KEVIN GREGG BILLINGSLEY (NPI# 1346258803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346258803 |
| Entity Type | Individual |
| Full Name | KEVIN GREGG BILLINGSLEY |
| Credential | MD |
| Practice Address |
20 York St New Haven CT 06510 |
| Mailing Address |
Yale New Haven Hospital 20 York Street New Haven CT 06510 |
| Practice Telephone | 2036884242 |
| Mailing Telephone | 2037853577 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
64587 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 298450 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Park Avenue Medical Center, 5520 Park Avenue, Trumbull, CT 06611 | 2035028400 |
| Street Address |
20 YORK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547042 | Kimberly C Irwin | Specialist | 20 York St, New Haven, CT 06510-3220 | 2005-06-09 |
| 1225639644 | Lauren Marie Astorino | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-11-03 |
| 1598365215 | Apphia Rose Harris | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-30 |
| 1861091365 | Melissa Todice | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-26 |
| 1528665213 | Rebecca Dorothy Harrison | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-06 |
| 1467068551 | Marissa Meegan Sanca | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-23 |
| 1093321234 | Oksana Petsukh | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-09-22 |
| 1841806114 | Madiha Shah | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2020-09-21 |
| 1053926303 | Tanyeri Barak | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-09-14 |
| 1548875776 | Lisa Wrubel | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587830 | Donald Rowe Lannin | Surgery | 800 Howard Ave Lowr Level, Yale Physicians Building, New Haven, CT 06519-1369 | 2005-12-05 |
| 1265666184 | John William Kunstman | Surgery | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2009-05-06 |
| 1871524355 | Charles Cha | Surgery | 330 Cedar St, Lh 118, New Haven, CT 06520 | 2006-07-05 |
| 1972567048 | Ronnie A Rosenthal | Surgery | 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952599441 | Glenda Grace Callender | Surgery | 133 Scovill St Ste 303, Waterbury, CT 06706-1127 | 2007-10-09 |
| 1821296500 | Bret Mitchell Schipper | Surgery | 85 Seymour St Ste 700, Hartford, CT 06106-5533 | 2007-07-05 |
| 1699116582 | Chelsea Jeanette Semrau | Surgery | 114 Woodland St, Cancer Center, Hartford, CT 06105-1208 | 2013-07-09 |
| 1477810992 | Jill Rubinstein | Surgery | 2800 Main St, Bridgeport, CT 06606-4292 | 2012-04-22 |
| 1144512740 | Lindsay Ann Bliss | Surgery | 85 Seymour Street, Department of Surgery, Hartford, CT 06106 | 2011-05-14 |
| 1023254273 | Chia-chi Wang | Surgery | 520 Saybrook Rd, S100, Middletown, CT 06457-4700 | 2008-12-17 |
| 1043414436 | Mandy Sher Greenberg | Surgery | 761 Main Ave, Suite 203, Norwalk, CT 06851-1080 | 2007-06-12 |
| 1710192083 | Csaba Gajdos | Surgery | 29 Hospital Plaza, Suite 603, Stamford, CT 06902-3602 | 2007-05-11 |
| 1588759583 | Francis Cannizzo | Surgery | 111 Osborne St, Danbury, CT 06810-6000 | 2006-10-04 |
| 1245249549 | Mill Hill Medical Consultants Inc | Surgery | 77 Lafayette Pl, Suite 302, Greenwich, CT 06830-5426 | 2006-08-05 |
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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.