KEVIN D MCMAHON (NPI# 1679573729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679573729 |
| Entity Type | Individual |
| Full Name | KEVIN D MCMAHON |
| Credential | MD |
| Practice Address |
546 S Broad St Meriden CT 06450-6600 |
| Practice Telephone | 2032352511 |
| Practice Fax Number | 2036390809 |
| Mailing Telephone | 2032352511 |
| Mailing Fax Number | 2036390809 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 031598 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | OXFORD | NHS428 | 01 |
| CT | CONNECTICARE | 031598 | 01 |
| CT | HEALTH NET | 0R0104 | 01 |
| CT | ANTHEM | 010031598CT02 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124339528 | Kevin Mcmahon | Psychiatry & Neurology | 417 S. King Street, Grmg Neurology Associates, Seguin, TX 78155-5126 | 2010-06-30 |
| 1487899159 | Kevin James Mcmahon | Social Worker | 5301 Dempster St Ste 205, Skokie, IL 60077-1856 | 2008-12-10 |
| 1205971082 | Kevin Robert Mcmahon | Dentist | 155 Barnwood Dr, Suite 1, Edgewood, KY 41017-2585 | 2007-02-20 |
| 1649205196 | Kevin F. Mcmahon | Anesthesiology | 3112 Sheridan Drive, Amherst, NY 14226-1904 | 2006-07-12 |
| 1285258590 | Kevin Patrick Mcmahon IIi | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-06-02 |
| 1427518042 | Kevin Mcmahon | Student in an Organized Health Care Education/Training Program | 525 E Market St, Akron, OH 44304-1698 | 2019-03-20 |
| 1891248480 | Kevin Millard Mcmahon | Pharmacist | 117 Sw 160th St, Burien, WA 98166-3024 | 2016-07-29 |
| 1528032695 | Kevin Christopher Mcmahon | Family Medicine | 112 Olean St, Suite 220, East Aurora, NY 14052-2540 | 2006-02-15 |
| 1205809118 | Kevin E Mcmahon | Physician Assistant | 2660 Tate Blvd Se, Hickory, NC 28602-1465 | 2006-02-10 |
| 1093717217 | Kevin Mcmahon | Orthopaedic Surgery | 3414 Olandwood Ct, Olney, MD 20832-1384 | 2005-06-01 |
| Street Address |
546 S BROAD ST |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927332 | Jay E Hellreich | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2005-07-29 |
| 1841667383 | Paul Niles | Technician/Technologist | 546 S Broad St, 1d, Meriden, CT 06450-6600 | 2015-09-01 |
| 1740657840 | Eye Physicians of Central Ct | Eyewear Supplier (Equipment, not the service) | 546 S Broad St, D1, Meriden, CT 06450-6600 | 2015-08-25 |
| 1629480728 | Laura Bressler Hall | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2014-05-22 |
| 1639449408 | Misbah M. Vahidy, Md, PC | Surgery | 546 S Broad St, Suite 2e, Meriden, CT 06450-6600 | 2012-01-10 |
| 1427291483 | Thoracic & Vascular Surgical Specialists of Central Ct LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 546 S Broad St, Suite 2e, Meriden, CT 06450-6600 | 2009-04-07 |
| 1457507493 | Sandra Perkins | Technician/Technologist | 546 S Broad St, Meriden, CT 06450-6600 | 2008-08-11 |
| 1336336437 | Anthony G Lendino M.d. LLC | Family Medicine | 546 S Broad St, Suite 4b, Meriden, CT 06450-6600 | 2007-10-02 |
| 1487862801 | Puranik Family Medical Center LLC | Internal Medicine | 546 S Broad St, Unit 2e, Meriden, CT 06450-6600 | 2007-05-18 |
| 1366655037 | Kenneth Chasen | Dentist | 546 S Broad St, Suite 3b, Meriden, CT 06450-6600 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841732088 | Peter Burch | Ophthalmology | 119 David Dr, Meriden, CT 06450-4605 | 2016-11-04 |
| 1538264973 | Eye Physicians of Central Ct PC | Ophthalmology | 546 So Broad St, Meriden, CT 06450 | 2006-09-13 |
| 1114927332 | Jay E Hellreich | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2005-07-29 |
| 1437154689 | Marvin B Gottlieb | Ophthalmology | 12 Curtis St, Meriden, CT 06450-5900 | 2005-06-15 |
| 1629480728 | Laura Bressler Hall | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2014-05-22 |
| 1609013614 | Eye Surgical Consultants | Ophthalmology | 1064 East Main Street, Meriden, CT 06450 | 2009-01-13 |
| 1427170596 | Timothea A Ryan | Ophthalmology | 546 S Broad St, Suite 1d, Meriden, CT 06450 | 2007-04-06 |
| 1487772554 | Acuity Eye Physicians and Surgeons, P.C. | Ophthalmology | 12 Curtis St, Meriden, CT 06450-5900 | 2007-03-27 |
| 1902919319 | Robert L. Block | Ophthalmology | 12 Curtis St, Meriden, CT 06450-5900 | 2006-08-17 |
| 1588664635 | William C Hall | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2005-07-29 |
| Find all providers in MERIDEN | ||||
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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.