GRIFFIN FACULTY PHYSICIANS, INC. (NPI# 1598755605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598755605 |
| Entity Type | Organization |
| Organization Name | GRIFFIN FACULTY PHYSICIANS, INC. |
| Other Organization Name | GRIFFIN FACULTY PRACTICE PLAN, INC |
| Practice Address |
67 Maple Ave 2nd Floor Derby CT 06418-1328 |
| Practice Telephone | 2037321330 |
| Practice Fax Number | 2037321332 |
| Mailing Telephone | 2037321330 |
| Mailing Fax Number | 2037321332 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | ADAM DWORKIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2037321508 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
003450 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208600000X | Surgery | 049045 | CT | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 034350 | CT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Griffin Faculty Practice Plan, Inc | Former Legal Business Name - Organization |
| Street Address |
67 MAPLE AVE 2ND FLOOR |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316194517 | Shilpa Shetty | Internal Medicine | 67 Maple Ave, Derby, CT 06418-1328 | 2008-08-19 |
| 1588727549 | Kenneth V Schwartz | Internal Medicine | 67 Maple Ave, Derby, CT 06418-1328 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.