JENNIFER DODGE (NPI# 1558402230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558402230 |
| Entity Type | Individual |
| Full Name | JENNIFER DODGE |
| Credential | PA |
| Practice Address |
40 Temple St Suite 4a New Haven CT 06510-2715 |
| Practice Telephone | 2037770304 |
| Practice Fax Number | 2034014687 |
| Mailing Telephone | 2037770304 |
| Mailing Fax Number | 2034014687 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000907 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689925620 | Jennifer C Dodge | Counselor | 1900 Ne 3rd St Ste 106-1019, Bend, OR 97701-3894 | 2012-10-01 |
| 1891926044 | Jennifer A Dodge | Occupational Therapist | 112 N 29th St, Richmond, VA 23223-7332 | 2009-08-06 |
| 1801436530 | Jennifer Dodge | Registered Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-01-10 |
| 1619517422 | Jennifer Dodge | Peer Specialist | 1149 Sullivan St, Elmira, NY 14901-1670 | 2020-01-09 |
| 1801318209 | Jennifer Victoria Dodge | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2017-07-07 |
| 1932465135 | Jennifer Dodge | Chiropractor | 905 Herndon Pkwy Ste B, Herndon, VA 20170-5544 | 2012-04-02 |
| 1184710618 | Jennifer B Dodge | Physical Therapist | 22 Lincoln Street, Brunswick, ME 04011 | 2006-10-04 |
| 1154348928 | Jennifer M. Dodge | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2006-07-16 |
| Street Address |
40 TEMPLE ST SUITE 4A |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167240 | Radiology Consultants, P.C. | Specialist | 40 Temple St, Suite 2b, New Haven, CT 06510-2715 | 2005-10-07 |
| 1396298485 | Kirsten Ackerman | Dietitian, Registered | 40 Temple St, Suite 7b, New Haven, CT 06510-2715 | 2016-07-26 |
| 1457700866 | Rachel Ebling | Psychologist | 40 Temple St, Suite 6d, New Haven, CT 06510-2715 | 2016-06-07 |
| 1831543347 | Eileen Linda Chang | Student in an Organized Health Care Education/Training Program | 40 Temple St, New Haven, CT 06510-2715 | 2016-04-20 |
| 1306217302 | Jessica Nargi | Dietitian, Registered | 40 Temple St, 7b, New Haven, CT 06510-2715 | 2015-10-15 |
| 1679953863 | Yvonne Wang | Ophthalmology | 40 Temple St, New Haven, CT 06510-2715 | 2015-06-03 |
| 1851707723 | Rabin Dahal | Psychiatry & Neurology | 40 Temple St, New Haven, CT 06510-2715 | 2014-07-10 |
| 1225443997 | Jay Chong Wang | Ophthalmology | 40 Temple St, New Haven, CT 06510-2715 | 2014-06-21 |
| 1376982033 | Lisa Ann Castagnola | Social Worker | 40 Temple St, Suite 7c, New Haven, CT 06510-2715 | 2013-06-17 |
| 1386081024 | Signy M Peck | Social Worker | 40 Temple St, New Haven, CT 06510-2715 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
| 1902334436 | Lauren Veronica Boggs | Physician Assistant | 45 Ley St, New Haven, CT 06512-3921 | 2017-05-29 |
| 1831353853 | Dina Weiner | Physician Assistant | 840 Howard Ave Fl 1, New Haven, CT 06519-1106 | 2008-07-18 |
| 1528244027 | Gerald Kayingo | Physician Assistant | 211 Fountain St, Apt 12, New Haven, CT 06515-1979 | 2008-01-14 |
| 1821219783 | Susanne Atkins | Physician Assistant | 175 Sherman Avenue, New Haven, CT 06511 | 2007-05-01 |
| 1023133626 | John Sceppa | Physician Assistant | Yale -new Haven Hospital, 20 York St., New Haven, CT 06510-3202 | 2007-03-20 |
| 1922147578 | Janice Decho | Physician Assistant | 20 York St Cb- 2041, New Haven, CT 06504-8900 | 2007-02-06 |
| 1578613964 | Brian Patrick Munday | Physician Assistant | 800 Howard Ave Lower Level, Comprehensive Epilepsy Center LLCi 716, New Haven, CT 06520-8018 | 2007-01-10 |
| Find all providers in NEW HAVEN | ||||
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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.