DR. GEORGE SPIVACK (NPI# 1720017049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720017049 |
| Entity Type | Individual |
| Full Name | DR. GEORGE SPIVACK |
| Credential | M.D. |
| Practice Address |
97 Barnes Rd Wallingford CT 06492-1885 |
| Practice Telephone | 2032843137 |
| Practice Fax Number | 2032843130 |
| Mailing Telephone | 2032843137 |
| Mailing Fax Number | 2032843130 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
27399 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1273994 | 05 |
| Street Address |
97 BARNES RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234331 | Sherwin Borsuk | Radiology | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2005-12-04 |
| 1780152173 | Ashley Tighe | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2018-11-05 |
| 1497959035 | Amy Platt | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2007-06-14 |
| 1225151822 | Masonicare Home Health and Hospice, Inc. | Hospice Care, Community Based | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2007-04-09 |
| 1720154198 | Subbarao Bollepalli | Psychiatry & Neurology | 97 Barnes Rd, Suite #2, Wallingford, CT 06492-1885 | 2006-11-28 |
| 1841369717 | Erik Olsen | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-11-07 |
| 1649352469 | Jeffrey Jennings | Pediatrics | 97 Barnes Rd, Suite #6, Wallingford, CT 06514 | 2006-10-20 |
| 1962500504 | Kevin M Connellan | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-09-20 |
| 1912936246 | Harold S Wilkes | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
| 1477517548 | Miriam Susan Cohen | Pediatrics | 97 Barnes Rd, Ste 6, Wallingford, CT 06492-1885 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1144630328 | Allison Padegimas | Internal Medicine | 1062 Barnes Rd Ste 300, Wallingford, CT 06492-2576 | 2014-04-28 |
| 1609180066 | Cardiovascular Group LLC | Internal Medicine | 501 Plush Mill Rd, Wallingford, PA 19086-6040 | 2010-07-27 |
| 1629005004 | John S Zesk | Internal Medicine | 97 Barnes Road, Wallingford, CT 06492 | 2006-06-28 |
| 1851395651 | Robert Joel Golub | Internal Medicine | 1062 Barnes Rd, Ste 300, Wallingford, CT 06492-2576 | 2005-06-09 |
| 1568828259 | Norman Roth | Internal Medicine | 1062 Barnes Rd Ste 300, Wallingford, CT 06492-2576 | 2016-01-11 |
| 1710145420 | John Dinkler | Internal Medicine | 1062 Barnes Rd, Suite 300, Wallingford, CT 06492-6012 | 2008-05-29 |
| 1912936246 | Harold S Wilkes | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
| 1952351520 | Cardiology Associates of Central Connecticut,llc | Internal Medicine | 1062 Barnes Rd, Suite 300, Wallingford, CT 06492-6012 | 2006-05-12 |
| 1417951203 | William Joseph Farrell | Internal Medicine | 1062 Barnes Rd, Ste 300, Wallingford, CT 06492-2576 | 2005-06-09 |
| 1073517850 | Richard Alexander Bugliari | Internal Medicine | 1062 Barnes Rd, Ste 300, Wallingford, CT 06492-2576 | 2005-06-09 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.