DR. KEVIN C. KREBSBACH (NPI# 1568433753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568433753 |
| Entity Type | Individual |
| Full Name | DR. KEVIN C. KREBSBACH |
| Credential | M.D. |
| Practice Address |
901 Farmington Ave Suite 3rd Floor West Hartford CT 06119-1418 |
| Practice Telephone | 8605862111 |
| Practice Fax Number | 8605862114 |
| Mailing Telephone | 8605862111 |
| Mailing Fax Number | 8605862114 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 036437 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001364372 | 05 |
| Street Address |
901 FARMINGTON AVE SUITE 3RD FLOOR |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140706 | John H Perkins | Otolaryngology | 901 Farmington Ave, Ste 3, West Hartford, CT 06119-1418 | 2005-08-09 |
| 1447646757 | Comprehensive Aesthetic Dentistry PC | Dentist | 901 Farmington Ave, Suite 201, West Hartford, CT 06119-1418 | 2015-04-13 |
| 1124256839 | Thomas Michael Hinchey | Audiologist | 901 Farmington Ave, 3rd Floor, West Hartford, CT 06119-1418 | 2009-07-01 |
| 1174721138 | Kimberley D Rutherford | Otolaryngology | 901 Farmington Ave, Suite 3, West Hartford, CT 06119-1418 | 2007-07-10 |
| 1679770788 | Associated Ear, Nose & Throat Specialists | Durable Medical Equipment & Medical Supplies | 901 Farmington Ave, 3rd Floor, West Hartford, CT 06119-1418 | 2007-07-02 |
| 1538281993 | Eileen Stecker | Counselor | 901 Farmington Ave, West Hartford, CT 06119-1418 | 2007-04-05 |
| 1992863799 | Lisa Knicos | Audiologist | 901 Farmington Ave, Ste 3, West Hartford, CT 06119-1418 | 2006-12-05 |
| 1093739161 | New Britiain Radiological Associates | Specialist | 901 Farmington Ave, West Hartford, CT 06119 | 2006-07-26 |
| 1275500985 | Robin Mark Santiago | Dentist | 901 Farmington Ave, West Hartford, CT 06119-1418 | 2006-03-01 |
| 1417928607 | Todd A. Zachs | Otolaryngology | 901 Farmington Ave, Suite 3rd Floor, West Hartford, CT 06119-1418 | 2006-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140706 | John H Perkins | Otolaryngology | 901 Farmington Ave, Ste 3, West Hartford, CT 06119-1418 | 2005-08-09 |
| 1174721138 | Kimberley D Rutherford | Otolaryngology | 901 Farmington Ave, Suite 3, West Hartford, CT 06119-1418 | 2007-07-10 |
| 1417928607 | Todd A. Zachs | Otolaryngology | 901 Farmington Ave, Suite 3rd Floor, West Hartford, CT 06119-1418 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1265936512 | Nofrat Schwartz | Otolaryngology | 47 College St Ste 216, New Haven, CT 06510-3209 | 2018-03-21 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1841624038 | David Lawrence Harsany | Otolaryngology | 10 Elskip Ln, Greenwich, CT 06831-3620 | 2013-08-25 |
| 1942543111 | Jeffrey Paul Cranford | Otolaryngology | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | 2013-04-05 |
| 1366700494 | Paul Daniel Neubauer | Otolaryngology | 32 Strawberry Hill Ct Ste 4, Stamford, CT 06902-2594 | 2012-04-26 |
| 1174815096 | Hailun Wang | Otolaryngology | 21 South Rd Ste 112, Farmington, CT 06032-2482 | 2011-05-11 |
| 1265721013 | Alan Jay Gill | Otolaryngology | 2031 Redding Rd, Fairfield, CT 06824-1708 | 2011-04-01 |
| 1417259417 | James Michael Dowaliby II | Otolaryngology | 200 College St, Apt. 331, New Haven, CT 06510-2444 | 2010-11-23 |
| 1427376334 | Anthony J. Vallone, Md, PC | Otolaryngology | 4718 Main St, Bridgeport, CT 06606-1823 | 2010-05-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
Please comment or provide details below to improve the information on DR. KEVIN C. KREBSBACH.
| 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.