ELIZA FANTARELLA (NPI# 1437319019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437319019 |
| Entity Type | Individual |
| Full Name | ELIZA FANTARELLA |
| Other Name | ELIZA ADDIS-THOMAS |
| Credential | DPM |
| Practice Address |
330 Orchard St New Haven CT 06511 |
| Practice Telephone | 2037893152 |
| Practice Fax Number | 2038675457 |
| Mailing Telephone | 2037893152 |
| Mailing Fax Number | 2038675457 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000867 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1437319019 | 05 |
| Street Address |
330 ORCHARD ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094947 | Mark H Schoenfeld | Specialist | 330 Orchard St, Ste 210, New Haven, CT 06511-4429 | 2005-06-23 |
| 1922598093 | Giovanni Ibrahim | Dentist | 330 Orchard St, New Haven, CT 06511 | 2018-05-15 |
| 1164978003 | Arpita Neogi | Genetic Counselor, MS | 330 Orchard St, Suite 107, New Haven, CT 06511-4417 | 2016-08-31 |
| 1366718538 | Mei Xue Dong | Internal Medicine | 330 Orchard St, New Haven, CT 06511 | 2012-03-31 |
| 1770888125 | Jose Ramon Elbo Balingcongan | Physician Assistant | 330 Orchard St, New Haven, CT 06511-4417 | 2011-01-17 |
| 1306164512 | Elmer L. Valin, Md, LLC | Specialist | 330 Orchard St, Suite 111, New Haven, CT 06511-4417 | 2010-05-12 |
| 1932376878 | Cassandra L Gulden | Genetic Counselor, MS | 330 Orchard St, Ste 107, New Haven, CT 06511-4417 | 2008-05-09 |
| 1558557819 | Kalman L Watsky | Dermatology | 330 Orchard St, Suite 103, New Haven, CT 06511-4417 | 2007-09-20 |
| 1841495777 | Cardiothoracic Surgical Associates, P.C. | Internal Medicine | 330 Orchard St, Suite 107, New Haven, CT 06511-4417 | 2007-06-20 |
| 1194929612 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 330 Orchard St, Suite 101, New Haven, CT 06511-4417 | 2007-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609307180 | Navdeep Kaur Dhatt | Podiatrist | 20 York St, New Haven, CT 06510-3220 | 2017-03-25 |
| 1538339080 | Farlyn R Charlot-wadley | Podiatrist | 508 Blake St, New Haven, CT 06515-1287 | 2008-03-11 |
| 1043249758 | Amy Tsun Man Yung | Podiatrist | 136 Sherman Ave, Ste. 202, New Haven, CT 06511 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672722 | Hartford Orthopedic Surgeons, PC | Podiatrist | 9 Cranbrook Blvd Fl 2, Enfield, CT 06082-3889 | 2020-09-04 |
| 1538530571 | Connecticut Podiatry Group | Podiatrist | 31 Washington Ave, North Haven, CT 06473-2355 | 2015-10-16 |
| 1972974830 | Connecticut Podiatry Group,p.c. | Podiatrist | 128 Saltonstall Pkwy, East Haven, CT 06512-2425 | 2015-10-16 |
| 1760862445 | Ankur Ashok Patel | Podiatrist | 168 New Milford Tpke Unit 1a, New Preston Marble Dale, CT 06777-1601 | 2015-06-08 |
| 1194103200 | Sean Wayne Lazarus Dpm LLC | Podiatrist | 920 Little Meadow Rd, Guilford, CT 06437-1649 | 2015-05-08 |
| 1790172930 | Rachel Hannah Albright | Podiatrist | 800 Post Rd Ste 302, Darien, CT 06820-4622 | 2015-04-24 |
| 1023403102 | Andrew H Litchfield | Podiatrist | 1111 Cromwell Ave Bldg 4, Rocky Hill, CT 06067-3449 | 2015-04-05 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1245658681 | Chelsea Viola | Podiatrist | 350 Center Rock Grn Ste 3, Oxford, CT 06478-3170 | 2014-04-02 |
| 1871848382 | Core Podiatry LLC | Podiatrist | 1753 Meriden-waterbury Tpke, Southington, CT 06489-0770 | 2012-07-20 |
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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.