PULMONARY ASSOC. PC
Practice Address 155 Montauk Avenue
New London
CT 06320
Practice Telephone 8604442223
Practice Fax Number 8604403153
Mailing Telephone 8604442223
Mailing Fax Number 8604403153
Enumeration Date 2006-07-19
Last Update Date 2016-01-20
Authorized Official Name MR. JOHN S URBANETTI (CEO)
Authorized Official Telephone 8604442223
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
022057 CT Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
022011 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 1220110 05
CT 1220573 05
CT LIC DR ROBERT KELTNER 022057 01

Office Location

Street Address 155 MONTAUK AVENUE
City NEW LONDON
State CT
Zip Code 06320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720181209 John S Urbanetti Internal Medicine 155 Montauk Avenue, New London, CT 06320 2006-09-07
1154436483 Robert J Keltner Internal Medicine 155 Montauk Avenue, New London, CT 06320 2006-08-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942824891 Shilpi Jain Physical Therapist 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 2020-06-05
1174009641 Catherine Hinojosa Nurse Practitioner 1 Shaws Cove, New London, CT 06320 2018-07-17
1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
Find all providers in zip 06320

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225036981 Paul J Licata Internal Medicine 492 Montauk Ave, New London, CT 06320-4615 2005-07-07
1396804654 Shoreline Pulmonary Associates LLC Internal Medicine 415 Ocean Ave, New London, CT 06320-4716 2006-12-06
1821180621 Gold Coast Pulmonary and Sleep Associates, LLC Internal Medicine 492 Montauk Ave, New London, CT 06320-4615 2006-09-29
1720181209 John S Urbanetti Internal Medicine 155 Montauk Avenue, New London, CT 06320 2006-09-07
1154436483 Robert J Keltner Internal Medicine 155 Montauk Avenue, New London, CT 06320 2006-08-19
1275543043 Louis V Buckley Internal Medicine 365 Montauk Ave, New London, CT 06320-4700 2006-08-08
1831108380 Alan L Bier Internal Medicine 365 Montauk Ave, New London, CT 06320-4700 2006-08-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356761290 Issahar Ben-dov Internal Medicine 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 2014-04-18
1669710216 Arthur Christian Degraff Jr. Internal Medicine 160 Hunter Dr, West Hartford, CT 06107-1017 2013-01-16
1215287214 Craig Stephen Conoscenti Internal Medicine 199 Gregory Blvd, Unit I5, Norwalk, CT 06855-2640 2012-09-17
1396024980 Johan Van Jaarsveld Internal Medicine 81 Deer Run Rd, Woodbridge, CT 06525-1907 2011-08-12
1215143953 Kaiser Toosy Internal Medicine 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 2007-05-16
1477675098 A. Joel Papowitz Internal Medicine 179 Pine Creek Ave, Fairfield, CT 06824-6341 2007-04-04
1639293186 Thinesh Dahanayake Internal Medicine 330 Washington St Ste 430, Norwich, CT 06360-2700 2007-03-19
1104910215 Christopher Edward Manfredi Internal Medicine 30 Stevens Street, Suite C, Norwalk, CT 06850 2006-10-03
1598869596 Kanagaratnam Jegathesan Md PC Internal Medicine 2271 East Main St, Waterbury, CT 06705 2006-09-11
1497859409 Kanagaratnam Jegathesan Internal Medicine 2271 East Main Street, Waterbury, CT 06705 2006-09-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City NEW LONDON
Zip Code 06320

Improve Information

Please comment or provide details below to improve the information on SOUTHEASTERN PULMONARY ASSOC. PC.

Dataset Information

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.

Trending Searches