WILLIAM R. CROMBLEHOLME (NPI# 1598786386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598786386 |
| Entity Type | Individual |
| Full Name | WILLIAM R. CROMBLEHOLME |
| Credential | MD |
| Practice Address |
80 Seymour St Hartford Hospital Obgyn Dept Hartford CT 06102 |
| Mailing Address |
Po Box 40000 Hartford Hospital Professional Services Dept 634 Hartford CT 06151-0634 |
| Practice Telephone | 8605452795 |
| Mailing Telephone | 8605457602 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
042076 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 042076 | 01 |
| CT | HEALTH NET | 2V4658 | 01 |
| CT | OXFORD HEALTH PLAN | P1799686 | 01 |
| CT | AETNA | 3525631 | 01 |
| CT | EMPIRE BC/BS | 5472R1 | 01 |
| CT | ANTHEM BC/BS | 010042076CT01 | 01 |
| CT | CIGNA | 2507751 | 01 |
| Street Address |
80 SEYMOUR ST HARTFORD HOSPITAL OBGYN DEPT |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207394 | Avinash Prasad | Psychiatry & Neurology | 80 Seymour St, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 | 2005-06-30 |
| 1215535935 | Lataya Hewitt | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-10-14 |
| 1629685938 | Nicole Martina | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-09-30 |
| 1477168011 | Cassidy Goodwin | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2020-09-10 |
| 1215541933 | Molly Zarnick | Speech-Language Pathologist | 80 Seymour St, Hartford, CT 06106-3300 | 2020-09-01 |
| 1306457320 | Taylor Merrick | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-08-13 |
| 1538770474 | Carlyn Esposito | Registered Nurse | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-13 |
| 1679184121 | Kimberly M Davis | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-10 |
| 1679182109 | Elsayed Elsayed Hassan Ibrahim | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06102-8000 | 2020-07-30 |
| 1780292615 | Jordan Steven Totaro | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06106-3315 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1942734058 | Giorgi Kveladze | Internal Medicine | 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 | 2017-04-14 |
| 1902352248 | Safina Hafeez | Student in an Organized Health Care Education/Training Program | 80 Seymour Street Hartford Hospital, 3rd Floor Pathology, Hartford, CT 06102 | 2016-08-28 |
| 1154774990 | Neelam Khetpal | Internal Medicine | 80 Seymour St Bldg 502, Hartford, CT 06102 | 2016-07-17 |
| 1588073613 | Gene Pershwitz | Internal Medicine | 80 Seymour St Dept Jb704, Hartford, CT 06102 | 2014-08-02 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1548271141 | Pasquale F Finelli | Psychiatry & Neurology | 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 | 2006-08-10 |
| 1265474340 | Gary Francis Nobert | Obstetrics & Gynecology | Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 | 2006-06-12 |
| Find all providers in zip 06102 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629277728 | Christopher John Nold | Obstetrics & Gynecology | 80 Seymour Street, Hartford Hospital Maternal Fetal Medicine, Hartford, CT 06102-5037 | 2007-07-17 |
| 1619980208 | Deborah M Feldman | Obstetrics & Gynecology | 80 Seymour Street, Hartford Hospital Maternal-fetal Medicine, Hartford, CT 06102 | 2006-08-14 |
| 1053320903 | Charles J. Ingardia | Obstetrics & Gynecology | 80 Seymour Street, Hartford Hospital Maternal-fetal Medicine, Hartford, CT 06102 | 2006-08-07 |
| 1366465031 | Adam F. Borgida | Obstetrics & Gynecology | 80 Seymour Street, Hartford Hospital Maternal Fetal Medicine, Hartford, CT 06102 | 2006-07-25 |
| 1649275348 | Elisa Adriana Gianferrari | Obstetrics & Gynecology | 80 Seymour Street, Hartford Hospital Maternal Fetal Medicine, Hartford, CT 06012-5037 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356509996 | Katherine Shister Kohari | Obstetrics & Gynecology | 1 Long Wharf Dr Fl 2, New Haven, CT 06511-5991 | 2008-05-30 |
| 1356478408 | David Jacob Nochimson | Obstetrics & Gynecology | 15 Donahue Rd, North Granby, CT 06060-1404 | 2007-02-27 |
| 1043235567 | Richard Roger Viscarello Jr. | Obstetrics & Gynecology | 1275 Summer Street, Suite 306, Stamford, CT 06905-5315 | 2006-07-13 |
| 1801826680 | Physicians for Women's Health LLC | Obstetrics & Gynecology | 22 Waterville Road, Avon, CT 06001-1380 | 2006-07-04 |
| 1275801771 | Physician Services of Northeast | Obstetrics & Gynecology | 320 Pomfret St, Suite Csb2, Putnam, CT 06260-1836 | 2011-12-12 |
| 1326349887 | Juliet Mushi | Obstetrics & Gynecology | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2010-11-15 |
| 1902114747 | Arch Med Group Inc | Obstetrics & Gynecology | 41 Crossroads Plz, Ste 102, West Hartford, CT 06117-2402 | 2010-09-14 |
| 1629399290 | Frances F Hsieh | Obstetrics & Gynecology | 1 Hospital Plz, Stamford, CT 06902-3602 | 2010-06-18 |
| 1477873131 | Audrey Anne Merriam | Obstetrics & Gynecology | 1 Long Wharf Dr Fl 2, New Haven, CT 06511-5991 | 2010-06-04 |
| 1346474202 | Jennifer Lee Wong | Obstetrics & Gynecology | 800 Howard Ave, New Haven, CT 06519-1369 | 2009-05-06 |
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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.