REX L MAHNENSMITH


Address: 80 Phoenix Ave, Waterbury, CT 06702-1418
Phone: 2037568021

REX L MAHNENSMITH (NPI# 1760466528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760466528
Entity Type Individual
Full Name REX L MAHNENSMITH
Credential M.D.
Practice Address 80 Phoenix Ave
Waterbury
CT 06702-1418
Practice Telephone 2037568021
Practice Fax Number 2035969038
Mailing Telephone 2037568021
Mailing Fax Number 2035969038
Enumeration Date 2005-12-05
Last Update Date 2015-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 021731 CT Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
021731 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001217314 05

Office Location

Street Address 80 PHOENIX AVE
City WATERBURY
State CT
Zip Code 06702-1418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497756902 Michael Bass Dentist 80 Phoenix Ave, Suite #102, Waterbury, CT 06702-1418 2005-08-09
1356996920 Raeven B Keene Dental Hygienist 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-08-09
1578022166 Daedly Potusek Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-03-14
1598239873 Ashley Corso Dental Hygienist 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-01-19
1326510801 Monica Rose Depaolo Dental Hygienist 80 Phoenix Ave, Waterbury, CT 06702-1418 2018-12-21
1023536232 Courtney Dowen Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2017-09-07
1851834147 Lindsey Maloney Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2016-11-18
1063864346 Miguel Mantilla Internal Medicine 80 Phoenix Ave, Waterbury, CT 06702-1418 2016-07-11
1124477518 George Gogas Social Worker 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 2016-06-07
1649626300 Irene Maturo Dental Hygienist 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 2016-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780120295 Melitza Velez Counselor 80 Prospect St., Waterbury, CT 06702 2017-01-09
1467813600 Ashley Joseph Counselor 30 Holmes Ave, Waterbury, CT 06702 2016-03-16
1649662313 Lori Arens Social Worker 141 E Main St Fl 4, Waterbury, CT 06702 2015-03-04
1265725584 Zelda Shleifer Audiologist 21 W Main St Fl Place-3, Waterbury, CT 06702 2011-05-19
1700024585 Charlene Angela Jurgaitis Durable Medical Equipment & Medical Supplies 102 Grand Street, Waterbury, CT 06702 2009-02-02
1518090570 Nathan Z Imre Pharmacist 161 East Main St Central Pharmacy, Waterbury, CT 06702 2007-03-13
1922149467 Rachael A Petitti Social Worker 402 East Main Street, Waterbury, CT 06702 2007-02-09
1710024484 Abbot Terrace Health Center Assisted Living Facility 44 Abbott Terrace, Waterbury, CT 06702 2007-01-31
1205994555 Michael Arcangel Padilla Social Worker Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 2006-12-05
1205902723 Colette M Anderson Social Worker 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 2006-11-27
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245750538 Sameerah Ibtisam Rehmani Internal Medicine St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 2017-06-27
1053799544 Emily Pinto Taylor Internal Medicine 133 Scovill St Ste 300, Waterbury, CT 06706-1127 2015-05-15
1578849519 Uday Shankar Internal Medicine 3801 E Main St Fl 2, Waterbury, CT 06705 2011-10-21
1275828261 Bechoi Saleib Internal Medicine 1981 E Main St, 2nd Floor, Waterbury, CT 06705-1822 2011-06-17
1750525549 Benjamin Bodnar Internal Medicine 95 Scovill St Fl 3, Waterbury, CT 06706-1113 2009-04-24
1588848766 Tracy Lyn Rabin Internal Medicine 64 Robbins Street, Waterbury Hospital Campus, Main 3, Yale Primary Care Program, Waterbury, CT 06708 2007-12-24
1255549622 Ashish Arora Internal Medicine 133 Scovill St Ste 104, Waterbury, CT 06706-1127 2007-05-18
1780782953 Vidya Loganathan Internal Medicine 2457 E Main St Ste 1e, Waterbury, CT 06705-2684 2006-09-20
1083724967 Westside Medical Group Internal Medicine 714 Chase Parkway, Suite 6, Waterbury, CT 06708-3939 2006-08-30
1922111632 Thomas Owen Genese Internal Medicine 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 2006-08-16
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Competitor

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City WATERBURY
Zip Code 06702

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Dataset Information

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.

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