DARTMOUTH ENDOCRINOLOGY LLC (NPI# 1669669982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669669982 |
| Entity Type | Organization |
| Organization Name | DARTMOUTH ENDOCRINOLOGY LLC |
| Other Organization Name | DARTMOUTH ENDOCRINOLOGY, DIABETES AND METABOLISM, LLC |
| Practice Address |
40 Dale Road Suite 202 Avon CT 06001 |
| Practice Telephone | 8606790234 |
| Practice Fax Number | 8606060060 |
| Mailing Telephone | 8606790234 |
| Mailing Fax Number | 8606060060 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | DR. GREGORY J BOMBASSEI (OWNER) |
| Authorized Official Telephone | 8606790234 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
032434 | CT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dartmouth Endocrinology, Diabetes and Metabolism, LLC | Doing Business As Name - Organization |
| Street Address |
40 DALE ROAD SUITE 202 |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205913340 | Wendy F Habelow | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| 1962831545 | Meagan A Leduc | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2013-11-05 |
| 1881922326 | Jill D Shalan | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2009-11-20 |
| 1801065131 | Vicki J Strnatka Knapp | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2008-02-20 |
| 1699979542 | Elizabeth Ruel Matern | Pediatrics | 40 Dale Road, Suite 201, Avon, CT 06001 | 2007-06-13 |
| 1932311453 | Bruce Eliot Komarow | Dentist | 40 Dale Road, Avon, CT 06001 | 2007-05-04 |
| 1649321258 | Ryan D. Hartmann | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2007-01-12 |
| 1073670881 | Kimberlee J. Werrett | Social Worker | 40 Dale Road, Suite 201, Avon, CT 06001 | 2007-01-02 |
| 1780761726 | Heather Quinlan | Social Worker | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| 1013094176 | Elizabeth S Thayer | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1104224757 | Rossana Danese | Internal Medicine | 36321 Oakview Ln, Avon, OH 44011-2275 | 2014-12-15 |
| 1962582718 | Gregory J Bombassei | Internal Medicine | 40 Dale Rd, Suite 202, Avon, CT 06001 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103762 | Fairfield County Endocrine, LLC | Internal Medicine | 18 Sunnyside Ln, Westport, CT 06880-1710 | 2019-06-18 |
| 1013458447 | James Magner | Internal Medicine | 1022 Field Dr, Woodbridge, CT 06525-2638 | 2017-03-18 |
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1740675818 | Vivek Alaigh | Internal Medicine | 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 | 2015-04-05 |
| 1669801619 | Geetika Gupta | Internal Medicine | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | 2013-11-09 |
| 1134562911 | Lori Marie De La Portilla | Internal Medicine | 462 Queen St # 303, Southington, CT 06489-1801 | 2013-04-11 |
| 1346592862 | Kathleen Mary O'connell | Internal Medicine | 9 Stonecrop Ln, Wilton, CT 06897-2405 | 2012-10-08 |
| 1104159037 | Robert Aaron Levine | Internal Medicine | 137 Winthrop Rd, Guilford, CT 06437-1632 | 2009-09-10 |
| 1124209101 | Maryanne Horta Bhojwani | Internal Medicine | 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 | 2007-11-19 |
| 1366585762 | Ann E Taylor | Internal Medicine | Pfizer, Eastern Point Road, Groton, CT 06340 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DARTMOUTH ENDOCRINOLOGY LLC.
| 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.