ALPHONSE ROGER BOBOWICK (NPI# 1548333487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548333487 |
Entity Type | Individual |
Full Name | ALPHONSE ROGER BOBOWICK |
Other Name | A ROGER BOBWICK |
Credential | MD |
Practice Address |
134 Grandview Ave Suite 104 Waterbury CT 06708 |
Practice Telephone | 2037578735 |
Practice Fax Number | 2037578736 |
Mailing Telephone | 2037578735 |
Mailing Fax Number | 2037578736 |
Enumeration Date | 2006-11-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
013290 | CT | Allopathic & Osteopathic Physicians |
Street Address |
134 GRANDVIEW AVE SUITE 104 |
City | WATERBURY |
State | CT |
Zip Code | 06708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114928827 | Specialists In Women's Healthcare PC | Advanced Practice Midwife | 134 Grandview Ave, Ste 210, Waterbury, CT 06708-2507 | 2005-08-03 |
1245714567 | Barbara Rymer | Nurse Practitioner | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2018-09-21 |
1407120751 | Vanessa Daou | Advanced Practice Midwife | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2012-03-05 |
1205144300 | Daniel P Baxter | Physician Assistant | 134 Grandview Ave, Suite 101, Waterbury, CT 06708-2507 | 2010-09-23 |
1811204985 | Kathleen Lea Sullivan | Nurse Practitioner | 134 Grandview Ave, 208, Waterbury, CT 06708-2507 | 2010-09-09 |
1114232832 | Theresa F Piliero | Nurse Practitioner | 134 Grandview Ave, Suite 202, Waterbury, CT 06708-2507 | 2010-08-18 |
1194956045 | Kristen D Graff Beardslee | Advanced Practice Midwife | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2009-07-27 |
1922245745 | Kelly Lynn Palmer | Occupational Therapist | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2009-01-15 |
1548423973 | Jenna A Logiudice | Obstetrics & Gynecology | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2008-07-07 |
1285821603 | Cybill Shelby Thomas | Nurse Practitioner | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2007-09-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598012528 | David J.m. Whitehouse | Psychiatry & Neurology | 111 Euclid Ave, Waterbury, CT 06710-1614 | 2012-08-09 |
1548571110 | Katherine Kedzierski | Psychiatry & Neurology | 64 Robbins St, Waterbury Hospital, Waterbury, CT 06708-2613 | 2010-06-29 |
1760525943 | Sreedevi Nampoothiri | Psychiatry & Neurology | 88 Grandview Ave, Behavioral Health, Waterbury, CT 06708-2509 | 2007-02-15 |
1306878731 | David Tkeshelashvili | Psychiatry & Neurology | 60 Westwood Ave, Suite320, Waterbury, CT 06708-2460 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
1366850521 | Mendelsohn Medical LLC | Psychiatry & Neurology | 18 Pinewood Shrs, Sherman, CT 06784-2505 | 2014-07-31 |
1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
1811316250 | Leon Meytin | Psychiatry & Neurology | 280 S Main St Ste 102, Cheshire, CT 06410-3112 | 2014-04-14 |
1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
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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.