ANGELA M DELISLE (NPI# 1669584777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669584777 |
| Entity Type | Individual |
| Full Name | ANGELA M DELISLE |
| Credential | PA-C |
| Practice Address |
20 York St Cb-2041 Ynh Medical Services PC New Haven CT 06504 |
| Practice Telephone | 2036884748 |
| Practice Fax Number | 2036884740 |
| Mailing Telephone | 2036884748 |
| Mailing Fax Number | 2036884740 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 000741 | CT | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 000741 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
000741 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356554604 | Angela Delisle | Licensed Practical Nurse | 914 State Route 511, Ashland, OH 44805-9579 | 2007-05-07 |
| Street Address |
20 YORK ST CB-2041 YNH MEDICAL SERVICES PC |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386627503 | Kerstin Elizabeth Calia | Internal Medicine | 20 York St Cb-2041, New Haven, CT 06504 | 2005-11-22 |
| 1164901427 | Bethany Burke | Nurse Practitioner | 20 York St Cb-2041, New Haven, CT 06510 | 2018-08-08 |
| 1801308044 | Andrea Rose Minken | Physician Assistant | 20 York St Cb-2041, New Haven, CT 06510-3220 | 2017-10-27 |
| 1629366398 | Thomas S Rank | Nurse Practitioner | 20 York St Cb-2041, Northeast Medical Group, Inc., New Haven, CT 06510 | 2011-07-15 |
| 1790075257 | Sean Alan Lynch | Physician Assistant | 20 York St Cb-2041, Northeast Medical Group, New Haven, CT 06510 | 2011-04-18 |
| 1194022889 | Heather Dobbin | Hospitalist | 20 York St Cb-2041, Northeast Medical Group, New Haven, CT 06510 | 2011-02-16 |
| 1134367725 | Daniel Heacock | Physician Assistant | 20 York St Cb-2041, Ynh Medical Services PC, New Haven, CT 06510 | 2009-02-04 |
| 1386811289 | Carly Burgess Brown | Internal Medicine | 20 York St Cb-2041, New Haven, CT 06510-3220 | 2008-05-11 |
| 1871767657 | Sara K Alavi | Internal Medicine | 20 York St Cb-2041, Northeast Medical Group, New Haven, CT 06510 | 2008-04-14 |
| 1043497779 | Sarah Katherine Apgar | Internal Medicine | 20 York St Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962872523 | Diana G Poulsen | Physician Assistant | Yale New Haven Pediatric Ed, 1 Park St, New Haven, CT 06504 | 2015-09-25 |
| 1679715395 | Rhonda Leigh Sawyer | Physician Assistant | 840 Howard Avenue, New Haven, CT 06504 | 2009-03-26 |
| 1205086915 | Christiane Brigitte Sabourin | Nurse Practitioner | 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-09-30 |
| 1821135187 | Jorge E Dotto | Pathology | Yale New Haven Hosp - Pathology, 20 York Street, Cp2-631, New Haven, CT 06504 | 2007-01-30 |
| 1528155009 | John K Hickey | Physician Assistant | 20 York St - Cb2041, Mill Hill Medical Conslutants, Inc, New Haven, CT 06504 | 2006-10-06 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1790729507 | Cynthia Anne Nielsen | Social Worker | 20 York St., Yale-new Haven Hospital, New Haven, CT 06504 | 2006-06-15 |
| 1023051901 | Michele N. Nyman Harris | Social Worker | Yale-new Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-06-14 |
| 1598761546 | Edward Francois | Internal Medicine | 20 York Street Cb 2041, New Haven, CT 06504 | 2005-06-23 |
| 1003295023 | Danice Kuruvilla | Pediatrics | 1 Park St, New Haven, CT 06504 | 2015-05-22 |
| Find all providers in zip 06504 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170546 | Kanwon Garley | Physician Assistant | 371 Alden Ave Apt 12b, New Haven, CT 06515-2146 | 2020-07-06 |
| 1366097271 | Lana Monashkin | Physician Assistant | 939 State St Apt C, New Haven, CT 06511-7318 | 2019-08-07 |
| 1013479898 | Andrea Ferraro | Physician Assistant | 35 Park St Rm 209, New Haven, CT 06519-1110 | 2019-04-02 |
| 1255875035 | Sarah Geanne Coffin | Physician Assistant | 51 Perkins St, New Haven, CT 06513-3210 | 2016-12-13 |
| 1790146066 | Philip Logan | Physician Assistant | 112 Dwight St Apt 29, New Haven, CT 06511-4532 | 2016-03-15 |
| 1962872523 | Diana G Poulsen | Physician Assistant | Yale New Haven Pediatric Ed, 1 Park St, New Haven, CT 06504 | 2015-09-25 |
| 1992192827 | Theodora Fraser Mcpherson | Physician Assistant | 151 Clifton St, New Haven, CT 06513-3319 | 2015-04-17 |
| 1851658561 | Tara Cotton | Physician Assistant | 20 York St Spc 2213, Mdrad Diagnostic Radiology, New Haven, CT 06510-3220 | 2012-04-19 |
| 1508147745 | Molly E Band | Physician Assistant | 1 Park St Fl 2, New Haven, CT 06504-8901 | 2011-09-01 |
| 1114243482 | Megan Elizabeth Dieterich | Physician Assistant | 175 W Park Ave, New Haven, CT 06511-2928 | 2010-04-12 |
| 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.