John C Mcdonagh (NPI# 1265430193, PAC ID# 3678503794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1265430193 |
| PAC ID by PECOS | 3678503794 |
| Professional Enrollment ID | I20050818000481 |
| Full Name | John C Mcdonagh |
| Organization Legal Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
| Address |
370 Hemingway Ave East Haven CT 06512-3240 |
| Phone Number | 2037777411 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4183511538 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 370 Hemingway Ave, East Haven, CT 06512-3240 | 2037777411 | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
| 374 Grand Ave, New Haven, CT 06513-3733 | 2037777411 | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
| Organization Legal Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher O Phillips | Internal Medicine | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Leif Eric Petterson | Nurse Practitioner | Fair Haven Community Health Clinic Inc | 426 E St, New Haven, CT 06511-5018 |
| Anne W Camp | Internal Medicine | Fair Haven Community Health Clinic Inc | 339 Eastern St, Bldg B, New Haven, CT 06513-2463 |
| Ellen J Wormser | Certified Nurse Midwife (cnm) | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Kyle T Elligers | Family Medicine | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Elizabeth A Magenheimer | Nurse Practitioner | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Damaris Rodriguez | Clinical Social Worker | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Priscilla A Jencks | Certified Nurse Midwife (cnm) | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Oni A Muhammad | Certified Nurse Midwife (cnm) | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Mellisa Pensa | Preventative Medicine | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Street Address |
370 HEMINGWAY AVE |
| City | EAST HAVEN |
| State | CT |
| Zip | 06512-3240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E Seely | Family Medicine | Fair Haven Community Health Clinic Inc | 370 Hemingway Ave, East Haven, CT 06512-3240 |
| Marissa Bayerl | Nurse Practitioner | Fair Haven Community Health Clinic Inc | 370 Hemingway Ave, East Haven, CT 06512-3240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith A Miniaci | Chiropractic | 53 High St, East Haven, CT 06512-2315 | |
| Natalie Elena Frey | Physician Assistant | Internal Medicine of East Haven PC | 339 Hemingway Ave, East Haven, CT 06512-2318 |
| Mark S Kasper | Internal Medicine | Internal Medicine of East Haven PC | 339 Hemingway Ave, East Haven, CT 06512-2318 |
| Michael Franklin Parker | Internal Medicine | Internal Medicine of East Haven PC | 339 Hemingway Ave, East Haven, CT 06512-2318 |
| Louis Ferrigno Iii | Physical Therapy | Therapy Works | 32 Main St, East Haven, CT 06512-2506 |
| Laura J Petrossi | Clinical Social Worker | 30 Main St, East Haven, CT 06512-2506 | |
| Jennifer Brennan | Clinical Social Worker | 30 Main St, Fl 1, East Haven, CT 06512-2506 | |
| Christina Voonasis | Clinical Social Worker | 30 Main St, Fl 1, East Haven, CT 06512-2506 | |
| Philip A Frick | Nurse Practitioner | 30 Main St, East Haven, CT 06512-2506 | |
| Robert Hewitt | Physical Therapy | Therapy Works | 32 Main St, East Haven, CT 06512-2506 |
| Find all physicians in zip 06512 | |||
| City | EAST HAVEN |
| Zip Code | 06512 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | EAST HAVEN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on John C Mcdonagh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.