MS. CAROLINE F KANE-CIVITANO (NPI# 1952534612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952534612 |
| Entity Type | Individual |
| Full Name | MS. CAROLINE F KANE-CIVITANO |
| Credential | PA-C |
| Practice Address |
105 Newtown Rd Suite 1a Danbury CT 06810-4194 |
| Practice Telephone | 2037904511 |
| Mailing Telephone | 2037904511 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2015-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001106 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
010710 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 010710 | 01 |
| NY | DEA | MS0551641 | 01 |
| CT | CT LICENSE | 001106 | 01 |
| Street Address |
105 NEWTOWN RD SUITE 1A |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639163439 | Allen Davis | Internal Medicine | 105 Newtown Rd, Suite 1a, Danbury, CT 06810-4114 | 2005-09-07 |
| 1689010522 | Elizabeth Connor | Nurse Practitioner | 105 Newtown Rd, Suite 1a, Danbury, CT 06810-4194 | 2013-05-20 |
| 1962716977 | Bogdan V. Simionescu | Dentist | 105 Newtown Rd, Suite 4, Danbury, CT 06810-4194 | 2010-08-02 |
| 1194917427 | Western Connecticut Primary Care P.C. | Internal Medicine | 105 Newtown Rd, Suite 1a, Danbury, CT 06810-4114 | 2007-08-10 |
| 1538208053 | Evelyn B. Kirner | Physical Therapist | 105 Newtown Rd, Suite B, Danbury, CT 06810-4114 | 2007-02-05 |
| 1538172861 | Mitchell Prywes | Physical Medicine & Rehabilitation | 105 Newtown Rd, Danbury, CT 06810 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051920 | Cynthia G Moreno | Physician Assistant | 76 Newtown Rd Ste C, Danbury, CT 06810-6265 | 2020-10-25 |
| 1699383612 | Corinne Niekrewicz | Physician Assistant | 111 Osborne St Ste 121, Danbury, CT 06810-6019 | 2020-07-15 |
| 1407360159 | Bianca Patel | Physician Assistant | 111 Osborne St., Danbury, CT 06810-4487 | 2017-11-16 |
| 1801245006 | Monique Asante | Physician Assistant | 76 Newtown Rd, Danbury, CT 06810-6265 | 2016-06-08 |
| 1841663150 | Jennifer Marie Jones | Physician Assistant | 157 Shelter Rock Rd, Unit 20, Danbury, CT 06810-7051 | 2015-11-09 |
| 1699820787 | Jens Erik Haerter | Physician Assistant | 57 North Street, Danbury Community Health Center, Danbury, CT 06810 | 2007-01-25 |
| 1104994516 | Dianna M Piazza | Physician Assistant | 109 Newtown Road, Danbury, CT 06810 | 2006-12-01 |
| 1396793857 | John F Baitinger | Physician Assistant | 33 Hospital Avenue, Danbury, CT 06810 | 2006-05-05 |
| 1467061648 | Alexander John Keklik | Physician Assistant | 1 Padanaram Rd, Danbury, CT 06811-4836 | 2020-07-23 |
| 1568002012 | Emma G Hanrahan | Physician Assistant | 41 Germantown Rd, Danbury, CT 06810-4087 | 2020-01-13 |
| Find all providers in DANBURY | ||||
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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.