RICHARD PAUL DIBALA (NPI# 1407968050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407968050 |
| Entity Type | Individual |
| Full Name | RICHARD PAUL DIBALA |
| Credential | M.D. |
| Practice Address |
1022 Storrs Rd Storrs Mansfield CT 06268-2639 |
| Mailing Address |
16 Jacobs Hill Rd Mansfield Center CT 06250-1650 |
| Practice Telephone | 8604299321 |
| Practice Fax Number | 8604294775 |
| Mailing Telephone | 8604562863 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 022511 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001225119 | 05 | |
| CT | MEDICARE ID | 080001969 | 01 |
| Street Address |
1022 STORRS RD |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06268-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356374508 | Rosemary Ijeoma Maduka | Family Medicine | 1022 Storrs Rd, Suite 1, Storrs Mansfield, CT 06268-2639 | 2006-07-09 |
| 1154574416 | Jill Elizabeth Fuller | Nurse Practitioner | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2633 | 2008-10-30 |
| 1346412053 | Storrs Family Medicine | Family Medicine | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2008-04-02 |
| 1669598231 | James J Raynor | Dentist | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2007-03-22 |
| 1871619635 | Louis G Cano | Dentist | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2007-03-22 |
| 1851417620 | Matthew J Raynor | Dentist | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2007-03-22 |
| 1083635817 | Raynor-cano | Dentist | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1952965196 | Kelsey Rankin | Kinesiotherapist | 100 Jim Calhoun Way, Storrs, CT 06268 | 2019-04-23 |
| 1215312137 | Patricia M Baker | Social Worker | 945 Storrs Rd, Storrs Mansfield, CT 06268 | 2015-07-21 |
| 1760866719 | Loving Hands Chiropractic LLC | Chiropractor | 1733 Storrs Rd Ste 11, Storrs, CT 06268 | 2015-07-18 |
| 1073939336 | Price Chopper Inc | Pharmacy | 1220 Storrs Road, Storrs Mansfield, CT 06268 | 2014-03-11 |
| 1770827776 | Annmarie Green Bolduc | Nurse Practitioner | 1 Royce Circle, Ste 104, Uconn Medical Group, Storrs, CT 06268 | 2012-11-15 |
| 1922251859 | Kimberly A Barton | Psychologist | 1066 Storrs Rd., Suite E, Storrs, CT 06268 | 2008-10-22 |
| 1639335813 | Michael Thomas Hurlock | Counselor | 9 Dunham Pond Road, Storrs, CT 06268 | 2008-08-06 |
| 1013183979 | Jean Ann Kenny | Social Worker | 17 Lynwood Rd, Storrs, CT 06268 | 2008-05-01 |
| 1790962397 | Hans L Franzen | Marriage & Family Therapist | 1066 Storrs Road, Storrs, CT 06268 | 2008-01-25 |
| Find all providers in zip 06268 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871668707 | Robert Michael Jennette | Family Medicine | 610 Browns Rd, Storrs Mansfield, CT 06268-2717 | 2006-11-24 |
| 1356374508 | Rosemary Ijeoma Maduka | Family Medicine | 1022 Storrs Rd, Suite 1, Storrs Mansfield, CT 06268-2639 | 2006-07-09 |
| 1346412053 | Storrs Family Medicine | Family Medicine | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2008-04-02 |
| 1942235650 | Mary A Manton | Family Medicine | Uconn Student Health Services, 234 Glenbrook Road, Storrs Mansfield, CT 06269-0001 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638299 | Alyssa Mary Brown | Family Medicine | 82 Welles Dr, Newington, CT 06111-2625 | 2020-10-29 |
| 1598370389 | Korinne Fern Croce X | Family Medicine | 52 Meadowood Dr, New Milford, CT 06776-5732 | 2020-09-09 |
| 1619580263 | Chelsea Nicole Alves | Family Medicine | 111 Connecticut Blvd, East Hartford, CT 06108-3015 | 2020-08-24 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1598397192 | Healthmed Family Care | Family Medicine | 1209 S Broad St, Wallingford, CT 06492-1714 | 2020-02-11 |
| 1457991333 | Diane Iannini | Family Medicine | 16 Bridge End Farm Ln, Sandy Hook, CT 06482-1055 | 2020-01-08 |
| 1396382685 | Optimum Regenerative Care LLC | Family Medicine | 46 Benson Dr, Danbury, CT 06810-7231 | 2019-12-05 |
| 1801455761 | Steven John Rigatti | Family Medicine | 157 Uconn Ave, Glastonbury, CT 06033-1348 | 2019-06-13 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1336703586 | Shazia Josephine Joseph | Family Medicine | 12 Village St Ste 5, North Haven, CT 06473-3828 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | STORRS MANSFIELD |
| Zip Code | 06268 |
Please comment or provide details below to improve the information on RICHARD PAUL DIBALA.
| 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.