DR. LEONEL A RODRIGUEZ (NPI# 1063493914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063493914 |
Entity Type | Individual |
Full Name | DR. LEONEL A RODRIGUEZ |
Credential | MD |
Practice Address |
1 Park St New Haven CT 06504-8901 |
Mailing Address |
333 Cedar St Lmp# 4093 New Haven CT 06510-3206 |
Practice Telephone | 2037854649 |
Practice Fax Number | 2037371384 |
Mailing Telephone | 2037854649 |
Mailing Fax Number | 2037371384 |
Enumeration Date | 2005-11-08 |
Last Update Date | 2019-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 64286 | CT | Allopathic & Osteopathic Physicians |
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
64286 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | TUFTS HEALTH PLAN | 468756 | 01 |
MA | BCBS MA | J27116 | 01 |
MA | 2029791 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
300 Longwood Ave, Gastroenterology, Boston, MA 021155724 | 6173556055 | 6177300043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912098872 | Leonel L Rodriguez | Family Medicine | 205 N 1st St Ste C, Blythe, CA 92225-1777 | 2006-09-27 |
1790301372 | Leonel Rodriguez | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-06-19 |
Street Address |
1 PARK ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06504-8901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316564347 | Danielle Hegarty | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2020-06-25 |
1902436678 | Katherine Farnsworth | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2020-01-22 |
1043863608 | Jennifer Grise | Registered Nurse | 1 Park St, New Haven, CT 06504-8901 | 2019-07-22 |
1023574845 | Sleepy Smiles Ct LLC | Dentist | 1 Park St, New Haven, CT 06504-8901 | 2019-02-17 |
1871069559 | Stephanie Fiorentino | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2018-10-19 |
1780112292 | Paul Andrew Wontroski | Student in an Organized Health Care Education/Training Program | 1 Park St, New Haven, CT 06504-8901 | 2017-05-28 |
1770945677 | Avital Brena Ludomirsky | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2016-03-22 |
1003295023 | Danice Kuruvilla | Pediatrics | 1 Park St, New Haven, CT 06504 | 2015-05-22 |
1326432469 | Katherine Allen Nash | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2015-03-26 |
1851792170 | Sherin T. Panacherry | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2014-09-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962872523 | Diana G Poulsen | Physician Assistant | Yale New Haven Pediatric Ed, 1 Park St, New Haven, CT 06504 | 2015-09-25 |
1679715395 | Rhonda Leigh Sawyer | Physician Assistant | 840 Howard Avenue, New Haven, CT 06504 | 2009-03-26 |
1205086915 | Christiane Brigitte Sabourin | Nurse Practitioner | 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-09-30 |
1821135187 | Jorge E Dotto | Pathology | Yale New Haven Hosp - Pathology, 20 York Street, Cp2-631, New Haven, CT 06504 | 2007-01-30 |
1528155009 | John K Hickey | Physician Assistant | 20 York St - Cb2041, Mill Hill Medical Conslutants, Inc, New Haven, CT 06504 | 2006-10-06 |
1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
1790729507 | Cynthia Anne Nielsen | Social Worker | 20 York St., Yale-new Haven Hospital, New Haven, CT 06504 | 2006-06-15 |
1023051901 | Michele N. Nyman Harris | Social Worker | Yale-new Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-06-14 |
1386627503 | Kerstin Elizabeth Calia | Internal Medicine | 20 York St Cb-2041, New Haven, CT 06504 | 2005-11-22 |
1598761546 | Edward Francois | Internal Medicine | 20 York Street Cb 2041, New Haven, CT 06504 | 2005-06-23 |
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Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588070304 | Pamela Valentino | Pediatrics | 333 Cedar St, Lmp 4093a, New Haven, CT 06510-3206 | 2014-07-02 |
1366715351 | Arik Alper | Pediatrics | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-02-22 |
1215231238 | Alexander Koral | Pediatrics | 330 Cedar St, Lmp 4093, New Haven, CT 06510-3218 | 2011-01-05 |
1417107285 | Ricardo Arturo Arbizu Alvarez | Pediatrics | 333 Cedar Street, Lmp 4093, New Haven, CT 06510-3206 | 2008-09-29 |
1376583591 | Richard Allen Rosencrantz | Pediatrics | 20 York St, New Haven, CT 06504-8900 | 2006-06-07 |
1376502492 | Udeme D Ekong | Pediatrics | 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2006-03-18 |
1568445104 | Dinesh Pashankar | Pediatrics | 20 York St, Ynhh West Pavilion - 2nd Floor, New Haven, CT 06510-3220 | 2005-11-29 |
1215918123 | Rima L Fawaz | Pediatrics | 800 Howard Ave, New Haven, CT 06519-1369 | 2005-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669451530 | Sandra I Escalera | Pediatrics | 116 Washington Ave, 2nd Floor, North Haven, CT 06473-1721 | 2006-01-10 |
1215925037 | Jeffrey S Hyams | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2005-10-06 |
1487945051 | Victoria Matilda Grossi | Pediatrics | 282 Washington St, Medical Education, 4 H, Hartford, CT 06106-3322 | 2011-04-29 |
1699096065 | Melissa Fernandes | Pediatrics | 282 Washington St, Hartford, CT 06106 | 2010-06-19 |
1396066031 | Katherine Rudich Baldwin | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2010-06-17 |
1376869537 | Jasmeet Singh Mokha | Pediatrics | 282 Washington St, Suite 2k, Hartford, CT 06106-3322 | 2010-04-13 |
1891018743 | Zev Hillel Davidovics | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2010-03-07 |
1104068022 | Danya J Rosen | Pediatrics | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2009-03-25 |
1407040900 | Franziska Mohr | Pediatrics | 282 Washington St, Connecticut Children's Medical Center, Hartford, CT 06106-3322 | 2007-08-29 |
1750339545 | Karan Mcbride Emerick | Pediatrics | 282 Washington St, Hartford, CT 06106 | 2006-05-04 |
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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.