DR. DECIO M. DE ESCOBAR


Address: 171 Grandview Ave, Suite 101, Waterbury, CT 06708-2517
Phone: 2037579336

DR. DECIO M. DE ESCOBAR (NPI# 1386931277) 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) 1386931277
Entity Type Organization
Organization Name DR. DECIO M. DE ESCOBAR
Other Organization Name COREBELLA HEALTH
Practice Address 171 Grandview Ave
Suite 101
Waterbury
CT 06708-2517
Practice Telephone 2037579336
Practice Fax Number 2037579611
Mailing Telephone 2037579336
Mailing Fax Number 2037579611
Enumeration Date 2011-06-30
Last Update Date 2011-06-30
Authorized Official Name DANELLE CONTOIS (MEDICAL BILLER)
Authorized Official Telephone 2037579336
Authorized Official Credential CPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 175F00000X Naturopath 000352 CT Other Service Providers
N 363AM0700X Physician Assistant
Specialization: Medical
1139 CT Physician Assistants & Advanced Practice Nursing Providers
Y 207YX0602X Otolaryngology
Specialization: Otolaryngic Allergy
12669 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001126697 05

Other Provider/Organization Names

Other Name Type Code
Corebella Health Other Name - Individual/Organization

Office Location

Street Address 171 GRANDVIEW AVE
SUITE 101
City WATERBURY
State CT
Zip Code 06708-2517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720083421 Raymond E Winicki Otolaryngology 171 Grandview Ave, Ste 201, Waterbury, CT 06708-2520 2005-06-17
1699212704 Gcnt LLC Emergency Medicine 171 Grandview Ave, Ste 105, Waterbury, CT 06708-2517 2017-01-26
1538544481 Caitlin Cann Audiologist 171 Grandview Ave, Suite 201, Waterbury, CT 06708-2517 2015-07-21
1376958876 Ankur Talati Student in an Organized Health Care Education/Training Program 171 Grandview Ave, Suite 103, Waterbury, CT 06708-2517 2014-06-24
1881987964 Ct Dental LLC Dentist 171 Grandview Ave, Suite 103, Waterbury, CT 06708-2517 2011-05-23
1174836134 Tulasi N Vikram Dentist 171 Grandview Ave, Suite 103, Waterbury, CT 06708-2517 2010-07-20
1063668200 Cheryl Lynn Lyon Naturopath 171 Grandview Ave, Suite 202, Waterbury, CT 06708-2517 2008-08-07
1427230804 Deann Masterson Physician Assistant 171 Grandview Ave, Suite 201, Waterbury, CT 06708-2517 2007-11-28
1447430467 Waterbury Podiatry Consultants Podiatrist 171 Grandview Ave, Suite 104, Waterbury, CT 06708-2517 2007-11-07
1912192295 Kent E Sharian Nutritionist 171 Grandview Ave, 202, Waterbury, CT 06708-2517 2007-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952864787 Sidhant Singh Student in an Organized Health Care Education/Training Program Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 2019-04-09
1023574753 Santa Maria & Schneider D.m.d Waterbury LLC Dentist 276 Highland Ave., Waterbury, CT 06708 2019-02-19
1548766959 Caroline Johnssen Student in an Organized Health Care Education/Training Program Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 2018-04-04
1992209530 Valley Wellness Consulting Group LLC Social Worker 969 W Main Street, Suite 3e, Waterbury, CT 06708 2018-03-20
1306346457 C&s Family Dental Waterbury, LLC Dentist 1630 Watertown Ave, Waterbury, CT 06708 2018-02-15
1447759865 Inurse Homecare, LLC. Home Health 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 2018-02-12
1619423977 Robert Girard II Counselor 969 West Main Street, Suite 1 D, Waterbury, CT 06708 2016-08-28
1457734360 Alternatives, Inc. Intermediate Care Facility, Mentally Retarded 148 Highview St, Waterbury, CT 06708 2015-07-09
1407266901 Maria Munoz Obstetrics & Gynecology 140 Grandview Ave Ste 202, Waterbury, CT 06708 2014-05-06
1922420330 Danielle Moraes Social Worker 276 Highland Av 2nd Fl North, Waterbury, CT 06708 2014-01-21
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Taxonomy Information

Taxonomy Code 207YX0602X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngic Allergy

Taxonomy Definition

An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407875669 Decio Maceda De Escobar Otolaryngology 171 Grandview Ave, Suite 202, Waterbury, CT 06708-2517 2006-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881841872 Litchfield County Ear Nose & Throat PC Otolaryngology 146 Danbury Rd, New Milford, CT 06776-3427 2008-08-21

Competitor

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City WATERBURY
Zip Code 06708

Improve Information

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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.

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