ST MARY'S HOSPITAL (NPI# 1053578567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053578567 |
Entity Type | Organization |
Organization Name | ST MARY'S HOSPITAL |
Practice Address |
56 Franklin St Waterbury CT 06706-1253 |
Mailing Address |
30 Oxford Rd Hamden CT 06514-1504 |
Practice Telephone | 2037096424 |
Mailing Telephone | 2032885659 |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |
Authorized Official Name | DR. ADIBA ANJUM GEETI (RESIDENT PHYSICIAN) |
Authorized Official Telephone | 2032885659 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | CT | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912368432 | St Mary's Hospital | General Acute Care Hospital | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2016-03-10 |
1245642669 | St Mary's Hospital | Psychiatric Hospital | 350 Main Ave, Passaic, NJ 07055 | 2014-05-21 |
1972872992 | St Mary's Hospital | General Acute Care Hospital | 2233 W Division, Chicago, IL 60622 | 2011-12-20 |
1659546729 | St Mary's Hospital | Emergency Medical Technician, Basic | 350 Boulevard, Passaic, NJ 07055-2840 | 2008-04-29 |
1174662498 | St Mary's Hospital | Skilled Nursing Facility | 2901 216th St, Bayside, NY 11360-2810 | 2007-02-05 |
1114080546 | St Mary's Hospital | Skilled Nursing Facility | 2901 216th St, Bayside, NY 11360-2810 | 2006-12-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ST MARY'S HOSPITAL FOR CHILDREN, INC. | 2901 216th St, Bayside, NY 11360-2810 |
System for Award Management (SAM) Entities | ST MARY'S HOSPITAL MEDICAL CENTER | 700 S Park St, Madison, WI 53715-1849 |
System for Award Management (SAM) Entities | ST MARY'S HOSPITAL OF SUPERIOR | 3500 Tower Ave, Superior, WI 54880-5335 |
Street Address |
56 FRANKLIN ST |
City | WATERBURY |
State | CT |
Zip Code | 06706-1253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114929379 | Scovill Medical Group, PC | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1221 | 2005-06-01 |
1528676459 | Kate Marie Breiner | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-16 |
1417575192 | Muhammad Tasawar Latif | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-09 |
1013534148 | Syed Mustajab Ahmed | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-06 |
1558989681 | Brooj Awan | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-06 |
1699398438 | Michelle Lauren Yeung | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-05-27 |
1841810967 | Diana Shapoval | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-18 |
1235768649 | Sean Michael Burgwardt | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-07 |
1043849326 | Miguel Angel Bravo Jr. | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-07 |
1053948430 | Bhavya Vemuri | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-03-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
1962881896 | Daniyal Ahmed Ansari | Internal Medicine | 56 Franklin Street, Saint Mary's Hospital, Waterbury, CT 06706 | 2015-05-26 |
1164809885 | Vanessa N. Goyes Ruiz | Student in an Organized Health Care Education/Training Program | 56 Franklin Street, Waterbury, CT 06706 | 2015-05-01 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477902641 | Prospect Waterbury, Inc. | General Acute Care Hospital | 64 Robbins St, Waterbury, CT 06708-2613 | 2016-06-08 |
1760426969 | Saint Mary's Hospital, Inc. | General Acute Care Hospital | 56 Franklin St, Waterbury, CT 06706-1221 | 2006-06-16 |
1184615114 | Waterbury Hospital | General Acute Care Hospital | 64 Robbins St, Waterbury, CT 06708-2613 | 2005-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
1164815387 | Montefiore Hospital | General Acute Care Hospital | 15 Berrian Pl, Greenwich, CT 06830-6803 | 2015-03-12 |
1316295462 | Stamford Hospital | General Acute Care Hospital | 3 Cedargate Ln, Westport, CT 06880-3759 | 2012-08-21 |
1861756256 | Day Kimball Hospital | General Acute Care Hospital | 44 Hillcrest Dr, Vernon, CT 06066-4206 | 2012-06-29 |
1174830228 | Saint Raphael Hospital | General Acute Care Hospital | 1450, Chapel Street, Hospital of Saint Raphael, New Haven, CT 06511-2204 | 2010-09-10 |
1538485388 | University of Pittsburgh Medical Center | General Acute Care Hospital | 56 Hillside Pl, Apt 2, New Haven, CT 06511-3575 | 2010-04-19 |
1255586772 | Ynhh | General Acute Care Hospital | 56,hillside Pl., Apt No.2, New Haven, CT 06511 | 2008-11-25 |
1558511626 | Hartford Hospital | General Acute Care Hospital | 350 Russo Dr, Hamden, CT 06518-1757 | 2008-09-25 |
1932369907 | University of Connecticut Health Center | General Acute Care Hospital | 263 Farmington Ave # Mc-1119, Farmington, CT 06030-0001 | 2008-06-13 |
1316125107 | Ruben L Shapiro | General Acute Care Hospital | 15 Turnberry Ln, Bloomfield, CT 06002-2386 | 2008-02-05 |
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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.