IYARE OSAYI ESEMUEDE (NPI# 1487885190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487885190 |
| Entity Type | Individual |
| Full Name | IYARE OSAYI ESEMUEDE |
| Credential | MD |
| Practice Address |
133 Scovill St Ste 303 Waterbury CT 06706-1127 |
| Mailing Address |
56 Franklin St Waterbury CT 06706-1253 |
| Practice Telephone | 2037530877 |
| Practice Fax Number | 2037591533 |
| Mailing Telephone | 2037530877 |
| Mailing Fax Number | 2037591537 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2015-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 54223 | CT | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 264901 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
133 SCOVILL ST STE 303 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952599441 | Glenda Grace Callender | Surgery | 133 Scovill St Ste 303, Waterbury, CT 06706-1127 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| Find all providers in zip 06706 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407121437 | Raafat R Tadros | Surgery | 46 Mayfield Rd, Waterbury, CT 06708-3208 | 2012-03-08 |
| 1730475658 | Diane N Lusas | Surgery | 417 Highland Ave Ste 2, Waterbury, CT 06708 | 2011-06-20 |
| 1144551326 | Andrew John Erickson | Surgery | 38 State Farm Rd Fl 1, Waterbury, VT 05676-1607 | 2010-01-27 |
| 1457984502 | Andrew Erickson Md Plc | Surgery | 38 State Farm Rd Fl 1, Waterbury, VT 05676-1607 | 2020-02-18 |
| 1073772356 | Shohan Shetty | Surgery | 133 Scovill St, Waterbury, CT 06706 | 2008-06-03 |
| 1528241080 | Shady Macaron | Surgery | 56 Franklin St, Waterbury, CT 06706-1253 | 2007-12-07 |
| 1215124698 | Thomas Raymond Alosco | Surgery | 475 Chase Pkwy, Waterbury, CT 06708 | 2007-09-28 |
| 1285848044 | Surgical Associates of Waterbury, P.C. | Surgery | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-05-10 |
| 1942237516 | J. Alexander Palesty | Surgery | 56 Franklin St, Waterbury, CT 06706-1221 | 2006-06-27 |
| 1699702357 | Michael Stephen Ajemian | Surgery | 56 Franklin St, Waterbury, CT 06706-1221 | 2006-06-27 |
| Find all providers in WATERBURY | ||||
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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.