MARK S GROGAN (NPI# 1306909379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306909379 |
| Entity Type | Individual |
| Full Name | MARK S GROGAN |
| Credential | MD |
| Practice Address |
130 Division Street Derby CT 06418 |
| Mailing Address |
Po Box 354 Derby CT 06418 |
| Practice Telephone | 2037327455 |
| Practice Fax Number | 2037355507 |
| Mailing Telephone | 2037327455 |
| Mailing Fax Number | 2037355507 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
026818 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265923486 | Mark P Grogan | Ophthalmology | 525 E Market St, Akron, OH 44304-1619 | 2018-05-23 |
| 1811292501 | Mark Leslie Grogan | Physical Therapy Assistant | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2011-01-11 |
| Street Address |
130 DIVISION STREET |
| City | DERBY |
| State | CT |
| Zip Code | 06418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818462 | Kenneth S Spector | Internal Medicine | 130 Division Street, Derby, CT 06418 | 2006-12-19 |
| 1790305159 | Inshiya Lowai Dawoodi | Student in an Organized Health Care Education/Training Program | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2020-04-25 |
| 1437647468 | Nisar Muhammad Khan | Student in an Organized Health Care Education/Training Program | 130 Division Street, Derby, CT 06418 | 2018-04-25 |
| 1760881338 | Julie Shattuck Heher | Nurse Practitioner | 130 Division Street, Derby, CT 06418-1326 | 2014-08-19 |
| 1649689415 | Ashley Dizney | Nurse Practitioner | 130 Division Street, Derby, CT 06418-1326 | 2014-08-06 |
| 1912324815 | Melissa Mitri | Dietitian, Registered | 130 Division Street, Derby, CT 06418 | 2014-03-28 |
| 1225368954 | Brooke Lillie | Counselor | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2009-12-31 |
| 1659511095 | Gloria Dzerovych | Social Worker | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2009-02-25 |
| 1588803381 | Rita Tropper | Social Worker | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2009-02-18 |
| 1053565762 | Thomas Heffernan | Counselor | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2008-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818462 | Kenneth S Spector | Internal Medicine | 130 Division Street, Derby, CT 06418 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619178258 | Dragos Victor Balf | Internal Medicine | 1450 Chapel St Yale New Haven Hospital, New Haven, CT 06511 | 2007-05-30 |
| 1316408545 | Cct Care of Ct, LLC | Internal Medicine | 2389 Main St, Glastonbury, CT 06033-4617 | 2019-03-29 |
| 1962763722 | Cardiology Physicians of Fairfield County LLC | Internal Medicine | 1177 Summer St, Stamford, CT 06905-5572 | 2012-06-07 |
| 1477832806 | Salman Khalid | Internal Medicine | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-08-16 |
| 1174813208 | Chirag A. Shah | Internal Medicine | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2011-04-11 |
| 1679734800 | Arzhang Fallahi | Internal Medicine | 29 Hospital Plz, Suite 502, Stamford, CT 06902-3602 | 2008-06-20 |
| 1942407853 | Talhat Azemi | Internal Medicine | 85 Seymour St, 821, Hartford, CT 06106-5527 | 2007-07-03 |
| 1629270616 | Robert Ramak Attaran | Internal Medicine | 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 | 2007-06-03 |
| 1437293453 | Michael Chrissoheris | Internal Medicine | 1450 Chapel St, Hsr Section of Cardiology Private 207, New Haven, CT 06511-4405 | 2007-02-16 |
| 1962558890 | Andrew Rashkow Md PC | Internal Medicine | 150 Main St, Ansonia, CT 06401-1854 | 2007-01-25 |
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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.