DOMENIC W. CASABLANCA, M.D., P.C. (NPI# 1730399411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730399411 |
| Entity Type | Organization |
| Organization Name | DOMENIC W. CASABLANCA, M.D., P.C. |
| Practice Address |
4 Corporate Dr Suite 195 Shelton CT 06484-6211 |
| Practice Telephone | 2032250375 |
| Practice Fax Number | 2032250376 |
| Mailing Telephone | 2032250375 |
| Mailing Fax Number | 2032250376 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOMENIC WILLIAM CASABLANCA (PRESIDENT) |
| Authorized Official Telephone | 2032250375 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE RAILROAD | DC4029 | 01 |
| Street Address |
4 CORPORATE DR SUITE 195 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974896 | Nelson Tan Chao | Allergy & Immunology | 4 Corporate Dr, Suite 268, Shelton, CT 06484-6211 | 2005-07-04 |
| 1508477001 | Alyssa Rosso | Physician Assistant | 4 Corporate Dr, Shelton, CT 06484-6211 | 2020-08-10 |
| 1184021396 | Cosmetic and Reconstructive Surgery Associates of Connecticut, PC | Specialist | 4 Corporate Dr, Suite 288, Shelton, CT 06484-6211 | 2014-12-03 |
| 1649606385 | Connecticut Skinhealth LLP | Specialist | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6211 | 2013-09-25 |
| 1942646179 | Margaret Beth Kissel | Pediatrics | 4 Corporate Dr, Suite 290, Shelton, CT 06484-6211 | 2013-05-15 |
| 1942548847 | Dermatology Physicians of Connecticut PC | Specialist | 4 Corporate Dr, Ste 386, Shelton, CT 06484-6211 | 2013-01-28 |
| 1073848495 | Jessica Leigh Bursell | Physician Assistant | 4 Corporate Dr, Suite # 484, Shelton, CT 06484-6211 | 2009-10-04 |
| 1235334913 | Julie Lynn Cantatore-francis | Legal Medicine | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6211 | 2007-06-20 |
| 1275755902 | Allergy & Pulmonary Specialists PC | Allergy & Immunology | 4 Corporate Dr, Suite 268, Shelton, CT 06484-6211 | 2007-05-03 |
| 1598899148 | Women's Health Center, PC | Obstetrics & Gynecology | 4 Corporate Dr, Shelton Suite 484, Shelton, CT 06484-6211 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528455623 | Thehealingpractice LLC | Clinic/Center | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2015-04-16 |
| 1417156183 | Olympic Physicians P.l.l.c. | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2007-07-13 |
| 1356439699 | Public Hopsital District No 1 of Mason County | Clinic/Center | 247 Professional Way, Shelton, WA 98584-0011 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447578 | Luca Health & Wellness, LLC | Clinic/Center | 2475 Albany Ave Ste 205, West Hartford, CT 06117-2523 | 2020-11-04 |
| 1699307751 | Pride Comprehensive Primary Care LLC | Clinic/Center | 7 Warren Rd, Wolcott, CT 06716-3015 | 2020-02-06 |
| 1316405186 | Ct Optimal Wellness, LLC | Clinic/Center | 115 Technology Dr Unit A103, Trumbull, CT 06611-6338 | 2019-03-11 |
| 1922586809 | Emmaus Health LLC | Clinic/Center | 945 Main St Ste 205, Manchester, CT 06040-6064 | 2018-08-01 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1598284622 | Np Wellness Care | Clinic/Center | 253 Fairlawn Dr, Torrington, CT 06790-5809 | 2017-09-09 |
| 1245773191 | Anchor Health Initiative Corp. | Clinic/Center | 30 Myano Ln Ste 16, Stamford, CT 06902-4532 | 2016-11-27 |
| 1588114870 | Whole Self Wellness, LLC | Clinic/Center | 144 Banjo Sullivan Rd, Griswold, CT 06351-1201 | 2016-10-11 |
| 1265892541 | Amanda M Swan Aprn LLC | Clinic/Center | 33 Harmund Pl, Wethersfield, CT 06109-1209 | 2016-03-01 |
| 1215321666 | Grand Medical LLC | Clinic/Center | 515 Higgins Rd, Cheshire, CT 06410-3326 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DOMENIC W. CASABLANCA, M.D., P.C..
| 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.