ENFIELD DERMATOLOGY LLC (NPI# 1073705232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073705232 |
| Entity Type | Organization |
| Organization Name | ENFIELD DERMATOLOGY LLC |
| Practice Address |
146 Hazard Ave Suite 101 Enfield CT 06082-4571 |
| Practice Telephone | 8607497437 |
| Practice Fax Number | 8607490493 |
| Mailing Telephone | 8607497437 |
| Mailing Fax Number | 8607490493 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | MRS. ELIZABETH A SHEEHAN (OFFICE MANGER) |
| Authorized Official Telephone | 8607497437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
038326 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
146 HAZARD AVE SUITE 101 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824788 | Edward J. White | Surgery | 146 Hazard Ave, Suite 101-b, Enfield, CT 06082-4571 | 2005-07-08 |
| 1508265646 | Michael P Bernstein Md LLC | Audiologist | 146 Hazard Ave, Suite 204, Enfield, CT 06082-4571 | 2014-08-14 |
| 1801143870 | Brian David Knox | Audiologist | 146 Hazard Ave, Suite 204, Enfield, CT 06082-4571 | 2012-08-09 |
| 1134413826 | Michael P. Bernstein, Md | Hearing Aid Equipment | 146 Hazard Ave, Suite 204, Enfield, CT 06082-4571 | 2011-05-31 |
| 1336456821 | Lawrence Glaubiger M D LLC | Internal Medicine | 146 Hazard Ave, #203, Enfield, CT 06082-4571 | 2010-09-07 |
| 1518294461 | Northern Connecticut Eye Associates, LLC | Optometrist | 146 Hazard Ave, Suite 106, Enfield, CT 06082-4571 | 2009-11-13 |
| 1851547715 | Dushyant Parikh | Internal Medicine | 146 Hazard Ave, Suite 105, Enfield, CT 06082-4571 | 2008-08-12 |
| 1740332162 | Orthopaedic Associates of Northern Connecticut, P.C. | Orthopaedic Surgery | 146 Hazard Ave, Suite 201, Enfield, CT 06082-4571 | 2007-01-17 |
| 1023033008 | Dushyant Parikh | Internal Medicine | 146 Hazard Ave, Suite 105, Enfield, CT 06082-4571 | 2006-07-12 |
| 1366486607 | Sebastian Parisutham George | Internal Medicine | 146 Hazard Ave, Suite 101-a, Enfield, CT 06082-4571 | 2006-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053787564 | Mhs Primary Care Inc. | Dermatology | 540 Saybrook Rd Ste 100, Middletown, CT 06457-4760 | 2015-08-19 |
| 1407845332 | Michelle S Malane | Dermatology | 1781 Highland Ave, Cheshire, CT 06410-1254 | 2005-10-13 |
| 1235505710 | Mhs Primary Care Inc. | Dermatology | 1353 Boston Post Rd, Madison, CT 06443-3445 | 2015-08-19 |
| 1336532647 | Robert J Patrignelli Md PC | Dermatology | 17 Church Hill Rd, Trumbull, CT 06611-3116 | 2015-03-11 |
| 1689857674 | Theresa Huszar Md PC | Dermatology | 140 Clark St, Milford, CT 06460-3221 | 2007-12-12 |
| 1356541668 | Robert J Patrignelli M D LLC | Dermatology | 17 Church Hill Rd, Trumbull, CT 06611-3116 | 2007-07-24 |
| 1710187505 | John W. Edelglass M.d., P.C. | Dermatology | 1 Bradley Rd, Suite 705, Woodbridge, CT 06525-2285 | 2007-07-20 |
| 1497872659 | Mitchell J. Ross | Dermatology | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | 2007-03-23 |
| 1710017181 | Robert C Langdon | Dermatology | 5 Durham Road, Guilford, CT 06437 | 2007-03-06 |
| 1467588343 | Hartford Dermatology Associates PC | Dermatology | 65 Memorial Rd, Suite 450, West Hartford, CT 06107-2434 | 2007-02-26 |
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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.