DR. EDWARD ALOYSIUS CLERKIN III (NPI# 1518999622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518999622 |
| Entity Type | Individual |
| Full Name | DR. EDWARD ALOYSIUS CLERKIN III |
| Credential | M.D. |
| Practice Address |
2 High St Farmington CT 06032-2357 |
| Practice Telephone | 8606779624 |
| Practice Fax Number | 8606740878 |
| Mailing Telephone | 8606779624 |
| Mailing Fax Number | 8606740878 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 021804 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001218049 | 05 |
| Street Address |
2 HIGH ST |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982639241 | Henry Randall Maresh | Internal Medicine | 2 High St, Farmington, CT 06032 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841642659 | Mian Harris Iftikhar | Internal Medicine | Center On Aging 263 Farmington Avenue, Farmington, CT 06030-5215 | 2016-07-05 |
| 1275989410 | Pamela Georges Samaha | Internal Medicine | 2 West 263 Farmington Avenue, Internal Medicine Associates, Outpatient Pavilion, Farmington, CT 06032 | 2016-05-06 |
| 1366821878 | John J. Wisniewski | Internal Medicine | 36728 Brittany Hill Dr, Farmington, MI 48335-2906 | 2015-05-29 |
| 1972914901 | Ryan Alexander Darnall | Internal Medicine | Uconn Health Center School of Medicine, General Medicine Clinic-mc2811 263 Farmington Ave., Farmington, CT 06030-2811 | 2014-05-13 |
| 1598104564 | Cynthia Evans | Internal Medicine | Primary Care Internal Medicine, Uconn Health Center 263 Farmington Ave., Farmington, CT 06030-1234 | 2013-06-22 |
| 1790030195 | Bishan Chakravarty | Internal Medicine | 703 Maple Valley Drive, Farmington, MO 63640 | 2012-07-21 |
| 1790045086 | Yuriy Kulyak | Internal Medicine | 270 Farmington Ave Ste 352, Farmington, CT 06032-1996 | 2012-05-21 |
| 1740569763 | Genesis Physician Associates LLC | Internal Medicine | 4801 N Butler Avenue, Suite 8102, Farmington, NM 87401-0818 | 2011-08-08 |
| 1285927996 | David Rice, Md, LLC, P.a. | Internal Medicine | 107 Box Shop Hl, Farmington, ME 04938-5749 | 2011-05-27 |
| 1639499759 | Jaime Padavil Moskowitz | Internal Medicine | 406 Farmington Ave, Farmington, CT 06032-1964 | 2010-06-11 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
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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.