SKY HEALTH GROUP PC (NPI# 1679108492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679108492 |
| Entity Type | Organization |
| Organization Name | SKY HEALTH GROUP PC |
| Practice Address |
64 Blue Ridge Drive Waterbury CT 06704 |
| Practice Telephone | 9177474993 |
| Mailing Telephone | 9177474993 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | SIMON FENSTERSZAUB (PRESIDENT) |
| Authorized Official Telephone | 9177474993 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
64 BLUE RIDGE DRIVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| 1952749202 | Daniel Patrick Gifford | Physical Therapist | 8 South Commons Road, Waterbury, CT 06704 | 2013-06-10 |
| Find all providers in zip 06704 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629113386 | Elizabeth Sosna White | Family Medicine | 93 Pilgrim Park Rd, Suite 6, Waterbury, VT 05676-1727 | 2007-02-20 |
| 1144270588 | Diane Swensen Miller | Family Medicine | 2457 E. Main St., Waterbury, CT 06705 | 2006-05-10 |
| 1396218293 | Cityblock Medical Practice Ct, P.C. | Family Medicine | 76 Center St Fl 3, Waterbury, CT 06702-2129 | 2019-01-03 |
| 1215403068 | Alison Chick | Family Medicine | 130 S Main St, Waterbury, VT 05676-1519 | 2018-10-19 |
| 1619407780 | Xi Teng | Family Medicine | 51 N Elm St, Waterbury, CT 06702-1545 | 2017-06-12 |
| 1386175644 | Peter James Ireland | Family Medicine | 130 S Main St, Waterbury, VT 05676-1519 | 2017-03-27 |
| 1992144190 | Nnennaya Duke | Family Medicine | 51 N Elm St, Waterbury, CT 06702-1545 | 2013-06-20 |
| 1922253483 | Sarah Faith Walsh | Family Medicine | 2247 E Main St, Suite 103, Waterbury, CT 06705-2604 | 2008-11-25 |
| 1275651549 | Justin Karlitz-grodin | Family Medicine | 130 S Main St, Cvmc Family Medicine-watebury, Waterbury, VT 05676-1519 | 2007-03-26 |
| 1831200187 | George Bittmann Barth II | Family Medicine | 1302 S Main St, Waterbury, CT 06706-1748 | 2006-08-31 |
| 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.