DR. MATTHEW ROBERT DUKEHART (NPI# 1497767461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497767461 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW ROBERT DUKEHART |
| Credential | M.D. |
| Practice Address |
175 West Rd Suite 200 Ellington CT 06029-3730 |
| Mailing Address |
58 Somers Hill Cir Somers CT 06071-1927 |
| Practice Telephone | 8603759122 |
| Practice Fax Number | 8603759133 |
| Mailing Telephone | 8607491210 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 033860 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001338608 | 05 |
| Street Address |
175 WEST RD SUITE 200 |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790122885 | Horizon Counseling Services LLC | Community/Behavioral Health | 175 West Rd, Suite 11, Ellington, CT 06029-3730 | 2013-05-29 |
| 1730390352 | Ellington Dental Associates, P.C. | Dentist | 175 West Rd, Ellington, CT 06029-3730 | 2007-05-25 |
| 1750597050 | Steven Jay Landman | Dentist | 175 West Rd, Ellington, CT 06029-3730 | 2007-05-15 |
| 1790991008 | Joann Lois Vallera | Dentist | 175 West Rd, Ellington, CT 06029-3730 | 2007-05-15 |
| 1376760892 | Ellington Physical Therapy LLC | Clinic/Center | 175 West Rd, Suite 6a, Ellington, CT 06029-3730 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073909487 | Kristen Marie Martel | Behavioral Analyst | 4 Windermere Vlg Dr, Ellington, CT 06029 | 2015-04-13 |
| 1972747111 | Lauren Jill Powers | Dentist | 17 5 West Road, Ellington, CT 06029 | 2009-04-30 |
| 1922215821 | Luke E O'connor | Internal Medicine | 23 Ellington Ave, Po 878 Willimantic Ct 06022, Ellington, CT 06029 | 2007-05-17 |
| 1235238643 | Sean Noel | Chiropractor | 105 West Rd Rte 83, Ellington, CT 06029 | 2006-09-22 |
| 1821420977 | Just Breathe Connecticut, LLC | Counselor | 4 West Rd, Ellington, CT 06029 | 2013-07-31 |
| 1518270446 | Kerry Lynn Tuttle | Social Worker | 4 West Rd, Ellington, CT 06029 | 2010-07-20 |
| 1134269004 | Ellington Volunteer Ambulance Corps Inc | Ambulance | 41 Maple St, Ellington, CT 06029-0071 | 2007-02-08 |
| 1225399108 | Endodontic Specialists LLC | Dentist | 2 Chucrh St # 670, Ellington, CT 06029-0670 | 2012-06-06 |
| 1821008202 | Stanislav Moline | Dentist | 2 Chucrh St, # 670, Ellington, CT 06029-0670 | 2006-08-09 |
| 1700267473 | Andrew Michael Janiga | Dentist | 2 Brockway Rd, Ellington, CT 06029-2100 | 2015-06-17 |
| Find all providers in zip 06029 | ||||
| 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 |
|---|---|---|---|---|
| 1962479113 | Matthew J Zadrowski | Surgery | 10 Benjamin Dr, Ellington, CT 06029-2127 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168177 | Rebecca Pritchard | Surgery | 23 Woodside Ter, Milford, CT 06460-4252 | 2019-05-03 |
| 1518319458 | Muhammad Umer Afzaal | Surgery | 267 Grant St Fl St4, Bridgeport, CT 06610-2805 | 2016-07-04 |
| 1093175085 | Nicholas Mario Passarelli | Surgery | 88 Notch Hill Rd. Apt 183s, North Branford, CT 06471-1861 | 2016-03-03 |
| 1275912818 | David Christopher Aughton | Surgery | 538 Litchfield St Ste 201, Torrington, CT 06790-6669 | 2015-05-28 |
| 1174931463 | Jennifer Berry Matthesen | Surgery | 118 Good Hill Rd, Weston, CT 06883-2809 | 2014-07-30 |
| 1316378615 | Artem Dyatlov | Surgery | 2660 Main St Ste 110, Bridgeport, CT 06606-5301 | 2013-12-11 |
| 1669805974 | Robert John Mulcare | Surgery | 9 Cedarwood Dr, Greenwich, CT 06830-3904 | 2013-08-11 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1164764510 | William Stubenbord | Surgery | 25 Sunset Rd, Old Saybrook, CT 06475-2000 | 2013-03-25 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| Find all providers with the same taxonomy | ||||
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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.