DR. GRIGORIY VITALYEVICH KLIMOVICH (NPI# 1932545399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932545399 |
| Entity Type | Individual |
| Full Name | DR. GRIGORIY VITALYEVICH KLIMOVICH |
| Credential | M.D. |
| Practice Address |
40 Temple St Ste 7b New Haven CT 06510 |
| Mailing Address |
40 Temple St Ste 7b New Haven CT 06510-2715 |
| Practice Telephone | 2037856060 |
| Mailing Telephone | 8644158136 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 60191 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT MEDICAL LICENSE | 60191 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 Nw 12th Ave, East Tower, Suite 2169, Miami, FL 331361005 | 8644158136 |
| Street Address |
40 TEMPLE ST STE 7B |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780950162 | Danielle T Friedman | Surgery | 40 Temple St Ste 7b, New Haven, CT 06510 | 2012-03-29 |
| 1124535372 | Ethan Balk | Dietitian, Registered | 40 Temple St Ste 7b, New Haven, CT 06510-2715 | 2018-01-09 |
| 1790198554 | Randal Zhou | Surgery | 40 Temple St Ste 7b, New Haven, CT 06510-2715 | 2014-06-09 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1538406905 | Lucas Nathaniel Watkins | Surgery | 330 Cedar St # 130, New Haven, CT 06510-3218 | 2013-01-05 |
| 1780950162 | Danielle T Friedman | Surgery | 40 Temple St Ste 7b, New Haven, CT 06510 | 2012-03-29 |
| 1770717753 | Vikram B Reddy | Surgery | 333 Cedar St # Lh118, Yale University School of Medicine, New Haven, CT 06510-3206 | 2009-05-06 |
| 1275714008 | Robert David Becher | Surgery | 800 Howard Avenue, 3rd Floor, New Haven, CT 06510 | 2007-11-20 |
| 1235320474 | Gregory Zanieski | Surgery | Smilow Cancer Hospital At Yale-new Haven, 35 Park Street, 8th Floor Clinic, New Haven, CT 06510 | 2007-08-05 |
| 1972638054 | John Morton | Surgery | 310 Cedar St # 229, New Haven, CT 06510-3218 | 2007-02-22 |
| 1891848396 | Kelly Olino | Surgery | 310 Cedar St Dept Of, New Haven, CT 06510-3218 | 2007-01-19 |
| 1932122389 | Felix Yuehon Lui | Surgery | 800 Howard Ave Fl 3, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2006-07-26 |
| 1043292147 | Adrian Anthony Maung | Surgery | 330 Cedar St # Bb310, Yale University School of Medicine Section of Trauma, New Haven, CT 06510-3218 | 2005-11-16 |
| 1932660578 | Patrick Yunlong Lang | Surgery | 20 York St, New Haven, CT 06510-3220 | 2019-03-27 |
| 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.