MEDICAL CARE CENTER OF CHESHIRE,INC (NPI# 1881793511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881793511 |
| Entity Type | Organization |
| Organization Name | MEDICAL CARE CENTER OF CHESHIRE,INC |
| Practice Address |
430 Highland Ave Cheshire CT 06410-2562 |
| Practice Telephone | 2032713132 |
| Practice Fax Number | 2032713940 |
| Mailing Telephone | 2032713132 |
| Mailing Fax Number | 2032713940 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HUSAM BAHGAT SHITIA (PRESIDENT) |
| Authorized Official Telephone | 2032713132 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
ME72340 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
034996 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | AETNA | 619002 | 01 |
| CT | HEALTHNET | 0V0544 | 01 |
| CT | BLUE CROSS | 010034996CT01 | 01 |
| CT | CONNECTICARE | 718079 | 01 |
| CT | UNITED HEALTH CARE | G29889 | 01 |
| Street Address |
430 HIGHLAND AVE |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053764308 | Khubaib Mansori | Clinic/Center | 430 Highland Ave, Cheshire, CT 06410-2565 | 2016-07-21 |
| 1790154953 | Medical Care Center | General Practice | 430 Highland Ave, Cheshire, CT 06410-2565 | 2015-09-17 |
| 1972604528 | Husam Bahgat Shitia | Internal Medicine | 430 Highland Ave, Cheshire, CT 06410-2562 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1972604528 | Husam Bahgat Shitia | Internal Medicine | 430 Highland Ave, Cheshire, CT 06410-2562 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659637932 | Hikmat H Shaarbaf | Internal Medicine | 100 D North Turnpike Road, Wallingford, CT 06492 | 2012-04-11 |
| 1699713149 | Ramani D Yapa | Internal Medicine | 1100 Dixwell Ave, Hamden, CT 06514-4730 | 2006-06-04 |
| 1366489536 | David Schwindt | Internal Medicine | 23 Clara Drive, Ste 204, Mystic, CT 06355 | 2006-05-31 |
| 1487652665 | David H Witt | Internal Medicine | 5520 Park Ave, Ste 203, Trumbull, CT 06611-3463 | 2005-07-12 |
| 1174711188 | John Farens Md PC | Internal Medicine | 224 Leavenworth Rd, Shelton, CT 06484-1809 | 2007-10-04 |
| 1164545810 | Clinical Center for Neoplastic Diseases, P.C. | Internal Medicine | 158 Main St, Ansonia, CT 06401-1836 | 2007-04-09 |
| 1689733545 | Drs Robbin Cappadona & Associates | Internal Medicine | 720 Hopmeadow St, Simsbury, CT 06070-2224 | 2006-12-07 |
| 1164441101 | David Schwindt LLC | Internal Medicine | 23 Clara Drive, Suite 204, Mystic, CT 06355 | 2006-07-19 |
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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.