CARDIOTHORACIC AND VASCULAR GROUP (NPI# 1689882359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689882359 |
| Entity Type | Organization |
| Organization Name | CARDIOTHORACIC AND VASCULAR GROUP |
| Practice Address |
175 Sherman Ave New Haven CT 06511-4301 |
| Practice Telephone | 2035625115 |
| Practice Fax Number | 2037844181 |
| Mailing Telephone | 2035625115 |
| Mailing Fax Number | 2037844181 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | DR. PHILIP R FAZZONE (PRESIDENT) |
| Authorized Official Telephone | 2035625115 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
175 SHERMAN AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342158 | Ron Nudel | Internal Medicine | 175 Sherman Ave, New Haven, CT 06511-4357 | 2005-08-03 |
| 1780297036 | Karlee Rose Picard | Physical Therapist | 175 Sherman Ave, New Haven, CT 06511-4357 | 2020-08-26 |
| 1194337279 | Melissa Marie Cassidy | Occupational Therapist | 175 Sherman Ave, New Haven, CT 06511-4357 | 2020-08-19 |
| 1972115319 | Nicholas Cairo-devlin | Physical Therapy Assistant | 175 Sherman Ave, New Haven, CT 06511-4357 | 2020-08-18 |
| 1558894303 | Leonie Lorraine Rose Bovino | Registered Nurse | 175 Sherman Ave, New Haven, CT 06511-4357 | 2017-04-08 |
| 1992120083 | Martha Ginsberg | Physical Therapist | 175 Sherman Ave, New Haven, CT 06511-4357 | 2014-02-26 |
| 1780957829 | Katherine M Duffy | Dietitian, Registered | 175 Sherman Ave, Takeheart Cardiac Rehabilitation, New Haven, CT 06511-4357 | 2012-02-21 |
| 1376815274 | The Hospital of Saint Raphael | Clinic/Center | 175 Sherman Ave, 5th Fl., New Haven, CT 06511-4357 | 2012-02-08 |
| 1649551805 | Michael Lin | Physical Therapist | 175 Sherman Ave, New Haven, CT 06511-4357 | 2011-09-01 |
| 1760638522 | Beth Reading | Physical Therapist | 175 Sherman Ave, New Haven, CT 06511-4301 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| 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 |
|---|---|---|---|---|
| 1427311711 | Qurat-ul-ain Jelani | Internal Medicine | Section of Cardiovascular Medicine., Yale New Haven Hospital. 20. York Street, New Haven, CT 06510 | 2012-06-21 |
| 1316267883 | Daniel J Friedman | Internal Medicine | 789 Howard Ave # Dana3, New Haven, CT 06519 | 2010-06-08 |
| 1780841510 | Sarkis Kiramijyan | Internal Medicine | 789 Howard Ave Ste 300, Dana Building, Yale Cardiovascular Medicine, New Haven, CT 06519-1304 | 2008-05-20 |
| 1588729750 | Jeffrey Moore Testani | Internal Medicine | 333 Cedar St., New Haven, CT 06520-8017 | 2006-12-27 |
| 1306909825 | Lissa Sugeng | Internal Medicine | 135 College St Fl 3, Suite 301, New Haven, CT 06510-2483 | 2006-12-18 |
| 1023023504 | Tarik M Ramahi | Internal Medicine | 500 Prospect St, Apt 3f, New Haven, CT 06511-2124 | 2006-07-30 |
| 1528083607 | Jonathan E Gage | Internal Medicine | 2 Church St S Ste 412, New Haven, CT 06519-1717 | 2006-07-12 |
| 1609810480 | Luis R Cruz | Internal Medicine | 1552 Chapel St, New Haven, CT 06511-4251 | 2006-06-15 |
| 1700876273 | Jeptha Pelham Curtis | Internal Medicine | 333 Cedar Street, Dana 3, New Haven, CT 06520-8017 | 2005-10-26 |
| 1730178591 | James H Revkin | Internal Medicine | 135 College St, Suite 301, New Haven, CT 06510-2483 | 2005-10-14 |
| Find all providers in NEW HAVEN | ||||
Please comment or provide details below to improve the information on CARDIOTHORACIC AND VASCULAR GROUP.
| 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.