DR. DAVID A KVAM


Address: 100 Retreat Ave, Suite 705, Hartford, CT 06106
Phone: 8602780070

DR. DAVID A KVAM (NPI# 1790777316) 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) 1790777316
Entity Type Individual
Full Name DR. DAVID A KVAM
Credential M.D.
Practice Address 100 Retreat Ave
Suite 705
Hartford
CT 06106
Mailing Address 99 East River Drive
East Hartford
CT 06108-3212
Practice Telephone 8602780070
Enumeration Date 2005-08-19
Last Update Date 2010-05-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 023909 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001239094 05

Office Location

Street Address 100 RETREAT AVE
SUITE 705
City HARTFORD
State CT
Zip Code 06106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114926169 Scott Bernstein, Md, LLC Internal Medicine 100 Retreat Ave, Suite 902, Hartford, CT 06106-2528 2005-07-20
1568075380 Abbey Stackpole Pharmacist 100 Retreat Ave, Hartford, CT 06106-2528 2020-08-31
1821537770 Lindsey Belliveau Physician Assistant 100 Retreat Ave, Suite 705, Hartford, CT 06106 2017-02-13
1407398712 Quest Diagnostics LLC Clinical Medical Laboratory 100 Retreat Ave, Suite 408, Hartford, CT 06106-2528 2016-11-17
1720405715 Bradley Jerson Psychologist 100 Retreat Ave, Hartford Hospital Child Psychiatry, Div of Psychology, Hartford, CT 06106-2528 2014-03-27
1174957476 Madeline Munn Nurse Practitioner 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 2013-08-22
1053758128 Ashley E Young Obstetrics & Gynecology 100 Retreat Ave, Suite 201, Hartford, CT 06106-2528 2013-05-30
1083058671 Jordan Hammer Kunkes Internal Medicine 100 Retreat Ave, Hartford, CT 06106 2013-04-25
1568709731 Pranvera Dautaj Nurse Practitioner 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 2013-01-08
1851644801 Starling Physicians PC Nurse Practitioner 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 2012-10-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
1316501687 Rafae Shaikh Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-04-23
1437643715 Lucas Bensa Social Worker 421 Washington St., Apt C1, Hartford, CT 06106 2018-06-19
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1619460581 Bryan F Stringer Student in an Organized Health Care Education/Training Program 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 2018-06-14
1083103972 Margret Sigurdardottir Blondal Student in an Organized Health Care Education/Training Program 282 Washington Street, Ste 4h, Hartford, CT 06106 2018-05-07
1265920995 Rudra Ramanathan Student in an Organized Health Care Education/Training Program 79 Retreat Ave Brown Stone, Hartford, CT 06106 2018-04-27
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003357070 Bruce Chozik Md PC Neurological Surgery 1000 Asylum Ave, Suite 2107a, Hartford, CT 06105-1719 2017-03-10
1669764692 David Hersh Neurological Surgery 282 Washington St, Hartford, CT 06106-3322 2011-05-10
1932343324 David Spiro Neurological Surgery 1000 Asylum Ave, Suite 4320, Hartford, CT 06105-1770 2009-04-29
1083888770 Paul Joseph Schwartz Neurological Surgery 100 Retreat Ave, Suite 705, Hartford, CT 06106 2008-04-15
1720257470 Stephen F Calderon Md PC Neurological Surgery 1000 Asylum Ave, Suite 3208, Hartford, CT 06105-1770 2008-02-27
1689851024 Stephan C Lange PC Neurological Surgery 1000 Asylum Ave, Suite 3208, Hartford, CT 06105-1770 2008-01-29
1396920476 Howard Lantner Md PC Neurological Surgery 1000 Asylum Ave, Suite 3208, Hartford, CT 06105-1770 2008-01-08
1043490097 Brendan Dyer Killory Neurological Surgery 85 Seymour St, Suite 709, Hartford, CT 06106-5501 2007-11-07
1871794008 Connecticut Neurosurgery & Spine Assoc., LLC Neurological Surgery 85 Seymour St, Suite 707, Hartford, CT 06106-5501 2007-05-28
1366591778 Joel A. Bauman Neurological Surgery 85 Seymour St, Suite 709, Hartford, CT 06106-5501 2007-01-09
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Competitor

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City HARTFORD
Zip Code 06106

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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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