SCOTT MICHAEL KALLOR (NPI# 1336147917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336147917 |
| Entity Type | Individual |
| Full Name | SCOTT MICHAEL KALLOR |
| Credential | D.O. |
| Practice Address |
705 Bloomfield Ave Suite 101 Bloomfield CT 06002-2479 |
| Practice Telephone | 8602860444 |
| Practice Fax Number | 8602860464 |
| Mailing Telephone | 8602860444 |
| Mailing Fax Number | 8602860464 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2013-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 042001 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001420017 | 05 |
| Street Address |
705 BLOOMFIELD AVE SUITE 101 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568805059 | Pediatric Partners, LLC | Pediatrics | 705 Bloomfield Ave, Suite 101, Bloomfield, CT 06002-2479 | 2013-04-15 |
| 1770634719 | Connecticut Renaissance, Inc | Counselor | 705 Bloomfield Ave, Suite 102, Bloomfield, CT 06002-2404 | 2007-01-16 |
| 1346207073 | Betty Joseph | Physical Therapist | 705 Bloomfield Ave, Ste 101, Bloomfield, CT 06002 | 2006-04-27 |
| 1154329738 | Carolyn Rand Ganeles | Pediatrics | 705 Bloomfield Ave, Suite 101, Bloomfield, CT 06002-2479 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669881397 | Sandra Kellum | Pediatrics | 24 Yantecaw Ave, Bloomfield, NJ 07003-2835 | 2014-08-06 |
| 1154576049 | Sean A Flynn | Pediatrics | 299 Glenwood Ave, 2nd Floor, Suite 6, Bloomfield, NJ 07003-2445 | 2008-11-19 |
| 1114177540 | Ruchi Mehta | Pediatrics | 106 Broad Street, Bloomfield, NJ 07003 | 2008-09-22 |
| 1316113376 | Sarah Elizabeth Flemming | Pediatrics | 55 N Judge St, Bloomfield, IN 47424 | 2008-04-30 |
| 1598863649 | Guo-pao Cheng | Pediatrics | 160 Bloomfield Ave, Bloomfield, NJ 07003-5620 | 2006-09-20 |
| 1316059033 | Madhavi Shah | Pediatrics | 199 Broad Street, Suite 1b, Bloomfield, NJ 07003 | 2006-08-31 |
| 1629091798 | Lawrence Rifkin | Pediatrics | 57 Jolley Dr Ste B, Bloomfield, CT 06002-3062 | 2006-07-26 |
| 1376582734 | Lori Ann Colyer-aversa | Pediatrics | 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003-3924 | 2006-06-04 |
| 1396716767 | Edna Retiracion Lopez-maslak | Pediatrics | 206 Belleville Ave Ste 202, Bloomfield, NJ 07003-3589 | 2006-02-01 |
| 1235522194 | Primary Care Partners, LLC | Pediatrics | 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003-3924 | 2015-03-16 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
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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.