DR. REBECCA MARIN SCANDRETT (NPI# 1972720522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972720522 |
| Entity Type | Individual |
| Full Name | DR. REBECCA MARIN SCANDRETT |
| Credential | M.D. |
| Practice Address |
1320 W Main St Waterbury CT 06708-3119 |
| Practice Telephone | 2037097300 |
| Mailing Telephone | 2037097300 |
| Mailing Fax Number | 2037094501 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
041679 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
041679 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1972720522 | 05 | |
| CT | USA MANAGED CARE | 1200999 | 01 |
| CT | AETNA | 7683929 | 01 |
| CT | CIGNA | 0900735 | 01 |
| CT | ANTHEM BCBS | 1972720522 | 01 |
| Street Address |
1320 W MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291829 | Kaitland Ard | Physician Assistant | 1320 W Main St, Waterbury, CT 06708-3119 | 2019-12-04 |
| 1437790151 | Villacis Eyecare LLC | Optometrist | 1320 W Main St, Waterbury, CT 06708-3119 | 2019-10-03 |
| 1336796655 | Jennifer Paige Howell | Nurse Practitioner | 1320 W Main St, Waterbury, CT 06708-3119 | 2019-08-21 |
| 1942721733 | New Insight Family Eye Care | Optometrist | 1320 W Main St, Waterbury, CT 06708-3119 | 2017-06-30 |
| 1700329430 | Douglas Brylle | Emergency Medical Technician, Basic | 1320 W Main St, Waterbury, CT 06708-3119 | 2016-11-29 |
| 1609248061 | Sara Steinagel | Occupational Therapist | 1320 W Main St, Waterbury, CT 06708-3119 | 2015-10-26 |
| 1386985901 | Kristen T Deely | Occupational Therapist | 1320 W Main St, Waterbury, CT 06708-3119 | 2013-03-06 |
| 1477832806 | Salman Khalid | Internal Medicine | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-08-16 |
| 1316241466 | New Insight Family Eyecare | Optometrist | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-01-04 |
| 1467755900 | Pain & Spine Specialists of Connecticut, LLC | Specialist | 1320 W Main St, Bldg 2, Waterbury, CT 06708-3119 | 2010-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477832806 | Salman Khalid | Internal Medicine | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619178258 | Dragos Victor Balf | Internal Medicine | 1450 Chapel St Yale New Haven Hospital, New Haven, CT 06511 | 2007-05-30 |
| 1497818462 | Kenneth S Spector | Internal Medicine | 130 Division Street, Derby, CT 06418 | 2006-12-19 |
| 1316408545 | Cct Care of Ct, LLC | Internal Medicine | 2389 Main St, Glastonbury, CT 06033-4617 | 2019-03-29 |
| 1962763722 | Cardiology Physicians of Fairfield County LLC | Internal Medicine | 1177 Summer St, Stamford, CT 06905-5572 | 2012-06-07 |
| 1174813208 | Chirag A. Shah | Internal Medicine | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2011-04-11 |
| 1679734800 | Arzhang Fallahi | Internal Medicine | 29 Hospital Plz, Suite 502, Stamford, CT 06902-3602 | 2008-06-20 |
| 1942407853 | Talhat Azemi | Internal Medicine | 85 Seymour St, 821, Hartford, CT 06106-5527 | 2007-07-03 |
| 1629270616 | Robert Ramak Attaran | Internal Medicine | 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 | 2007-06-03 |
| 1437293453 | Michael Chrissoheris | Internal Medicine | 1450 Chapel St, Hsr Section of Cardiology Private 207, New Haven, CT 06511-4405 | 2007-02-16 |
| 1962558890 | Andrew Rashkow Md PC | Internal Medicine | 150 Main St, Ansonia, CT 06401-1854 | 2007-01-25 |
| 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.