ELIZABETH A WHALEN MD LLC (NPI# 1467517243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467517243 |
Entity Type | Organization |
Organization Name | ELIZABETH A WHALEN MD LLC |
Practice Address |
200 Kennedy Dr Torrington CT 06790-3096 |
Mailing Address |
Po Box 150473 Dept. 445 Hartford CT 06115-0473 |
Practice Telephone | 8604896718 |
Practice Fax Number | 8604898270 |
Mailing Telephone | 8604896718 |
Mailing Fax Number | 8604898270 |
Enumeration Date | 2006-12-22 |
Last Update Date | 2007-09-28 |
Authorized Official Name | DR. ELIZABETH A WHALEN (MEMBER, ELIZABETH A. WHALEN, MD, LL) |
Authorized Official Telephone | 8604896718 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
032771 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PREFERRED ONE | 272652 | 01 | |
BLUECARE FAMILY PLAN | 00132771800 | 01 | |
CONNECTICARE | 759274 | 01 | |
OXFORD HEALTH PLANS | P3016477 | 01 | |
CT | ANTHEM | 010032771CT03 | 01 |
Street Address |
200 KENNEDY DR |
City | TORRINGTON |
State | CT |
Zip Code | 06790-3096 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326092024 | Jennifer Mary Carrier-myers | Nurse Practitioner | 200 Kennedy Dr, Torrington, CT 06790-3096 | 2006-05-19 |
1811352560 | Sarah Kathryn Thomen | Nurse Practitioner | 200 Kennedy Dr, Torrington, CT 06790-3096 | 2015-12-23 |
1043572910 | Ynhh-community Oncology Practice | Specialist | 200 Kennedy Dr, Torrington, CT 06790-3096 | 2012-06-15 |
1285894535 | Katherine Linnea Harvey | Internal Medicine | 200 Kennedy Dr, Smilow Cancer Hospital -torrington Care Center, Torrington, CT 06790-3096 | 2008-06-11 |
1619140829 | Connecticut Oncology & Hematology LLP | Clinical Medical Laboratory | 200 Kennedy Dr, Torrington, CT 06790-3096 | 2008-04-09 |
1629246830 | Connecticut Oncology & Hematology | Clinical Medical Laboratory | 200 Kennedy Dr, Torrington, CT 06790-3096 | 2008-02-11 |
1366555658 | Connecticut Oncology & Hematology, LLP | Durable Medical Equipment & Medical Supplies | 200 Kennedy Dr, Torrington, CT 06790-3096 | 2006-08-17 |
1679580997 | Christina M Gomez | Internal Medicine | 200 Kennedy Dr, Torrington, CT 06790-3096 | 2006-08-01 |
1376578054 | Jedd Franklin Levine | Internal Medicine | 200 Kennedy Dr, Torrington, CT 06790-3096 | 2006-07-11 |
1992737449 | Connecticut Oncology&hematology, LLP | Clinical Nurse Specialist | 200 Kennedy Dr, Torrington, CT 06790-3096 | 2006-07-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265474787 | Elizabeth Ann Whalen | Radiology | 200 Kennedy Dr, Lower Level, Torrington, CT 06790-3096 | 2006-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639565948 | David Gasalberti | Radiology | 243 Steele Rd Apt 314, West Hartford, CT 06117-1725 | 2015-04-13 |
1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
1407173115 | William J Aberizk Jr. | Radiology | 166 Ledgewood Rd, Apt 108, Groton, CT 06340-6614 | 2010-04-21 |
1326206855 | Ranjit S Bindra | Radiology | 20 York Street, Smilow Cancer Hospital, Yale New Haven, Lower Level, New Haven, CT 06510 | 2008-05-31 |
1760640643 | Douglas Michael Housman | Radiology | 25 Newell Road, Suite C11, Bristol, CT 06010-5100 | 2008-05-28 |
1306020474 | James Byunghoon Yu | Radiology | 20 York St, T-209, Yale - New Haven Hospital, New Haven, CT 06510 | 2007-12-24 |
1417150004 | Ann C Cea | Radiology | 244 Byram Shore Rd, Greenwich, CT 06830-6932 | 2007-06-09 |
1750400644 | Suzanne Buckley Evans | Radiology | 865 Montauk Ave, Cancer Center, New London, CT 06320 | 2007-03-29 |
1912084419 | Sean W. Dowling | Radiology | 34 Shelburne Rd, Radiation Oncology, Stamford, CT 06902-3628 | 2006-11-01 |
1427163815 | Allen B Silberstein | Radiology | 536 Saybrook Road, Middlesex Hospital Cancer Center, Middletown, CT 06457 | 2006-08-19 |
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City | TORRINGTON |
Zip Code | 06790 |
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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.