DR. KAVEH SHAHMOHAMMADI DAVOUDI (NPI# 1912106501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912106501 |
| Entity Type | Individual |
| Full Name | DR. KAVEH SHAHMOHAMMADI DAVOUDI |
| Credential | MD |
| Practice Address |
33 Church Hill Rd Newtown CT 06470-1637 |
| Practice Telephone | 2032106333 |
| Mailing Telephone | 2034265554 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 043700 | CT | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
043700 | CT | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
043700 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1449 Old Waterbury Rd, Unit 101, Southbury, CT 064883926 | 2032106333 | 2035022615 |
| Street Address |
33 CHURCH HILL RD |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891752515 | Maureen A Engel | Nurse Practitioner | 33 Church Hill Rd, Newtown, CT 06470 | 2006-04-27 |
| 1164022877 | Michael Kolotinsky | Naturopath | 33 Church Hill Rd, Newtown, CT 06470-1637 | 2020-10-30 |
| 1225673544 | Vanessa Rugeles Sepulveda | Naturopath | 33 Church Hill Rd, Newtown, CT 06470-1637 | 2019-11-11 |
| 1497184063 | Nya Ann Rossi | Physician Assistant | 33 Church Hill Rd, Newtown, CT 06470-1612 | 2013-11-05 |
| 1700124435 | Vein & Wellness Institute of New England, Inc. | Radiology | 33 Church Hill Rd, Newtown, CT 06470-1612 | 2013-01-31 |
| 1417243080 | Live Well Chiropractic Care LLC | Chiropractor | 33 Church Hill Rd, Newtown, CT 06470-1612 | 2011-06-22 |
| 1649420621 | Flora Parvin | Internal Medicine | 33 Church Hill Rd, Newtown, CT 06470 | 2008-09-25 |
| 1750401071 | Alireza Afshar | Family Medicine | 33 Church Hill Rd, Newtown, CT 06470 | 2007-03-30 |
| 1861523755 | Jessica Leigh Stellato | Nurse Practitioner | 33 Church Hill Rd, Newtown, CT 06470 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242889 | Sharon Margaret Smith | Health Educator | 33 Church Hill Rd., Newtown, CT 06470 | 2019-12-11 |
| 1053825091 | Athena Newtown Ct LLC | Skilled Nursing Facility | 139 Toddy Road, Newtown, CT 06470 | 2017-11-29 |
| 1104379874 | Stephanie Andrews | Physical Therapist | 3 Simm Ln, Newtown, CT 06470 | 2016-07-29 |
| 1215276928 | Family Health Care Physicians, Inc. | Family Medicine | 33 Chuch Hill Rd, Newtown, CT 06470 | 2013-02-01 |
| 1538439690 | Mark Pirner | Internal Medicine | 1 Stony Brook Rd, Newtown, CT 06470 | 2012-01-06 |
| 1750614699 | Kelly Mcglynn Ferjentsik | Optometrist | 14 Church Hill Road, Suite C 10, Newtown, CT 06470 | 2009-09-10 |
| 1902066921 | Kevin F Braun | Dentist | 56 Church Hill Road, Newtown, CT 06470 | 2008-06-12 |
| 1477737484 | John Hendrian Whitbeck | Physician Assistant | 172 Mt Pleasant Road, Newtown Professional Center, Newtwon, CT 06470 | 2007-12-27 |
| 1225248248 | Jessica Kelly | Occupational Therapist | 139 Toddy Hill Road, Newtown, CT 06470 | 2007-05-22 |
| 1760603831 | Andrea Leigh Schear | Social Worker | Sontasha Yoga 27 Hawleyville Rd., Newtown, CT 06470 | 2007-05-02 |
| Find all providers in zip 06470 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748953 | Usa Vascular Center of Connecticut Pllc | Surgery | 2284 Summer St, Stamford, CT 06905-4503 | 2020-10-23 |
| 1245839869 | Usa Vein Clinics of Connecticut Pllc | Surgery | 2284 Summer St Ste A, Stamford, CT 06905-4503 | 2020-10-23 |
| 1326385428 | Hossein L. Tehrani | Surgery | 49 East Hyerdale Drive, Goshen, CT 06756 | 2013-01-09 |
| 1922368810 | Megan Fritton Shue | Surgery | 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 | 2012-05-24 |
| 1932474053 | John E. Fenn | Surgery | 200 Leeder Hill Drive, #2603, Hamden, CT 06517 | 2012-03-22 |
| 1033366745 | Naiem Nassiri | Surgery | Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 | 2008-08-25 |
| 1407989569 | Christos G. Pappas | Surgery | 372 Danbury Rd Ste 220, Wilton, CT 06897-2523 | 2007-03-14 |
| 1477610913 | Stephen Marc Bauer | Surgery | 455 East Putnam Ave, Old Greenwich, CT 06870 | 2007-01-03 |
| 1114019098 | William Gething Crawford | Surgery | 21 Montauk Ave Ste 303, New London, CT 06320-4906 | 2006-09-29 |
| 1083713416 | Raul J. Guzman | Surgery | 330 Cedar St Bldg 204, New Haven, CT 06510 | 2006-09-22 |
| 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.