CONNECTICUT CHILDREN'S MEDICAL CENTER (NPI# 1467541805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467541805 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CHILDREN'S MEDICAL CENTER |
| Practice Address |
282 Washington St Asthma Center - Hartford Square West Hartford CT 06106-3322 |
| Mailing Address |
282 Washington St Hartford CT 06106-3322 |
| Practice Telephone | 8605459000 |
| Practice Fax Number | 8605458979 |
| Mailing Telephone | 8605459000 |
| Mailing Fax Number | 8605458979 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | DR. MICHELLE MARIE CLOUTIER (DIRECTOR) |
| Authorized Official Telephone | 8605459442 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
026130 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | PHYSICIAN/SURGEON LICENSE | 026130 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106951 | Connecticut Children's Medical Center | Clinic/Center | 282 Washington St, Hartford, CT 06106-3322 | 2019-10-18 |
| 1134271661 | Connecticut Children's Medical Center | General Acute Care Hospital | 282 Washington St, Hartford, CT 06106-3322 | 2007-01-17 |
| 1215947387 | Connecticut Children's Medical Center | General Acute Care Hospital | 282 Washington St, Hartford, CT 06106-3322 | 2006-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONNECTICUT CHILDREN'S MEDICAL CENTER | 282 Washington St, Hartford, CT 06106-3322 |
| Connecticut Business Registrations | CONNECTICUT CHILDREN'S MEDICAL CENTER |
| Street Address |
282 WASHINGTON ST ASTHMA CENTER - HARTFORD SQUARE WEST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215925037 | Jeffrey S Hyams | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2005-10-06 |
| 1902411127 | Rebecca Katherine Benjamin | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-09-14 |
| 1457960486 | Jillian Scott | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-07-27 |
| 1962029660 | Brittany Athena Molkenthin | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-06-29 |
| 1295358794 | Michaela Kathleen Rotondi | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2020-05-19 |
| 1881216067 | Loida Montanez | Pharmacist | 282 Washington St, Hartford, CT 06106-3322 | 2020-05-11 |
| 1215558853 | Elizabeth Lachat | Social Worker | 282 Washington St, Hartford, CT 06106-3322 | 2020-05-06 |
| 1023638848 | Evan Fusaro | Physician Assistant | 282 Washington St, Hartford, CT 06106-3322 | 2020-04-22 |
| 1992325062 | Lusine Unanyan | Student in an Organized Health Care Education/Training Program | 282 Washington St, Hartford, CT 06106-3322 | 2020-04-19 |
| 1518586577 | Patrick James Gallaway | Student in an Organized Health Care Education/Training Program | 282 Washington St, Hartford, CT 06106-3322 | 2020-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770836827 | Natalie Rebecca Shilo | Pediatrics | 85 Seymour St Ste 500, Hartford, CT 06106-5524 | 2012-10-25 |
| 1134476658 | Sabina Q Ahmad | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2012-08-15 |
| 1114152733 | Anne Victoria Mclaughlin | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2009-05-27 |
| 1659562031 | Melanie Sue Collins | Pediatrics | 282 Washington St, Suite 2b, Hartford, CT 06106 | 2007-08-09 |
| 1518023522 | Michelle M. Cloutier | Pediatrics | 282 Washington St, Suite 2b, Hartford, CT 06106-3322 | 2006-12-28 |
| 1003881467 | Craig Schramm | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-21 |
| 1720053259 | Craig Lapin | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871907642 | Sabhyata Agrawal | Pediatrics | 1 Park St # Wp-2, New Haven, CT 06504-8901 | 2014-06-19 |
| 1801862602 | Regina M Palazzo | Pediatrics | 6 Business Park Dr, 202, Branford, CT 06405-2988 | 2006-02-23 |
| 1629465141 | Laura Chen | Pediatrics | 20 York St Fl 2, New Haven, CT 06510-3220 | 2015-04-22 |
| 1851792170 | Sherin T. Panacherry | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2014-09-05 |
| 1053655548 | Nutmeg Pediatric Pulmonary Services LLC | Pediatrics | 6 Business Park Dr, Suite 202, Branford, CT 06405-2988 | 2012-11-21 |
| 1174792949 | Nutmeg Pediatric Pulmonary Services | Pediatrics | 60 Temple St, 7f, New Haven, CT 06510 | 2008-02-26 |
| 1467650697 | Sharon Ann Newport | Pediatrics | 57 Old Post Rd No 2, Greenwich, CT 06830-6786 | 2007-07-10 |
| 1639193741 | Gregory Dworkin | Pediatrics | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-07-26 |
| 1992774384 | Jacob Hen Jr. | Pediatrics | 5520 Park Ave, Nemg, Trumbull, CT 06611-3463 | 2006-03-16 |
| 1629041744 | Beverley Jeanne Sheares | Pediatrics | 333 Cedar St, New Haven, CT 06510 | 2006-02-09 |
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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.