CLEMENT DOUGLASS MARSHALL (NPI# 1518300581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518300581 |
| Entity Type | Individual |
| Full Name | CLEMENT DOUGLASS MARSHALL |
| Credential | MD |
| Practice Address |
17 Rolfe St Hamden CT 06517-3340 |
| Practice Telephone | 4013685095 |
| Mailing Telephone | 4013685095 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
17 ROLFE ST |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760844088 | Best Choice Home Health Care Inc | Community/Behavioral Health | 1840 State Streetr, Hamden, CT 06517 | 2016-03-25 |
| 1932474053 | John E. Fenn | Surgery | 200 Leeder Hill Drive, #2603, Hamden, CT 06517 | 2012-03-22 |
| 1053689489 | Wanda Bronstein | Physician Assistant | Internal Medicine of Greater New Haven, 1952 Whitney Ave, Hamden, CT 06517 | 2011-12-13 |
| 1033429972 | Heidi Outtrim | Counselor | 197 Haverford St, Hamden, CT 06517 | 2010-10-13 |
| 1265766950 | Alison E. Thurber | Social Worker | 120 Thornton Street, Hamden, CT 06517 | 2009-09-28 |
| 1487724118 | Regina J Magnetti | Social Worker | 103 Carleton St, Hamden, CT 06517 | 2006-11-09 |
| 1407947179 | Diana Congdon | Nurse Practitioner | 1844 Whitney Ave Ste 2, Hamden, CT 06517 | 2006-09-27 |
| 1477535904 | Lori Kurgan Paragas | Podiatrist | 1952 Whitney Ave., 3rd Floor, Hamden, CT 06517 | 2005-11-18 |
| 1376056705 | Cassidy Lynne Jacobs | Physician Assistant | 1952 Whitney Ave Ste 8, Hamden, CT 06517 | 2017-11-07 |
| 1891207221 | Crystal Ann Tolpa | Occupational Therapist | 200 Leeder Hill Drive, Hamden, CT 06517 | 2017-10-25 |
| Find all providers in zip 06517 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164041943 | Julie Alexandra Bass | Student in an Organized Health Care Education/Training Program | 7232 Town Walk Dr, Hamden, CT 06518-3742 | 2020-04-13 |
| 1285263699 | Erin Danielle Schirra | Student in an Organized Health Care Education/Training Program | 1588 Whitney Ave, Hamden, CT 06517-2030 | 2020-04-07 |
| 1164051769 | Allison Knowles | Student in an Organized Health Care Education/Training Program | 124 Aspen Glen Dr, Hamden, CT 06518-3795 | 2020-04-06 |
| 1801425442 | Eric James Collentro | Student in an Organized Health Care Education/Training Program | 11313 Town Walk Dr, Hamden, CT 06518-3724 | 2020-04-06 |
| 1386273860 | Bradley James Christensen | Student in an Organized Health Care Education/Training Program | 23132 Town Walk Dr, Hamden, CT 06518-3764 | 2020-04-06 |
| 1073162038 | Rodcliffe Wint | Student in an Organized Health Care Education/Training Program | 905 Mix Ave Apt 2n, Hamden, CT 06514-5114 | 2019-09-11 |
| 1770058380 | Eden Montgomery | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave # 5688, Hamden, CT 06518-1905 | 2018-10-10 |
| 1932631496 | Anamaria Orozco | Student in an Organized Health Care Education/Training Program | 20 Corbin Rd, Hamden, CT 06517-2907 | 2017-04-03 |
| 1801494570 | Daniel Jonathan Schultheis | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave, Hamden, CT 06518-1961 | 2020-10-14 |
| 1265030936 | Anthony William Pacheco IIi | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave, Hamden, CT 06518-1908 | 2020-10-14 |
| Find all providers in HAMDEN | ||||
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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.