MRS. DEANNA MICHAUD (NPI# 1407826522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407826522 |
| Entity Type | Individual |
| Full Name | MRS. DEANNA MICHAUD |
| Credential | PA |
| Practice Address |
2247 E Main St Suite 103 Waterbury CT 06705 |
| Mailing Address |
2247 E Main St Suite 1032 Waterbury CT 06705 |
| Practice Telephone | 2037573486 |
| Practice Fax Number | 2037573723 |
| Mailing Telephone | 2037573486 |
| Mailing Fax Number | 2037573723 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001269 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 010269 | 01 |
| CT | RR MEDICARE | PENDING | 01 |
| CT | USA | 1192828 | 01 |
| CT | 004245272 | 05 | |
| CT | AETNA | 7346891 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659697050 | Deanna L. Michaud | Registered Nurse | 7 Railroad Ave, Canton, NY 13617-1422 | 2010-04-12 |
| Street Address |
2247 E MAIN ST SUITE 103 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255683876 | Sarah A Ferrie | Physician Assistant | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 | 2012-10-05 |
| 1619205341 | Antoinette Towle | Nurse Practitioner | 2247 E Main St, Waterbury, CT 06705-2604 | 2009-11-18 |
| 1922253483 | Sarah Faith Walsh | Family Medicine | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 | 2008-11-25 |
| 1467618827 | Pamela Nicole Warren | Physician Assistant | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481639 | Gresi Kello | Physician Assistant | 506 Frost Rd, Waterbury, CT 06705-2304 | 2020-09-15 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1003188814 | Jodi Lasky | Physician Assistant | 26 Westport Dr, Waterbury, CT 06706-2854 | 2012-02-09 |
| 1255668968 | Michele C Pierce | Physician Assistant | 60 Westwood Ave Ste 314, Waterbury, CT 06708-2460 | 2009-11-17 |
| 1700035615 | Marissa L Stankus | Physician Assistant | 171 Grandview Ave Ste 201, Waterbury, CT 06708-2520 | 2008-09-16 |
| 1588699557 | Adriane Guerin | Physician Assistant | 179 Roseland Ave, Waterbury, CT 06710 | 2006-07-11 |
| 1891777918 | Alan Robert Houle | Physician Assistant | 1211 W Main St, Waterbury, CT 06708-3106 | 2005-11-15 |
| 1750389375 | Huma Tariq Khaliq | Physician Assistant | 232 N Elm St, Waterbury, CT 06702-1516 | 2005-07-08 |
| 1528676459 | Kate Marie Breiner | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-16 |
| Find all providers in WATERBURY | ||||
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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.