DR. TERRY MYRON HORBAL (NPI# 1962646067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962646067 |
Entity Type | Individual |
Full Name | DR. TERRY MYRON HORBAL |
Credential | M.D. |
Practice Address |
555 Bridgeport Ave Fl 2 Shelton CT 06484-4749 |
Mailing Address |
69 Philip Dr Shelton CT 06484-5132 |
Practice Telephone | 2039139193 |
Mailing Telephone | 2039139193 |
Enumeration Date | 2009-04-21 |
Last Update Date | 2013-08-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 033304 | CT | Allopathic & Osteopathic Physicians |
Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
CT033304 | CT | Allopathic & Osteopathic Physicians |
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
CT033304 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | NA | 1234567789 | 01 |
Street Address |
555 BRIDGEPORT AVE FL 2 |
City | SHELTON |
State | CT |
Zip Code | 06484-4749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
Find all providers in zip 06484 |
Taxonomy Code | 207LA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Addiction Medicine |
An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962736611 | David L Simon | Anesthesiology | 2 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1682 | 2009-09-29 |
1245859958 | Telebup, LLC | Anesthesiology | 2 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1682 | 2020-04-13 |
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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.