JAMES MICHAEL HENEGHAN (NPI# 1649223058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649223058 |
| Entity Type | Individual |
| Full Name | JAMES MICHAEL HENEGHAN |
| Credential | M.D. |
| Practice Address |
320 Pomfret St Department of Pathology Putnam CT 06260-1836 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 8609286541 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
76901 | MA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
76901 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001303388 | 05 | |
| MA | 2091020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447297999 | James Meehan Heneghan | Psychiatry & Neurology | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2006-06-01 |
| 1679764013 | James Phillip Heneghan | Internal Medicine | 2633 Napoleon Ave, Suite 1018, New Orleans, LA 70115-6357 | 2007-08-08 |
| Street Address |
320 POMFRET ST DEPARTMENT OF PATHOLOGY |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940271 | Marc B Cerrone | Pediatrics | 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 | 2005-08-26 |
| 1265065551 | Vanmaly P. Sangasy | Nurse Practitioner | 320 Pomfret St, Putnam, CT 06260-1836 | 2020-02-15 |
| 1952942310 | Jeremy Tyler Rockwell | Registered Nurse | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-10-07 |
| 1215588355 | Caitlyn Allyssa Sward | Dietitian, Registered | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-09-20 |
| 1164082301 | Julie Van Saun | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-06-19 |
| 1487127171 | Hartford Orthopedic Surgeons,pc | Durable Medical Equipment & Medical Supplies | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-01-07 |
| 1518434422 | Betsy Alvarado | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2018-10-29 |
| 1831601848 | Robyn A Martin | Obstetrics & Gynecology | 320 Pomfret St, Putnam, CT 06260-1836 | 2017-10-31 |
| 1922529098 | Raphaella Daggett | Nurse Practitioner | 320 Pomfret St, Putnam, CT 06260-1836 | 2017-06-29 |
| 1770010399 | Gurkirat Singh Sandhu | Internal Medicine | 320 Pomfret St, Putnam, CT 06260-1836 | 2017-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821546003 | Vincent Marchesi | Pathology | 179 Prospect Ave, Guilford, CT 06437-3100 | 2016-09-15 |
| 1144647769 | Mark Mattie | Pathology | 1950 Litchfield Tpke, Woodbridge, CT 06525-1200 | 2014-03-20 |
| 1760640650 | Jonathan S.l Earle | Pathology | 111 Founders Plz Ste 300, East Hartford, CT 06108-8307 | 2008-05-28 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1124143003 | Nalini Y Masih | Pathology | Disability Determination Services, 309 Wawarme Ave, Hartford, CT 06114 | 2007-03-20 |
| 1538221775 | Paul Jay Cohen | Pathology | 11 Bunker Hill Rd, Woodbridge, CT 06525-2508 | 2006-12-14 |
| 1700825700 | Yuhui Xu | Pathology | 200 Watson Blvd, Stratford, CT 06615-7127 | 2006-06-05 |
| 1295714632 | Alexander B West | Pathology | 1 Greenwich Pl, Shelton, CT 06484-4618 | 2006-01-13 |
| 1558351759 | Bo Xu | Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2005-10-27 |
| 1033117841 | Raffaella Morotti | Pathology | 310 Cedar St, Pathology Department, New Haven, CT 06510-3218 | 2005-07-14 |
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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.