DEBORAH PAN MD LLC (NPI# 1659758191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659758191 |
| Entity Type | Organization |
| Organization Name | DEBORAH PAN MD LLC |
| Practice Address |
1 Audubon St Suite 201 New Haven CT 06511-6433 |
| Practice Telephone | 2035627662 |
| Practice Fax Number | 2035627663 |
| Mailing Telephone | 2035627662 |
| Mailing Fax Number | 2035627663 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | DR. DEBORAH PAN (OWNER) |
| Authorized Official Telephone | 2035627662 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
041129 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1 AUDUBON ST SUITE 201 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447732 | Javier Davila | Specialist | 1 Audubon St, Suite 201, New Haven, CT 06511-6433 | 2005-06-14 |
| 1033754924 | Jessica Gambardella | Nurse Practitioner | 1 Audubon St, New Haven, CT 06511-6433 | 2019-11-14 |
| 1497290134 | Esana Plastic Surgery Center and Medspa LLC | Surgery | 1 Audubon St, Suite 201, New Haven, CT 06511-6433 | 2017-01-05 |
| 1215337068 | Javier Davila Md LLC | Surgery | 1 Audubon St, Suite 201, New Haven, CT 06511-6433 | 2014-08-29 |
| 1568408607 | Deborah Pan | Plastic Surgery | 1 Audubon St, Suite 201, New Haven, CT 06511-6433 | 2006-06-20 |
| 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 Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578583282 | Stephan Ariyan | Surgery | 60 Temple St Ste 7c, New Haven, CT 06510-2716 | 2006-07-19 |
| 1497290134 | Esana Plastic Surgery Center and Medspa LLC | Surgery | 1 Audubon St, Suite 201, New Haven, CT 06511-6433 | 2017-01-05 |
| 1215337068 | Javier Davila Md LLC | Surgery | 1 Audubon St, Suite 201, New Haven, CT 06511-6433 | 2014-08-29 |
| 1477870798 | Salam Haleem Alkassis | Surgery | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2010-04-26 |
| 1972620615 | Stephen Flagg | Surgery | 1450 Chapel St, Saint Raphael Faculty Physicians, New Haven, CT 06511 | 2007-03-26 |
| 1558345538 | Deepak Narayan | Surgery | 800 Howard Ave, Yale Physician's Building - 2nd Floor, New Haven, CT 06519-1369 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255879748 | Northeast Breast Reconstruction LLC | Surgery | 21 Southport Terrace, Southport, CT 06890 | 2017-02-06 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1205168499 | Vinod V Pathy Md LLC | Surgery | 1525 Boston Post Rd, Westbrook, CT 06498-2044 | 2010-02-12 |
| 1568609121 | Stacey Lauren June | Surgery | 107 Newtown Road Suite 2c, Danbury, CT 06810 | 2009-01-19 |
| 1982861860 | Mark Manuel Melendez | Surgery | 4 Corporate Dr Ste 288, Shelton, CT 06484-6240 | 2008-05-19 |
| 1275602146 | Andrew Nelson Kornstein | Surgery | 539 Danbury Rd, Wilton, CT 06897-2216 | 2006-11-07 |
| 1831287275 | Sergio D. Francescon | Surgery | 540 S. Broad Street, Suite 3c, Meriden, CT 06450-6600 | 2006-10-11 |
| 1093795387 | Colleen J Jambor | Surgery | 33 Dale Road, Ste 1, Avon, CT 06001 | 2006-01-20 |
| 1053303818 | John F Reilly | Surgery | 2 Ivy Brook Rd, Suite 105, Shelton, CT 06484-6416 | 2005-08-18 |
| 1922515006 | The Plastic and Reconstructive Surgery Group, PC | Surgery | 2 Greenwich Office Park Ste 210, Greenwich, CT 06831-5155 | 2018-01-10 |
| Find all providers with the same taxonomy | ||||
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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.