SEDAT S. SHABAN, M.D.,P.C. (NPI# 1427329416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427329416 |
| Entity Type | Organization |
| Organization Name | SEDAT S. SHABAN, M.D.,P.C. |
| Practice Address |
1389 W Main St Suite 308 Waterbury CT 06708-3104 |
| Practice Telephone | 2037551464 |
| Practice Fax Number | 2037547721 |
| Mailing Telephone | 2037551464 |
| Mailing Fax Number | 2037547721 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |
| Authorized Official Name | DR. SEDAT SELAJDIN SHABAN (OWNER) |
| Authorized Official Telephone | 2037551464 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 019493 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001194935 | 05 |
| Street Address |
1389 W MAIN ST SUITE 308 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142551 | Christopher Cronin Randolph | Allergy & Immunology | 1389 W Main St, Suite 205, Waterbury, CT 06708-3104 | 2005-08-24 |
| 1932613312 | Michele M Griffith | Occupational Therapy Assistant | 1389 W Main St, Waterbury, CT 06708-3104 | 2017-11-21 |
| 1548682446 | Arabella Christian | Dentist | 1389 W Main St, #208, Waterbury, CT 06708-3104 | 2014-01-10 |
| 1447688098 | Ajin Mathew | Physician Assistant | 1389 W Main St, Suite 120, Waterbury, CT 06708-3104 | 2013-10-17 |
| 1932456068 | Headzone LLC | Clinic/Center | 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 | 2012-08-08 |
| 1376898676 | Linda Eileen Aspenwind | Counselor | 1389 W Main St, Suite 312, Waterbury, CT 06708-3104 | 2012-07-23 |
| 1235407800 | Nancy Dagostino | Social Worker | 1389 W Main St, Suite 312, Waterbury, CT 06708-3104 | 2011-12-09 |
| 1629387097 | Erin Marie Floridia | Physician Assistant | 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 | 2010-10-01 |
| 1780839977 | A.aziz Richi, Md, LLC | Specialist | 1389 W Main St, Suite 322, Waterbury, CT 06708-3104 | 2008-12-01 |
| 1255584314 | Abdulmasih Zarif, Md, LLC | Specialist | 1389 W Main St, Suite 321, Waterbury, CT 06708-3104 | 2008-11-02 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 06708 | ||||
| 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 |
|---|---|---|---|---|
| 1871650499 | Michael J Rokosky | Pediatrics | 1404 West Main St, Waterbury, CT 06708 | 2007-01-02 |
| 1376505859 | Pediatric Assoc of Conn PC | Pediatrics | 160 Robbins Street, Waterbury, CT 06708 | 2006-04-03 |
| 1154395002 | Linda T Mathew | Pediatrics | 2457 E Main St, Waterbury, CT 06705-2685 | 2006-02-16 |
| 1235131152 | Bidarkote Somanath | Pediatrics | 140 Grandview Ave, Suite No 206, Waterbury, CT 06708-2505 | 2005-08-11 |
| 1336671627 | Eliyahu Akerman | Pediatrics | 179 Roseland Ave, Waterbury, CT 06710-1411 | 2017-03-28 |
| 1144676438 | Elsa Mercedes Martinez | Pediatrics | 80 Phoenix Ave Ste 201, Waterbury, CT 06702-1418 | 2016-05-05 |
| 1033515275 | Chinelo Okwuosa | Pediatrics | 179 Roseland Ave, Waterbury, CT 06710-1411 | 2014-11-17 |
| 1851710008 | Vaishali Bansilal | Pediatrics | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2014-04-15 |
| 1205178175 | Donald R Swartz | Pediatrics | 93 Pilgrim Park Rd, Suite 6, Waterbury, VT 05676-1727 | 2013-03-19 |
| 1285918979 | Radhika Abhishek Agrawal | Pediatrics | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2011-09-29 |
| 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.