REUVEN YAKUBOV (NPI# 1538328646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538328646 |
| Entity Type | Individual |
| Full Name | REUVEN YAKUBOV |
| Credential | M.D. |
| Practice Address |
100 Retreat Ave Suite 605 Hartford CT 06106-2528 |
| Mailing Address |
100 Retreat Ave Hartford CT 06106-2528 |
| Practice Telephone | 8602440148 |
| Practice Fax Number | 8604931852 |
| Mailing Telephone | 8602440148 |
| Mailing Fax Number | 8604931852 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 046550 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LICENSE | 046550 | 01 |
| Street Address |
100 RETREAT AVE SUITE 605 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926169 | Scott Bernstein, Md, LLC | Internal Medicine | 100 Retreat Ave, Suite 902, Hartford, CT 06106-2528 | 2005-07-20 |
| 1568075380 | Abbey Stackpole | Pharmacist | 100 Retreat Ave, Hartford, CT 06106-2528 | 2020-08-31 |
| 1821537770 | Lindsey Belliveau | Physician Assistant | 100 Retreat Ave, Suite 705, Hartford, CT 06106 | 2017-02-13 |
| 1407398712 | Quest Diagnostics LLC | Clinical Medical Laboratory | 100 Retreat Ave, Suite 408, Hartford, CT 06106-2528 | 2016-11-17 |
| 1720405715 | Bradley Jerson | Psychologist | 100 Retreat Ave, Hartford Hospital Child Psychiatry, Div of Psychology, Hartford, CT 06106-2528 | 2014-03-27 |
| 1174957476 | Madeline Munn | Nurse Practitioner | 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 | 2013-08-22 |
| 1053758128 | Ashley E Young | Obstetrics & Gynecology | 100 Retreat Ave, Suite 201, Hartford, CT 06106-2528 | 2013-05-30 |
| 1083058671 | Jordan Hammer Kunkes | Internal Medicine | 100 Retreat Ave, Hartford, CT 06106 | 2013-04-25 |
| 1568709731 | Pranvera Dautaj | Nurse Practitioner | 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 | 2013-01-08 |
| 1851644801 | Starling Physicians PC | Nurse Practitioner | 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 | 2012-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| 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 |
|---|---|---|---|---|
| 1023539418 | Iora Health Connecticut, P.C. | Internal Medicine | 1000 Avery Hts, Hartford, CT 06106-4267 | 2017-07-06 |
| 1942734058 | Giorgi Kveladze | Internal Medicine | 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 | 2017-04-14 |
| 1073057071 | Cleanslate Medical Group of Connecticut LLC | Internal Medicine | 85 Gillett St, Hartford, CT 06105-2630 | 2016-12-09 |
| 1154774990 | Neelam Khetpal | Internal Medicine | 80 Seymour St Bldg 502, Hartford, CT 06102 | 2016-07-17 |
| 1487036802 | Nino Gigauri | Internal Medicine | 114 Woodlawn St, Hartford, CT 06110 | 2015-06-22 |
| 1629459904 | Damian Kalisiewicz | Internal Medicine | 1000 Asylum Ave Ste 4309b, Hartford, CT 06105 | 2015-06-12 |
| 1710389689 | Alister Bruce Campbell | Internal Medicine | 100 Pearl St, C.m. Smith 3rd Floor, Hartford, CT 06103-4506 | 2014-09-22 |
| 1588073613 | Gene Pershwitz | Internal Medicine | 80 Seymour St Dept Jb704, Hartford, CT 06102 | 2014-08-02 |
| 1457767634 | Kristal Varsha Ragbir-toolsie | Internal Medicine | 80 Seymour St Ste S502, Hartford, CT 06106 | 2014-07-08 |
| 1457630766 | Ezekiel David Rawana | Internal Medicine | 363 Zion St, Hartford, CT 06106-3034 | 2011-08-04 |
| Find all providers in HARTFORD | ||||
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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.