WILLIAM J RAVICH (NPI# 1639111842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639111842 |
| Entity Type | Individual |
| Full Name | WILLIAM J RAVICH |
| Credential | M.D. |
| Practice Address |
40 Temple St Ste 1a New Haven CT 06510-2715 |
| Practice Telephone | 2037854138 |
| Practice Fax Number | 2037371345 |
| Mailing Telephone | 2037854138 |
| Mailing Fax Number | 2037371345 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
56910 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 317921400 | 05 |
| Street Address |
40 TEMPLE ST STE 1A |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791144 | Qendresa Beqiri | Nurse Practitioner | 40 Temple St Ste 1a, New Haven, CT 06510-2715 | 2017-10-12 |
| 1184013906 | Brittany Lynn White | Physician Assistant | 40 Temple St Ste 1a, New Haven, CT 06510-2715 | 2015-01-16 |
| 1427320985 | Bubu Banini | Internal Medicine | 40 Temple St Ste 1a, New Haven, CT 06510-2715 | 2012-01-30 |
| 1629356084 | Artur Vargas Viana | Internal Medicine | 40 Temple St Ste 1a, New Haven, CT 06510 | 2011-08-02 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275791667 | Annmarie Liapakis | Internal Medicine | 40 Temple Street, Suite 1a, Yale Digestive Diseases Temple Medical Center, New Haven, CT 06510 | 2008-06-02 |
| 1447233267 | James Lorenzen Boyer | Internal Medicine | 40 Temple St., Suite 1a, Temple Medical Center, New Haven, CT 06510 | 2005-11-25 |
| 1235112533 | Joseph Kar-taik Lim | Internal Medicine | 333 Cedar Street, Lmp 1080, New Haven, CT 06520-8019 | 2005-11-22 |
| 1235540816 | Dennis Shung | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2014-05-16 |
| 1609296334 | Ariel Jaffe | Internal Medicine | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2014-04-21 |
| 1285079731 | Michelle Louise Hughes | Internal Medicine | 20 York St, New Haven, CT 06510 | 2013-05-09 |
| 1609219278 | Kenneth Hung | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2013-04-12 |
| 1417299835 | Jill Kimberly Deutsch | Internal Medicine | 20 York Street, Ynhh Gastroenterology, New Haven, CT 06510-3220 | 2013-03-24 |
| 1841566650 | Earl Vendryes Campbell IIi | Internal Medicine | 333 Cedar St, 1080 Lmp, New Haven, CT 06510-3206 | 2012-03-26 |
| 1003182023 | Matthew Joseph Mcconnell | Internal Medicine | 333 Cedar St, Ynhh Internal Medicine-gi,section of Digestive Diseases, New Haven, CT 06510-3206 | 2012-03-23 |
| Find all providers in NEW HAVEN | ||||
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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.