CORNELL SCOTT HILL HEALTH CORPORATION (NPI# 1508161720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508161720 |
| Entity Type | Organization |
| Organization Name | CORNELL SCOTT HILL HEALTH CORPORATION |
| Other Organization Name | CORNELL SCOTT-HILL HEALTH CENTER |
| Practice Address |
428 Columbus Ave Internal Medicine New Haven CT 06519-1233 |
| Mailing Address |
Po Box 7720 Credentialing Specialist New Haven CT 06519-0720 |
| Practice Telephone | 2035033000 |
| Practice Fax Number | 2035033224 |
| Mailing Telephone | 2035033174 |
| Mailing Fax Number | 2035036515 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | DR. MICHAEL COUTURIE (MEDICAL DIRECTOR OF INTERNAL MED) |
| Authorized Official Telephone | 2035033694 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
087890 | CT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cornell Scott-Hill Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538377148 | Cornell Scott Hill Health Corporation | Clinical Medical Laboratory | 36 East Industrial Rd, Branford, CT 06405 | 2007-05-18 |
| 1902921380 | Cornell Scott Hill Health Corporation | Psychiatry & Neurology | 400-428 Columbus Avenue, New Haven, CT 06519-1233 | 2007-03-21 |
| 1104941806 | Cornell Scott Hill Health Corporation | Substance Abuse Rehabilitation Facility | 232 Cedar St., South Central Rehabilitation Center, New Haven, CT 06519-1610 | 2007-03-20 |
| 1205105095 | Cornell Scott Hill Health Corporation | Registered Nurse | 400 Columbus Ave, New Haven, CT 06519-1233 | 2011-12-22 |
| 1578866364 | Cornell Scott Hill Health Corporation | Clinic/Center | 62 Grant St, Grant Street Partnership, New Haven, CT 06519-2514 | 2010-12-16 |
| 1427351626 | Cornell Scott Hill Health Corporation | Clinic/Center | 911 State St, State Street Health Services, New Haven, CT 06511-3926 | 2010-12-09 |
| 1407159841 | Cornell Scott Hill Health Corporation | Clinic/Center | 226 Dixwell Ave, Dixwell Health Center, New Haven, CT 06511-3456 | 2010-12-07 |
| 1316240757 | Cornell Scott Hill Health Corporation | Clinic/Center | 121 Wakelee Ave, Ansonia, CT 06401-1198 | 2010-12-07 |
| 1841592466 | Cornell Scott Hill Health Corporation | Clinic/Center | 285 Main St, West Haven Health Center, West Haven, CT 06516-7307 | 2010-12-02 |
| 1376871822 | Cornell Scott Hill Health Corporation | Clinic/Center | 400 Columbus Ave, New Haven, CT 06519-1233 | 2009-11-20 |
| Street Address |
428 COLUMBUS AVE INTERNAL MEDICINE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189370 | Catherine Hobbs Sharafanowich | Pharmacist | 428 Columbus Ave, Pharmacy Dept, New Haven, CT 06519-1233 | 2006-01-20 |
| 1407463235 | Jenna Kaitlyn Cordeiro | Physician Assistant | 428 Columbus Ave, New Haven, CT 06519-1233 | 2020-09-25 |
| 1588271605 | Bria Fernandes | Social Worker | 428 Columbus Ave, New Haven, CT 06519-1233 | 2020-09-24 |
| 1225654056 | Elizabeth Talbot | Student in an Organized Health Care Education/Training Program | 428 Columbus Ave, New Haven, CT 06519-1233 | 2020-06-17 |
| 1013559624 | Rocca L Perruccio | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2019-10-15 |
| 1831753045 | Anna Graham | Registered Nurse | 428 Columbus Ave, New Haven, CT 06519-1233 | 2019-04-24 |
| 1891258505 | Jennifer Hodio | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2019-04-09 |
| 1255815247 | Alicia M Dias | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2018-09-17 |
| 1275050056 | Zhuoshu Deng | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2017-08-23 |
| 1437694726 | Samantha N Nesbeth | Nurse Practitioner | 428 Columbus Ave, Internal Medicine, New Haven, CT 06519 | 2016-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1437659091 | Tree of Life Primary Care and Recovery LLC | Clinic/Center | 129 Church St Ste 417, New Haven, CT 06510-2052 | 2018-02-20 |
| 1104955913 | Yale New Haven Hospital | Clinic/Center | 20 York St, New Haven, CT 06510-3220 | 2007-03-05 |
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| 1447858394 | Effective Healthcare Medical P.C. | Clinic/Center | 445 Beaver Street, Apta8, Ansonia, CT 06401 | 2020-10-13 |
| 1114537578 | Charter Oak Health Center, Inc | Clinic/Center | 32 Grand St, Hartford, CT 06106-4658 | 2020-07-31 |
| 1639571821 | Soul Winning Mission Association Inc. | Clinic/Center | 180 Poquonock Ave, Windsor, CT 06095-2429 | 2014-09-19 |
| 1104245794 | Cll Health Care Clinic, LLC | Clinic/Center | 527 W Thames St, Unit 23, Norwich, CT 06360-7153 | 2014-04-10 |
| 1700133527 | City of Hartford | Clinic/Center | 131 Coventry St., Hartford, CT 06112-1548 | 2012-08-10 |
| 1417143504 | Pomperaug District Department of Health | Clinic/Center | 77 Main St N Ste 205, Southbury, CT 06488 | 2007-09-21 |
| 1871626846 | Milford Council On Aging | Clinic/Center | 9 Jepson Drive, Milford, CT 06460 | 2007-03-13 |
| 1467722538 | Walgreens | Clinic/Center | 157 Main St, East Haven, CT 06512-2525 | 2012-01-06 |
| 1548293343 | Danbury Hospital | Clinic/Center | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-07-08 |
| 1588638688 | Masonicare Health Center | Clinic/Center | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2006-02-15 |
| 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.