WALTER N KERNAN (NPI# 1710960935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710960935 |
| Entity Type | Individual |
| Full Name | WALTER N KERNAN |
| Credential | MD |
| Practice Address |
789 Howard Ave New Haven CT 06519-1304 |
| Mailing Address |
300 George St 6th Floor New Haven CT 06536-0805 |
| Practice Telephone | 2036882471 |
| Practice Fax Number | 2036884516 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2008-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 028405 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001284059 | 05 |
| Street Address |
789 HOWARD AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359752 | Rachel J Lampert | Internal Medicine | 789 Howard Ave, Dana Building -3 Rd Floor, New Haven, CT 06519-1304 | 2005-10-11 |
| 1104432996 | Elise Hettenbach | Nurse Practitioner | 789 Howard Ave, New Haven, CT 06519-1304 | 2020-09-17 |
| 1730794272 | Jennifer Colon | Pharmacist | 789 Howard Ave, New Haven, CT 06519-1300 | 2020-09-11 |
| 1184153561 | Renee Rosa Kim | Student in an Organized Health Care Education/Training Program | 789 Howard Ave, New Haven, CT 06510 | 2017-06-08 |
| 1366971293 | Nanthiya Sujijantarat | Student in an Organized Health Care Education/Training Program | 789 Howard Ave, New Haven, CT 06519-1304 | 2017-06-05 |
| 1033646492 | Fatimah Audu | Emergency Medicine | 789 Howard Ave, New Haven, CT 06519-1304 | 2017-05-16 |
| 1447787064 | Aaron David Bennett | Pediatrics | 789 Howard Ave, New Haven, CT 06519-1304 | 2017-05-13 |
| 1396289211 | Christopher Barrett | Dietitian, Registered | 789 Howard Ave, New Haven, CT 06519-1304 | 2016-12-12 |
| 1629427000 | Jesse Humm | Student in an Organized Health Care Education/Training Program | 789 Howard Ave, New Haven, CT 06519-1304 | 2016-06-07 |
| 1386092153 | Zehra Omer | Student in an Organized Health Care Education/Training Program | 789 Howard Ave, Ynhh, Dept of Medicine, New Haven, CT 06519-1304 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548520661 | Cynthia Zywocinski | General Practice | 92 Everit St, New Haven, CT 06511-1321 | 2012-05-23 |
| 1720215817 | Nirmala Panwar | General Practice | 566 Orchard St, Yhcp Dba 828 - Urgent Care, New Haven, CT 06511-3214 | 2009-06-16 |
| 1467529271 | Mallick Qaiser Alam | General Practice | 77 Grand Ave, New Haven, CT 06513-3906 | 2006-11-29 |
| 1932126448 | Alfred J Ranieri Jr. | General Practice | 1455 Chapel St, New Haven, CT 06511-4403 | 2006-07-17 |
| 1679986277 | Stephanie Douglas | General Practice | 20 York St, New Haven, CT 06510-3220 | 2014-06-11 |
| 1730167404 | Prashanth Vallabhajosyula | General Practice | 800 Howard Ave, New Haven, CT 06519-1369 | 2006-01-04 |
| 1760465991 | Cary E Gross | General Practice | 789 Howard Ave, Ynhh, New Haven, CT 06519-1304 | 2005-11-22 |
| 1063495158 | Lynn E Fiellin | General Practice | 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519-1369 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029773 | Medexpress Primary Care Texas, P.a. | General Practice | 185 Asylum Street, City Place 1, Hartford, CT 06103-3408 | 2019-08-22 |
| 1225510571 | David Warren Boxwell | General Practice | 67 Church St., Suite 300, Norwich, CT 06360-0636 | 2018-09-04 |
| 1407234685 | Adrian Kenneth Wyllie | General Practice | 4 Research Pkwy, Wallingford, CT 06492-1929 | 2015-05-08 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| 1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
| 1811237142 | Jose Buhain | General Practice | 19 Judson Ave Apt 5d, Woodbury, CT 06798-2844 | 2013-02-23 |
| 1093071631 | Roger Joseph Branson | General Practice | 12 Woodcreek Rd, Bethlehem, CT 06751-1705 | 2012-04-09 |
| 1427323401 | Kevin David Wolter | General Practice | 43 Oxford Ct, Mystic, CT 06355-1705 | 2012-03-09 |
| 1144590191 | Richard John Annulli | General Practice | 1037 Valley Rd, New Canaan, CT 06840-2818 | 2012-01-09 |
| 1578831525 | Alan Jule Ranhosky | General Practice | 2874 Long Ridge Rd, Stamford, CT 06903-1119 | 2011-12-06 |
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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.