DR. MELISSA SUSAN HENRETTA (NPI# 1518175173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518175173 |
| Entity Type | Individual |
| Full Name | DR. MELISSA SUSAN HENRETTA |
| Credential | MD, MPH |
| Practice Address |
114 Woodland St Hartford CT 06105-1208 |
| Mailing Address |
231 Westmont St West Hartford CT 06117-2935 |
| Practice Telephone | 8607144000 |
| Mailing Telephone | (614) 203-1348 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
56675 | CT | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
261553 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Cancer Ctr, 3 Edmund D. Pellegrino Drive, Stony Brook, NY 117940001 | 6314442989 |
| Street Address |
114 WOODLAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334207 | Richard Soucier | Internal Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2005-05-23 |
| 1003425745 | Brooke M P Chaves | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-29 |
| 1215545793 | Xuanthao Nguyen | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-21 |
| 1053939231 | Daniel Guilmette | Nurse Anesthetist, Certified Registered | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-14 |
| 1598383556 | Sarah Beth Flynn-savoie | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-07 |
| 1215550215 | Rachael Barber | Speech-Language Pathologist | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-26 |
| 1407479595 | Erin Michelle Sullivan | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-22 |
| 1831712256 | Hospitalist Medicine Physicians of Connecticut - Tcs, LLC | Family Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-20 |
| 1164044947 | Marena Josephine Harrison | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-14 |
| 1477175776 | David Neubauer | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1235425521 | Marguerite Palisoul | Obstetrics & Gynecology | 85 Seymour St Ste 705, Hartford Hospital Gynecology Oncology, Hartford, CT 06106-5501 | 2011-06-24 |
| 1508129081 | Erin Greenberg Hartnett | Obstetrics & Gynecology | 114 Woodland St, Hartford, CT 06105-1208 | 2012-06-20 |
| 1518900133 | Amy K. Brown | Obstetrics & Gynecology | 80 Seymour St, Hartford Hospital Gynoncology Dept, Hartford, CT 06102 | 2006-06-13 |
| 1780679969 | Phillip Y. Roland | Obstetrics & Gynecology | 1000 Asylum Ave, Suite 2110, Hartford, CT 06105-1770 | 2005-09-14 |
| 1093711954 | Beth E Nelson | Obstetrics & Gynecology | 1000 Asylum Ave, Ste 2110, Hartford, CT 06105-1719 | 2005-06-24 |
| 1437153012 | Allan R Mayer | Obstetrics & Gynecology | 1000 Asylum Ave, Ste 2110, Hartford, CT 06105-1719 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594496 | Terri Passante | Obstetrics & Gynecology | 99 Colonial Hill Dr, Wallingford, CT 06492-3470 | 2020-06-29 |
| 1023305455 | Middlesex Hosp Dba Thoracic Surg/obgyn Onocology | Obstetrics & Gynecology | 540 Saybrook Rd Ste 180, Middletown, CT 06457-4759 | 2011-07-06 |
| 1497835961 | Gloria S Huang | Obstetrics & Gynecology | Smilow Cancer Center Hospital At Yale New Haven, 20 York Street, New Haven, CT 06510-3220 | 2006-10-17 |
| 1962509653 | Karen J. Nishida | Obstetrics & Gynecology | 1290 Summer St Ste 5200, Stamford, CT 06905-5339 | 2006-09-17 |
| 1376540906 | John Dale Nash | Obstetrics & Gynecology | University of Connecticut Health Ctr, 263 Farmington Avenue - Mc1614, Farmington, CT 06030-0001 | 2005-06-28 |
| 1316354079 | Gynecologic Cancer Care, LLC | Obstetrics & Gynecology | 65 High Ridge Rd, #653, Stamford, CT 06905-3800 | 2014-07-15 |
| 1669817854 | Mitchell Brent Clark | Obstetrics & Gynecology | 333 Cedar St., Yale Medical School, New Haven, CT 06510 | 2013-05-02 |
| 1023368370 | Jennifer Rose Jorgensen | Obstetrics & Gynecology | 263 Farmington Avenue, Farmington, CT 06030 | 2012-09-13 |
| 1407114630 | Gary Altwerger | Obstetrics & Gynecology | 333 Cedar Street, Fmb 328, New Haven, CT 06510-3220 | 2012-04-25 |
| 1538100722 | Linus Tsu-huang Chuang | Obstetrics & Gynecology | 95 Locust Ave, Stroock Tower, 2nd Floor, Danbury, CT 06810 | 2006-06-09 |
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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.