CHARTER ANESTHESIOLOGY LLC (NPI# 1730674532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730674532 |
| Entity Type | Organization |
| Organization Name | CHARTER ANESTHESIOLOGY LLC |
| Practice Address |
1093 Prospect Ave West Hartford CT 06105-1104 |
| Mailing Address |
151 N Main St Bristol CT 06010-9992 |
| Practice Telephone | 2039800368 |
| Mailing Telephone | 2039800368 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | KEITH GIPSON (MEMBER) |
| Authorized Official Telephone | 2039800368 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CHARTER ANESTHESIOLOGY LLC | 986 North Farms Road, Wallingford, CT 06492 |
| Street Address |
1093 PROSPECT AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06105-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306038674 | Ricardo Taboada | Anesthesiology | 65 Memorial Rd, Suite 435, West Hartford, CT 06107-2434 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459084 | Lighthouse Surgery Center, LLC | Anesthesiology | 129 Woodland St, Hartford, CT 06105-1218 | 2019-07-18 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1619476603 | Gary Alexander Dee | Anesthesiology | 294 Morehouse Rd, Easton, CT 06612-2145 | 2018-02-06 |
| 1346774304 | Sheridan Healthcare of Connecticut, P.C. | Anesthesiology | 234 Bank St # A-4, New London, CT 06320-6070 | 2017-04-17 |
| 1649650425 | Shoreline Anesthesia Associates LLC | Anesthesiology | 64 Quarry Ledge, Madison, CT 06443-3149 | 2015-06-05 |
| 1063809275 | Ryan M Lippell | Anesthesiology | 4 Hospital Plz Ste 414, Stamford, CT 06902-3602 | 2015-04-26 |
| 1922417211 | Kathleen Chan | Anesthesiology | 51 Crown St Apt 205, New Haven, CT 06510-3334 | 2014-08-12 |
| 1427468461 | Jawad Rashid | Anesthesiology | 55 Holly Hill Ln Ste 301, Greenwich, CT 06830-6074 | 2014-04-29 |
| 1245667294 | Koretada Kondo | Anesthesiology | 50 Burroughs Rd, Easton, CT 06612-1410 | 2013-10-07 |
| 1679918064 | Eva Krystyna Szaniawski | Anesthesiology | 95 Duncan Dr, Greenwich, CT 06831-3617 | 2013-04-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06105 |
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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.