CARLA DESANTIS (NPI# 1467566380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467566380 |
| Entity Type | Individual |
| Full Name | CARLA DESANTIS |
| Credential | MD |
| Practice Address |
170 Hazard Ave Enfield CT 06082 |
| Practice Telephone | 8607634001 |
| Practice Fax Number | 8607495592 |
| Mailing Telephone | 8607634001 |
| Mailing Fax Number | 8607495592 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036524 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001365247 | 05 |
| Street Address |
170 HAZARD AVE |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730102260 | Kenneth Borkowski | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2006-07-25 |
| 1366882037 | Thomas Baird Fitzgerald | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2013-06-26 |
| 1659609584 | Rebecca L Brady | Nurse Practitioner | 170 Hazard Ave, Enfield, CT 06082-4520 | 2009-12-04 |
| 1699975235 | Shannon Conley Peterson | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2007-07-23 |
| 1649359266 | Jill Mcgarry | Advanced Practice Midwife | 170 Hazard Ave, Enfield, CT 06082 | 2006-11-03 |
| 1033296223 | Lori Ann Bryon | Physician Assistant | 170 Hazard Ave, Enfield, CT 06082-4520 | 2006-11-01 |
| 1225119845 | Virginia Susan Ferlan | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2006-10-18 |
| 1831279082 | Timothy Machon | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082 | 2006-10-16 |
| 1164519823 | George Bacall | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891984274 | Carol L Watson Md LLC | Obstetrics & Gynecology | 140 Hazard Avenue, Suite 107, Enfield, CT 06082-4520 | 2007-10-22 |
| 1942338033 | Planned Parenthood of Ct, Inc | Obstetrics & Gynecology | 76 Palomba Dr, Enfield, CT 06082-3840 | 2007-03-01 |
| 1730102260 | Kenneth Borkowski | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2006-07-25 |
| 1295711638 | Michael F. Morosky | Obstetrics & Gynecology | 9 Cranbrook Blvd, 2nd Floor, Enfield, CT 06082 | 2005-12-19 |
| 1366882037 | Thomas Baird Fitzgerald | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2013-06-26 |
| 1699975235 | Shannon Conley Peterson | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2007-07-23 |
| 1578762241 | Smita Bhagat M.d., LLC | Obstetrics & Gynecology | 139 Hazard Ave, Bldg 3, Unit 10, Enfield, CT 06082-4585 | 2007-07-13 |
| 1225119845 | Virginia Susan Ferlan | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2006-10-18 |
| 1831279082 | Timothy Machon | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082 | 2006-10-16 |
| 1164519823 | George Bacall | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082 | 2006-10-06 |
| Find all providers in ENFIELD | ||||
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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.