JOHN T FAHEY (NPI# 1851374086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851374086 |
| Entity Type | Individual |
| Full Name | JOHN T FAHEY |
| Credential | MD |
| Practice Address |
20 York St Ynhh (children's) West Pavilion 2nd Floor New Haven CT 06510-3220 |
| Mailing Address |
Po Box 9805 300 George Street 6th Floor New Haven CT 06536-0805 |
| Practice Telephone | 2037854081 |
| Practice Fax Number | 2037372786 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2008-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
024404 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001244045 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952475139 | John Christopher Fahey | Psychologist | 250 Pond St, Braintree, MA 02184-5351 | 2006-11-20 |
| 1487663811 | John Fahey | Internal Medicine | 13850 W Capitol Dr, Brookfield, WI 53005-2422 | 2006-08-05 |
| 1144287020 | John H Fahey | Preventive Medicine | 2975 N Water St, Decatur, IL 62526-4235 | 2006-04-26 |
| Street Address |
20 YORK ST YNHH (CHILDREN'S) WEST PAVILION 2ND FLOOR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547042 | Kimberly C Irwin | Specialist | 20 York St, New Haven, CT 06510-3220 | 2005-06-09 |
| 1225639644 | Lauren Marie Astorino | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-11-03 |
| 1598365215 | Apphia Rose Harris | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-30 |
| 1861091365 | Melissa Todice | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-26 |
| 1528665213 | Rebecca Dorothy Harrison | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-06 |
| 1467068551 | Marissa Meegan Sanca | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-23 |
| 1093321234 | Oksana Petsukh | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-09-22 |
| 1841806114 | Madiha Shah | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2020-09-21 |
| 1053926303 | Tanyeri Barak | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-09-14 |
| 1548875776 | Lisa Wrubel | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922262799 | Dina Jane Ferdman | Pediatrics | 333 Cedar St. LLCi 301, New Haven, CT 06510 | 2008-07-10 |
| 1417936022 | William Eugene Hellenbrand | Pediatrics | 1 Park St., New Haven, CT 06520 | 2006-01-12 |
| 1578973459 | Meredith Rose Pesce | Pediatrics | 1 Park Street, Yale New Haven Children's Hospital West Pavilion 2nd Fl, New Haven, CT 06504-8901 | 2014-05-01 |
| 1821438326 | Aziez Ahmed | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2013-06-28 |
| 1861747081 | Jeremy Mark Steele | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2012-07-14 |
| 1235497421 | Erin Faherty | Pediatrics | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-04-25 |
| 1871883942 | Mollie Abigail Simmons | Pediatrics | 20 York St, New Haven, CT 06510 | 2011-04-11 |
| 1851552467 | Constance Gesina Weismann | Pediatrics | 333 Cedar St, Department of Pediatrics, Yale School of Medicine, New Haven, CT 06510-8064 | 2008-06-17 |
| 1346432820 | Eugene Kevin Hall | Pediatrics | 333 Cedar St., Pediatric Cardiology, #208064, New Haven, CT 06510 | 2007-08-17 |
| 1124003975 | Martina Brueckner | Pediatrics | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2005-12-14 |
| Find all providers in NEW HAVEN | ||||
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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.