GERALD FISHBONE (NPI# 1932192903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932192903 |
| Entity Type | Individual |
| Full Name | GERALD FISHBONE |
| Credential | MD |
| Practice Address |
15 Knollwood Dr. New Haven CT 06515-4405 |
| Mailing Address |
15 Knollwood Dr New Haven CT 06515-0416 |
| Practice Telephone | 2033876211 |
| Practice Fax Number | 2033876221 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
012522 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001125228 | 05 |
| Street Address |
15 KNOLLWOOD DR. |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
| 1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
| 1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
| 1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
| Find all providers in zip 06515 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
| 1144585613 | Sowmya Mahalingam | Radiology | 333 Cedar St Rm Te2, Ynhh Dept of Radiology, New Haven, CT 06510 | 2012-07-10 |
| 1841553047 | Christopher Phillip Gange Jr. | Radiology | 20 York St # Te2, New Haven, CT 06510 | 2012-06-21 |
| 1427333244 | Alexander Goehler | Radiology | 333 Cedar Steet, Yale New Haven Hospital, New Haven, CT 06520 | 2011-10-12 |
| 1083901516 | Hannah Nikkole Russell | Radiology | 333 Cedar St Rm Cb-30, Yusm - Radiology, New Haven, CT 06510-3206 | 2011-07-05 |
| 1366758211 | Krithica Kaliannan | Radiology | 333 Cedar Street-te2-224, Ynnh-department of Radiology, New Haven, CT 06520-8042 | 2010-08-28 |
| 1871817973 | Michael Spektor | Radiology | 20 York St # Sp-2, Dpt. of Diagnostic Radiology Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2010-03-17 |
| 1841529575 | Maison Chen | Radiology | 333 Cedar St, Te2, Yale Dx Radiology, New Haven, CT 06520 | 2009-12-08 |
| 1528392321 | Juan Carlos L Perez Lozada | Radiology | 20 York St Spc 2-213, New Haven, CT 06510-3220 | 2009-09-25 |
| 1881859395 | Sophie Chheang | Radiology | 330 Cedar St # Te2, New Haven, CT 06510 | 2008-07-24 |
| 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.