DR. EDWARD M TARKA (NPI# 1538264767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538264767 |
| Entity Type | Individual |
| Full Name | DR. EDWARD M TARKA |
| Credential | D.P.M. |
| Practice Address |
79 Wawecus St 109 Norwich CT 06360-2160 |
| Practice Telephone | 8608873538 |
| Practice Fax Number | 8608871394 |
| Mailing Telephone | 8608873538 |
| Mailing Fax Number | 8608871394 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000570 | CT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
79 WAWECUS ST 109 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620064 | Jeffrey P Seltzer | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2005-06-24 |
| 1043697352 | Carl Kammerer | Technician/Technologist | 79 Wawecus St, Suite 105, Norwich, CT 06360-2178 | 2015-05-06 |
| 1407255375 | Patricia Varma | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-17 |
| 1649679697 | Jade Paradis | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-15 |
| 1396151858 | Kristen Farrell | Nurse Practitioner | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2173 | 2014-07-05 |
| 1316280803 | Sang and Sridhar Digestive Disease Consultants LLC | Internal Medicine | 79 Wawecus St, Suite 102, Norwich, CT 06360-2160 | 2013-04-03 |
| 1760790612 | Leslie N Brown | Physician Assistant | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2160 | 2010-09-14 |
| 1316264286 | Sunita Sidhu-buonocore | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2010-04-30 |
| 1356500532 | Shivani Sood | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-06-03 |
| 1689846511 | Natalee Simone Sansone | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
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| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437210945 | Drs. Kierstein & Difrancesca Dpm, PC | Podiatrist | 5 Case St, Norwich, CT 06360-2214 | 2006-12-12 |
| 1205917937 | Patricia Lynn Warski | Podiatrist | 85 S Broad St, Norwich, NY 13815-1741 | 2006-10-18 |
| 1407243207 | Nicholas Putrino | Podiatrist | 24 Conkey Ave, Norwich, NY 13815 | 2015-04-20 |
| 1801032784 | Ct Podiatry & Foot Surgery, LLC | Podiatrist | 330 Washington St, Suite 310, Norwich, CT 06360-2700 | 2008-12-26 |
| 1407044324 | James Lentini Dpm Pllc | Podiatrist | 15 Eaton Ave, Norwich, NY 13815-1768 | 2007-10-04 |
| 1164509394 | Jeffrey A Todd Patricia Lynn Warski Dpms Pllc | Podiatrist | 85 S Broad St, Norwich, NY 13815-1741 | 2006-11-01 |
| 1063593630 | Jeffrey A Todd | Podiatrist | 85 S Broad St, Norwich, NY 13815-1741 | 2006-10-18 |
| 1831294040 | Harris L Kleinkopf | Podiatrist | 79 Wawecus St, 109, Norwich, CT 06360-2160 | 2006-09-13 |
| 1689626020 | Eric A. Levine | Podiatrist | 330 Washington St, Suite 310, Norwich, CT 06360-2700 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686815 | Connecticut Podiatry Partners, Pllc | Podiatrist | 300 Church St Ste 203, Wallingford, CT 06492-2253 | 2020-03-31 |
| 1790293207 | New Canaan Podiatry LLC | Podiatrist | 107 Cherry St, New Canaan, CT 06840-5521 | 2018-01-18 |
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1497299408 | New England Foot Care LLC | Podiatrist | 351 Salmon Brook St, Granby, CT 06035-1804 | 2016-12-09 |
| 1588084362 | Stephen Lazaroff | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2014-04-21 |
| 1528493244 | Housatonic Valley Podiatric Center LLC | Podiatrist | 333 River Road, Shelton, CT 06484-5120 | 2013-09-12 |
| 1437494135 | Associated Podiatrists of Greenwich LLC | Podiatrist | 282 Railroad Avenue, Greenwich, CT 06830 | 2012-12-06 |
| 1689934739 | Advanced Footcare Center | Podiatrist | 189 Durham Rd, Guilford, CT 06437-2087 | 2012-05-23 |
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1285946426 | Manal Anz | Podiatrist | 333 River Rd, Shelton, CT 06484-4422 | 2010-07-03 |
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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.