DR. LYDIA L SHOOK (NPI# 1629414511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629414511 |
| Entity Type | Individual |
| Full Name | DR. LYDIA L SHOOK |
| Credential | M.D. |
| Practice Address |
20 York St # T-209 Yale-new Haven Hospital New Haven CT 06510-3220 |
| Practice Telephone | 2037854004 |
| Practice Fax Number | 2037856586 |
| Mailing Telephone | 2037854004 |
| Mailing Fax Number | 2037856586 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 56193 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
20 YORK ST # T-209 YALE-NEW HAVEN HOSPITAL |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629099551 | Lori Kwan | Anesthesiology | 20 York St # T-209, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2006-07-23 |
| 1578943932 | Vanessa Juliane Lentz | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2015-06-01 |
| 1497175756 | Raymond Alexander Jean | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2014-04-24 |
| 1457785149 | Gabriel Pissardo | General Acute Care Hospital | 20 York St # T-209, New Haven, CT 06510-3220 | 2013-08-29 |
| 1922440338 | Monika Maheshkumar Vyas | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, Yale- New Haven Hospital, New Haven, CT 06510-3220 | 2013-07-26 |
| 1639519648 | Hannah Oi Hay Chan | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-07-05 |
| 1225477839 | Daniel Stanley Rubinshtein | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, New Haven, CT 06510-3220 | 2013-06-17 |
| 1972941102 | Jessica Walrath | Emergency Medicine | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-06-10 |
| 1235577792 | Stephanie Diana Prozora | Pediatrics | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-06-06 |
| 1821436494 | Matthew Dolan | Emergency Medicine | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-06-05 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1578959086 | Tanya Glenn | Obstetrics & Gynecology | 333 Cedar St Ste 302, New Haven, CT 06510-3206 | 2015-04-10 |
| 1467869024 | Burak Zeybek | Obstetrics & Gynecology | 310 Cedar St Rm 328, New Haven, CT 06510 | 2014-07-16 |
| 1003258138 | Chanhee Han | Obstetrics & Gynecology | 333 Cedar St # 328, New Haven, CT 06510-3206 | 2013-07-17 |
| 1659614667 | Victoria Lindstrom Chase | Obstetrics & Gynecology | Po Box 208063, New Haven, CT 06520-8063 | 2013-03-28 |
| 1124368998 | Marianne Beatrice | Obstetrics & Gynecology | 809 Forest Rd, New Haven, CT 06515-2725 | 2013-02-15 |
| 1215228259 | Megan Elizabeth Mccarthy | Obstetrics & Gynecology | 360 State Street, Apt 806, New Haven, CT 06510 | 2011-04-25 |
| 1639498801 | Moeun Son | Obstetrics & Gynecology | 1 Long Wharf Dr Ste 290, New Haven, CT 06511-5593 | 2010-05-26 |
| 1013109495 | Sallis O Yip | Obstetrics & Gynecology | 310 Cedar St # St329, New Haven, CT 06510-3218 | 2007-08-09 |
| 1598987679 | Obstetrics & Gynecology of North Haven, P.C. | Obstetrics & Gynecology | 1435 Chapel St, New Haven, CT 06511-8602 | 2007-05-02 |
| 1619032745 | Erica C Dun | Obstetrics & Gynecology | Yale School of Medicine, 333 Cedar Street, New Haven, CT 06520 | 2006-12-27 |
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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.