DR. LISA VANDERBILT KNOPF (NPI# 1073806345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073806345 |
| Entity Type | Individual |
| Full Name | DR. LISA VANDERBILT KNOPF |
| Credential | M.D. |
| Practice Address |
80 Seymour Street Hartford Hospital Neurology Dept Hartford CT 06102-5037 |
| Practice Telephone | 8609729047 |
| Mailing Telephone | 8609723621 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 248798 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
064180 | CT | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD15892 | RI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 85 Seymour Street, Hartford Hospital Neurology Dept, Hartford, CT 061065501 | 8609723621 |
| Street Address |
80 SEYMOUR STREET HARTFORD HOSPITAL NEUROLOGY DEPT |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323426 | Rohini Ruth Becherl | Family Medicine | 80 Seymour Street, Hartford Hospital Geriatrics Program, Hartford, CT 06102-5037 | 2005-06-01 |
| 1588283584 | Dana Wells Mcpherson | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2020-04-10 |
| 1619523388 | Thomas John Basil | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-08-17 |
| 1275188161 | Sara E Hughes | Nurse Practitioner | 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 | 2019-08-07 |
| 1790339166 | Jared C Walsh | Physician Assistant | 80 Seymour Street, Cvo Provider Enrollment, Hartford, CT 06102-8000 | 2019-07-24 |
| 1740848803 | Tara J Dempsey | Physician Assistant | 80 Seymour Street, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 | 2019-06-04 |
| 1790349488 | Mark J Sorel | Physician Assistant | 80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, CT 06102-8000 | 2019-04-28 |
| 1528521408 | Kelly Nguyen | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-04-09 |
| 1821558461 | Alysse K Pazienza | Physician Assistant | 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 | 2019-03-20 |
| 1760956569 | Kathryn Vignati | Physician Assistant | 80 Seymour Street, Department of Surgery, Hartford, CT 06102-5037 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1942734058 | Giorgi Kveladze | Internal Medicine | 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 | 2017-04-14 |
| 1902352248 | Safina Hafeez | Student in an Organized Health Care Education/Training Program | 80 Seymour Street Hartford Hospital, 3rd Floor Pathology, Hartford, CT 06102 | 2016-08-28 |
| 1154774990 | Neelam Khetpal | Internal Medicine | 80 Seymour St Bldg 502, Hartford, CT 06102 | 2016-07-17 |
| 1588073613 | Gene Pershwitz | Internal Medicine | 80 Seymour St Dept Jb704, Hartford, CT 06102 | 2014-08-02 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1548271141 | Pasquale F Finelli | Psychiatry & Neurology | 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 | 2006-08-10 |
| 1265474340 | Gary Francis Nobert | Obstetrics & Gynecology | Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 | 2006-06-12 |
| Find all providers in zip 06102 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
| 1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1851734917 | Yu Kan Au | Psychiatry & Neurology | 85 Seymour Street, Suite 815, Hartford Hospital Neurology Dept, Hartford, CT 06106-5501 | 2013-04-09 |
| 1902088446 | Carol Ruth Honeychurch | Psychiatry & Neurology | 309 Wawarme Ave, Hartford, CT 06114-1509 | 2007-11-27 |
| 1194927905 | Arjuna Prasad Mannam | Psychiatry & Neurology | 1000 Asylum Ave Ste 4320, Saint Francis Medical Group,inc., Hartford, CT 06105-1704 | 2007-06-04 |
| 1922134634 | Phyllis Golda Grable-esposito | Psychiatry & Neurology | 85 Seymour St Ste 800, Hartford, CT 06106-5527 | 2007-02-26 |
| 1548271141 | Pasquale F Finelli | Psychiatry & Neurology | 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 | 2006-08-10 |
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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.