JEREMY KORTMANSKY (NPI# 1801835756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801835756 |
| Entity Type | Individual |
| Full Name | JEREMY KORTMANSKY |
| Credential | MD |
| Practice Address |
2080 Whitney Ave Suite 240 Hamden CT 06518-3600 |
| Mailing Address |
19 Lunar Drive Woodbridge CT 06525 |
| Practice Telephone | 2034078002 |
| Practice Fax Number | 2034078038 |
| Mailing Telephone | 2033897504 |
| Mailing Fax Number | 2033898854 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
043345 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001433458 | 05 |
| Street Address |
2080 WHITNEY AVE SUITE 240 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053303693 | Samuel Leon Bridgers | Psychiatry & Neurology | 2080 Whitney Ave, Suite 280, Hamden, CT 06518-3600 | 2005-08-19 |
| 1013440833 | Neon LLC | Orthopaedic Surgery | 2080 Whitney Ave, Hamden, CT 06518-3600 | 2017-04-08 |
| 1043669526 | Diana Greco | Nurse Practitioner | 2080 Whitney Ave, Suite 250, Hamden, CT 06518-3600 | 2016-06-06 |
| 1558715466 | Patient Choice Medical Care, LLC | Nurse Practitioner | 2080 Whitney Ave, Suite 250, Hamden, CT 06518-3600 | 2016-04-17 |
| 1346664786 | Peter R Rogol Md LLC | Internal Medicine | 2080 Whitney Ave, 210, Hamden, CT 06518-3600 | 2014-02-05 |
| 1134542178 | Brett Gerstenhaber Md LLC | Internal Medicine | 2080 Whitney Ave, Suite 210, Hamden, CT 06518-3600 | 2014-01-28 |
| 1326344151 | Lisa Louise Hoffer | Nurse Practitioner | 2080 Whitney Ave, Mcgivney Cancer Care Center/smilow Cancer Hospital, Hamden, CT 06518-3600 | 2011-01-26 |
| 1558676973 | Samuel L Bridgers Md LLC | Psychiatry & Neurology | 2080 Whitney Ave, Suite 280, Hamden, CT 06518-3600 | 2010-08-10 |
| 1386810992 | John C. Wong | Dentist | 2080 Whitney Ave, Suite 270, Hamden, CT 06518-3600 | 2008-05-03 |
| 1215110325 | Douglas J. Muller | Dentist | 2080 Whitney Ave, Suite 270, Hamden, CT 06518-3600 | 2007-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265746879 | Eric Bleickardt | Internal Medicine | 3 Hidden Brook Rd, Hamden, CT 06518-1764 | 2010-08-06 |
| 1134160146 | Martin E. Katz | Internal Medicine | 2080 Whitney Avenue, Suite 240, Medical Oncology & Hematology, PC, Hamden, CT 06518 | 2006-06-09 |
| 1861433849 | Samuel Bobrow | Internal Medicine | 2080 Whitney Avenue, Suite 240, Hamden, CT 06518 | 2006-06-09 |
| 1598706582 | Thomas Fynan | Internal Medicine | 2080 Whitney Ave, Suite 240, Hamden, CT 06518-3600 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154751907 | David S Fischer | Internal Medicine | 17 Abigail St, Milford, CT 06460-7918 | 2013-11-14 |
| 1467763946 | Kelsey Thompson Martin | Internal Medicine | 240 Indian River Rd Ste A1, Orange, CT 06477-3690 | 2010-06-29 |
| 1780907295 | Kenneth L Sacks | Internal Medicine | 10 Oyster Landing Rd, Milford, CT 06460-6566 | 2010-03-11 |
| 1396981668 | Michael W Rosen | Internal Medicine | 32 Mackay Farm Rd, Woodbury, CT 06798-2509 | 2008-12-17 |
| 1083879134 | Jia Li | Internal Medicine | 950 Campbell Ave # 111d, West Haven, CT 06516-2770 | 2008-07-28 |
| 1760643407 | Sudhanshu Bharat Mulay | Internal Medicine | 114 Woodland Street / Cancer Center, Saint Francis Medical Group, Inc, Hartford, CT 06105-0000 | 2008-06-24 |
| 1194938324 | Anamika Katoch | Internal Medicine | 1075 Chase Pkwy Ste B, Harold Leever Cancer Center, Waterbury, CT 06708-2948 | 2007-05-07 |
| 1760694327 | Joseph Donadio | Internal Medicine | 140 Blue Hills Rd, Durham, CT 06422-3100 | 2007-05-04 |
| 1720136757 | Wylie David Hosmer | Internal Medicine | 55 Meriden Ave Ste 1a, Southington, CT 06489-3237 | 2007-01-08 |
| 1144303892 | Medical Specialists of Fairfield, LLC | Internal Medicine | 4699 Main Street, Fairfield, CT 06824 | 2006-10-23 |
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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.