CRISTOBAL G ALVARADO (NPI# 1578530333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578530333 |
| Entity Type | Individual |
| Full Name | CRISTOBAL G ALVARADO |
| Credential | MD |
| Practice Address |
455 Lewis Ave Suite 203 Meriden CT 06451-2121 |
| Practice Telephone | 2036341900 |
| Practice Fax Number | 2032378441 |
| Mailing Telephone | 2036341900 |
| Mailing Fax Number | 2032378441 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2014-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 051650 | CT | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD18306 | ME | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 018306 | ME | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | C1-0007299 | DE | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
018306 | ME | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
051650 | CT | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD18306 | ME | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 018306 | ME | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD18306 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000036126 | 05 | |
| ME | 434425499 | 05 | |
| DE | RAILROAD MEDICARE | P00174912 | 01 |
| CT | 008044322 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598821613 | Cristobal Alvarado | Neuromusculoskeletal Medicine, Sports Medicine | 113 Monterey Dr, New Hyde Park, NY 11040-1053 | 2007-01-01 |
| Street Address |
455 LEWIS AVE SUITE 203 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986898 | David M Sack | Internal Medicine | 455 Lewis Ave, Suite 105, Meriden, CT 06451-2121 | 2005-07-20 |
| 1740601665 | Katelyn Spence | Nurse Practitioner | 455 Lewis Ave, Suite 220, Meriden, CT 06451-2121 | 2013-12-18 |
| 1336491752 | Hartford Healthcare Medical Group, Inc | Urology | 455 Lewis Ave, Ste. 210, Meriden, CT 06451-2121 | 2012-10-09 |
| 1316227291 | Hartford Clinical Associates, PC | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2011-08-23 |
| 1265669089 | Madhavi Bhoomagoud | Internal Medicine | 455 Lewis Ave, Suite 105, Meriden, CT 06451-2121 | 2009-06-18 |
| 1982839247 | Connecticut Nephrology Associates LLC | Internal Medicine | 455 Lewis Ave, Suite 214, Meriden, CT 06451-2121 | 2009-05-15 |
| 1639316177 | Rafal Barczak | Surgery | 455 Lewis Ave, Meriden, CT 06451-2121 | 2009-01-20 |
| 1598919045 | Paul Pyo | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2008-11-11 |
| 1962654178 | Bluegrass Medicine & Nephrology, LLC | Clinic/Center | 455 Lewis Ave, Suite 214, Meriden, CT 06451-2121 | 2008-10-21 |
| 1366692691 | Aly Hemdan Abdalla | Internal Medicine | 455 Lewis Ave, Suite 206, Meriden, CT 06451-2121 | 2008-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427291483 | Thoracic & Vascular Surgical Specialists of Central Ct LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 546 S Broad St, Suite 2e, Meriden, CT 06450-6600 | 2009-04-07 |
| 1356361315 | Midstate Medical Group, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 435 Lewis Avenue, Midstate Medical Group, PC, Meriden, CT 06451 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740666312 | Mhs Primary Care Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 520 Saybrook Rd Ste 210, Middletown, CT 06457-4700 | 2015-08-06 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1124396767 | Lynn Walton Whelchel Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 273 Smith Hill Rd, Colebrook, CT 06021-7093 | 2011-12-11 |
| 1700033255 | Ferdinand J Montegut | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 289 Merry Cir, Orange, CT 06477-3417 | 2008-08-26 |
| 1538329578 | Stefan S Kachala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 183 N Mountain Rd Fl 2, New Britain, CT 06053 | 2008-06-12 |
| 1306010517 | David Warner Yaffee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | 2008-04-17 |
| 1205954393 | Vincent Joseph Mase Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 330 Cedar St # Bb205, New Haven, CT 06510 | 2007-03-27 |
| 1053409458 | Peter J Gruber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 330 Cedar St Fl Bb2, New Haven, CT 06510 | 2006-10-11 |
| 1265532634 | Hyman Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 1/2 Dearfield Drive, Greenwich, CT 06831 | 2006-09-25 |
| 1366450611 | Michael L Dewar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 330 Cedar St # Bb204, New Haven, CT 06510-3218 | 2006-08-03 |
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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.