DR. KEVIN GERARD KETT (NPI# 1669417184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669417184 |
| Entity Type | Individual |
| Full Name | DR. KEVIN GERARD KETT |
| Credential | M.D. |
| Practice Address |
455 Chase Parkway Waterbury CT 06708-3352 |
| Practice Telephone | 2035731435 |
| Mailing Telephone | 2035731435 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2014-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
029001 | CT | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
029001 | CT | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
029001 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001290014 | 05 | |
| CT | WELLCARE | 206708 | 01 |
| CT | AMERICHOICE | 13-86973 | 01 |
| CT | 1669417184 | 05 | |
| CT | OXFORD HEALTH PLANS | P380226 | 01 |
| CT | HEALTH NET OF NORTHEAST | 0R0352 | 01 |
| CT | ANTHEM BC & BS | 010029001CT01 | 01 |
| CT | ANTHEM BCBS CT | 010029001CT04 | 01 |
| CT | HEALTHNET/COMMERCIAL | 2V2868 | 01 |
| CT | USA | 874070 | 01 |
| CT | CIGNA HEALTH PLANS | 01029001 | 01 |
| CT | AETNA HEALTH PLANS | 4124668 | 01 |
| CT | UHC | 13-86973 | 01 |
| CT | UNITED HEALTHCARE | 25-40436 | 01 |
| CT | RR MEDICARE | P00025374 | 01 |
| CT | CONNECTICARE | 029001 | 01 |
| Street Address |
455 CHASE PARKWAY |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1255499653 | Michael C Malinics | Internal Medicine | 1981 E Main St Fl 2, Waterbury, CT 06705-1822 | 2006-12-05 |
| 1114015427 | Joel A Sherman | Internal Medicine | 1211 W Main St., Waterbury, CT 06708-3106 | 2006-10-11 |
| 1548297930 | Paul F Kelly | Internal Medicine | 56 Franklin St., 3rd Floor, Waterbury, CT 06706-1253 | 2006-06-28 |
| 1487910410 | Essam N Nakhla | Internal Medicine | 455 Chase Pkwy, Waterbury, CT 06708-3352 | 2012-04-04 |
| 1568755700 | Arslan Johnghar | Internal Medicine | 455 Chase Pkwy, Waterbury, CT 06708 | 2011-05-20 |
| 1508063470 | Peter Chia-gee Chien | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1253 | 2007-07-02 |
| 1972720522 | Rebecca Marin Scandrett | Internal Medicine | 1320 W Main St, Waterbury, CT 06708-3119 | 2007-04-18 |
| 1578680062 | Raghuraman R Vidhun | Internal Medicine | 455 Chase Pkwy, Waterbury, CT 06708-3352 | 2007-03-22 |
| 1215064498 | Quality Cardiovascular Care LLC | Internal Medicine | 1389 W Main St, Tower One, Suite 106, Waterbury, CT 06708-3104 | 2007-02-27 |
| 1851459390 | Mark S Rosenberg | Internal Medicine | 1389 W Main St, Tower 1 Suite 106, Waterbury, CT 06708-3104 | 2006-12-05 |
| Find all providers in WATERBURY | ||||
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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.