ETHAN SAUL WEINER (NPI# 1851617419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851617419 |
| Entity Type | Individual |
| Full Name | ETHAN SAUL WEINER |
| Credential | M.D. |
| Practice Address |
20 Chapman Dr East Lyme CT 06333-1001 |
| Practice Telephone | 8606911661 |
| Practice Fax Number | 8607606216 |
| Mailing Telephone | 8606911661 |
| Mailing Fax Number | 8607606216 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
025506 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
20 CHAPMAN DR |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575541 | Alaina Anne King | Counselor | 315 Flanders Rd Ste A, East Lyme, CT 06333 | 2018-04-17 |
| 1477861391 | Hong Qi | Acupuncturist | 26 Sandpiper Lane, East Lyme, CT 06333 | 2010-09-14 |
| 1124164777 | Maureen Lynn Spitzer | Psychiatry & Neurology | 15 Chesterfield Road, Suite 212, East Lyme, CT 06333 | 2007-01-30 |
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1164534384 | Kim Shepardson Watson | Social Worker | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-01 |
| 1033125323 | James Anthony Dyer | Dentist | 131 Boston Post Road, East Lyme, CT 06333 | 2006-07-31 |
| 1467484337 | Stop and Shop Supermarket Co LLC | Pharmacy | 248 Flanders Road, East Lyme, CT 06333 | 2006-07-07 |
| 1902849839 | Carol A Thompson | Marriage & Family Therapist | 29 Chesterfield Road, East Lyme, CT 06333 | 2006-06-14 |
| 1629452156 | Amie Frederick | Physician Assistant | 305 Flanders Rd, East Lyme, CT 06333 | 2015-07-15 |
| Find all providers in zip 06333 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706734 | Optimal Health Management, LLC | Internal Medicine | 30 Plum Hill Road, East Lyme, CT 06333-1466 | 2016-08-28 |
| 1790902245 | Dr. Robert E. Levin | Internal Medicine | 131 Boston Post Rd, Suite 5, East Lyme, CT 06333 | 2007-04-19 |
| 1568457166 | Robert E Levin | Internal Medicine | 131 Boston Post Rd, Suite 5, East Lyme, CT 06333-1605 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497270847 | Rheumatology Specialists of Connecticut, Inc. | Internal Medicine | 399 Farmington Ave Ste Ll2, Farmington, CT 06032-1936 | 2017-08-07 |
| 1861870651 | Anita Christina Chandrasekaran | Internal Medicine | 196 Waterford Pkwy S Ste 201b, Waterford, CT 06385-1234 | 2015-05-12 |
| 1659712099 | Lia Sona Jamian | Internal Medicine | 538 Litchfield St Ste 101, Torrington, CT 06790-6669 | 2013-07-15 |
| 1932544749 | John Emil Zawidniak | Internal Medicine | 183 N Mountain Rd Ste 207, New Britain, CT 06053-4325 | 2013-05-07 |
| 1013258664 | New England Rheumatology LLC | Internal Medicine | 12 Case St Ste 212, Norwich, CT 06360-2222 | 2013-03-06 |
| 1790044030 | Steven John Padula | Internal Medicine | 83 Little Fox Ln, Southbury, CT 06488-4637 | 2012-05-07 |
| 1477820637 | Bruce Henry Littman | Internal Medicine | 28 Prentice Williams Rd, Stonington, CT 06378-1937 | 2011-11-16 |
| 1083907919 | Victor Martin, Md LLC | Internal Medicine | 16 Dales Dr, Woodbridge, CT 06525-2014 | 2011-05-25 |
| 1962791384 | Kofi Agyare Mensah | Internal Medicine | 330 Orchard St Ste 300, New Haven, CT 06511 | 2011-04-06 |
| 1811201494 | Oana Elena Zaha | Internal Medicine | 6 Devine St Fl 2, North Haven, CT 06473-2195 | 2010-08-05 |
| Find all providers with the same taxonomy | ||||
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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.