SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP


Address: One Long Wharf Dr., Suite #302, New Haven, CT 06511-5602
Phone: 2037777500

SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP (NPI# 1629600135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629600135
Entity Type Organization
Organization Name SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP
Practice Address One Long Wharf Dr.
Suite #302
New Haven
CT 06511-5602
Practice Telephone 2037777500
Practice Fax Number 2037778469
Mailing Telephone 2037777500
Mailing Fax Number 2037778469
Enumeration Date 2020-02-12
Last Update Date 2020-02-12
Authorized Official Name KEN YANAGISAWA (MANAGING PHYSICIAN)
Authorized Official Telephone 2037874244
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Office Location

Street Address ONE LONG WHARF DR.
SUITE #302
City NEW HAVEN
State CT
Zip Code 06511-5602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609409143 Hearing Center of Southern Ct LLC Hearing Aid Equipment One Long Wharf Dr., Suite # 302, New Haven, CT 06511-5602 2020-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330571 Allison Elizabeth Pratt Occupational Therapist 625 Whitney Ave, Apt 5, New Haeven, CT 06511 2020-09-11
1881213346 Sarah Bleicher Registered Nurse Yale Health, 55 Lock St, New Haven, CT 06511 2020-04-14
1083268395 Danielle Lee Mcpherson Pharmacist Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 2019-07-25
1528533866 Alexia Levin Social Worker 98/100 York St, New Haven, CT 06511 2018-10-12
1861970097 Orthocare Medical Equipment LLC Durable Medical Equipment & Medical Supplies 1450 Chapel St Ste Sg15, New Haven, CT 06511 2018-07-31
1609352418 Susannah Frew Social Worker 2 Eld Street, Apt 6, New Haven, CT 06511 2018-07-15
1851881965 Empowerment Counseling Services, LLC Counselor 427 Dixwell Ave, New Haven, CT 06511 2018-05-14
1487173951 Karine Giasson-gariepy Student in an Organized Health Care Education/Training Program Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 2017-09-15
1568980696 Anna Reutenauer Dentist 123 York St Ste 4l, New Haven, CT 06511 2017-09-08
1083134753 Darin Dolezal Student in an Organized Health Care Education/Training Program 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 2017-06-23
Find all providers in zip 06511

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1265936512 Nofrat Schwartz Otolaryngology 47 College St Ste 216, New Haven, CT 06510-3209 2018-03-21
1942543111 Jeffrey Paul Cranford Otolaryngology 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 2013-04-05
1417259417 James Michael Dowaliby II Otolaryngology 200 College St, Apt. 331, New Haven, CT 06510-2444 2010-11-23
1457448565 Wendell Yarbrough Otolaryngology 35 Park Street, Smilow Cancer Hospital, New Haven, CT 06511 2006-10-09
1609874999 Jeffrey H Kerner Otolaryngology 911-913 State Street, New Haven, CT 06511-3926 2005-07-11
1023496122 Bruno Cardoso Otolaryngology 800 Howard Ave Fl 4, Ynhh, Surgery - Otolaryngology, New Haven, CT 06519-1369 2015-05-11
1639586464 Michael Weinstock Otolaryngology 47 College St, New Haven, CT 06510-3209 2014-07-14
1942627187 Sarah Maurrasse Otolaryngology 20 York St, New Haven, CT 06510-3220 2014-03-26
1356785182 Nikita Kohli Otolaryngology 800 Howard Ave Fl 4, New Haven, CT 06519-1369 2013-04-23
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City NEW HAVEN
Zip Code 06511

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Dataset Information

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.

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