MR. MATTHEW K KAN (NPI# 1629507652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629507652 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW K KAN |
| Credential | PA-C |
| Practice Address |
800 Howard Ave New Haven CT 06519-1369 |
| Mailing Address |
34 Maple St Norwalk CT 06850-3815 |
| Practice Telephone | 2037852572 |
| Practice Fax Number | 2037853950 |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3923 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164884797 | Matthew J Kan | Student in an Organized Health Care Education/Training Program | 550 16th St Fl 4, San Francisco, CA 94158-2549 | 2016-03-23 |
| 1184777179 | Matthew Kan | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2007-01-21 |
| Street Address |
800 HOWARD AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621419 | John P Fulkerson | Orthopaedic Surgery | 800 Howard Ave, New Haven, CT 06519-1369 | 2005-07-01 |
| 1467068163 | Catherine Aileen Chagnon | Physical Medicine & Rehabilitation | 800 Howard Ave, New Haven, CT 06519-1369 | 2020-09-17 |
| 1508408915 | Rebecca Lynne Tallarita | Nurse Practitioner | 800 Howard Ave, New Haven, CT 06519 | 2019-10-17 |
| 1598323610 | Brianne Krawczyk | Pharmacist | 800 Howard Ave, Hvc Center-2nd Floor, New Haven, CT 06519 | 2019-06-04 |
| 1467017277 | Gabriel B Lerner | Student in an Organized Health Care Education/Training Program | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-05-07 |
| 1467915413 | Sarah Elizabeth Savoia | Physician Assistant | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-04-08 |
| 1992287577 | Brittany Cyr | Pharmacist | 800 Howard Ave, New Haven, CT 06519-1369 | 2018-08-30 |
| 1700395506 | Lauren Katherine Fagan | Audiologist | 800 Howard Ave, New Haven, CT 06519-1369 | 2017-09-25 |
| 1548784093 | Megan Frank Harari | Nurse Practitioner | 800 Howard Ave, Ste 1st Floor, Room 133, New Haven, CT 06519 | 2017-07-26 |
| 1942723168 | Jamie B Freeman | Physician Assistant | 800 Howard Ave, Yale Neurosurgery, New Haven, CT 06519-1369 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588860316 | Kerry Theresa Digby | Physician Assistant | 220 Boardman Building, Plastic and Reconstructive Surgery, New Haven, CT 06510 | 2007-06-27 |
| 1922085885 | Tracy E Benjamin | Physician Assistant | Yale New Haven Hospital, 1450 Chapel Street, New Haven, CT 06511 | 2005-12-30 |
| 1154956878 | Angela Preda | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2020-03-04 |
| 1467083519 | Rebecca M Arko | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2020-01-28 |
| 1558914960 | Michael K Sullivan | Physician Assistant | 20 York St, New Haven, CT 06510-3220 | 2019-07-24 |
| 1891270732 | Janina Amasia Suero | Physician Assistant | 20 York St, New Haven, CT 06510-3202 | 2018-09-26 |
| 1962983486 | Christopher L Campbell | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2018-08-23 |
| 1275013468 | Melanie Anne Santos | Physician Assistant | 1450 Chapel St, New Haven, CT 06511 | 2018-08-16 |
| 1548756679 | Anastasia Elisabeth Matijcio | Physician Assistant | 1450 Chapel St, New Haven, CT 06511 | 2018-07-01 |
| 1265930648 | Carla Isabel Becerra | Physician Assistant | 333 Cedar St, New Haven, CT 06510-3206 | 2018-01-31 |
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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.