DR. GUSTAVO ENRIQUE COSENZA (NPI# 1447526694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447526694 |
| Entity Type | Individual |
| Full Name | DR. GUSTAVO ENRIQUE COSENZA |
| Credential | M.D. |
| Practice Address |
3a. Calle A 8-51 Zona 10 Guatemala GUATEMALA 01010 GT |
| Practice Telephone | 0050223341464 |
| Practice Fax Number | 0050223346007 |
| Mailing Telephone | 0050223341464 |
| Mailing Fax Number | 0050223346007 |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2012-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
1725 | ZZ | Allopathic & Osteopathic Physicians |
| Street Address |
3A. CALLE A 8-51 ZONA 10 |
| City | GUATEMALA |
| State | GUATEMALA |
| Zip Code | 01010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396932612 | Elizabeth M. Smola | Emergency Medicine | 1529 Dunhamtown Brimfield Road, Brimfield, MA 01010 | 2007-10-01 |
| 1902264724 | Colleen Ann Burque | Physical Therapy Assistant | 45 Dean Pond Rd, Brimfield, MA 01010-2012 | 2016-02-08 |
| 1225527369 | Tina R. Adams | Psychologist | 12 St Clair Rd, Brimfield, MA 01010-2120 | 2018-05-03 |
| 1740815018 | Bianca Venezia Gonynor | Registered Nurse | 19 2nd St, Brimfield, MA 01010-9600 | 2020-03-07 |
| 1295346849 | Alexander Hellyar | Physician Assistant | 145 Little Alum Rd, Brimfield, MA 01010-9632 | 2020-08-16 |
| 1154393940 | Shannon Elizabeth Graley | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-02-06 |
| 1023463924 | Deborah A Hanchek | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2016-04-28 |
| 1851711329 | Ruth G Benet | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2014-04-23 |
| 1811246275 | Kayla Elise Capizzano Cross | Nurse Practitioner | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2012-08-31 |
| 1942407069 | Kimberly L Vetal | Nurse Practitioner | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2007-07-02 |
| Find all providers in zip 01010 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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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.