DEPAUL HEALTH SERVICES CORPORATION (NPI# 1093750150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093750150 |
| Entity Type | Organization |
| Organization Name | DEPAUL HEALTH SERVICES CORPORATION |
| Other Organization Name | SAINT RAPHAEL HEALTHCARE SYSTEM HAMDEN SURGERY CENTER, LLC |
| Practice Address |
2080 Whitney Ave Suite 100 Hamden CT 06518-3600 |
| Practice Telephone | 2032882555 |
| Practice Fax Number | 2032888048 |
| Mailing Telephone | 2032882555 |
| Mailing Fax Number | 2032888048 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS DIANA T ELLISON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2032882555 |
| Authorized Official Credential | MBA, CASC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0266 | CT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Saint Raphael Healthcare System Hamden Surgery Center, LLC | Doing Business As Name - Organization |
| Street Address |
2080 WHITNEY AVE SUITE 100 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053303693 | Samuel Leon Bridgers | Psychiatry & Neurology | 2080 Whitney Ave, Suite 280, Hamden, CT 06518-3600 | 2005-08-19 |
| 1013440833 | Neon LLC | Orthopaedic Surgery | 2080 Whitney Ave, Hamden, CT 06518-3600 | 2017-04-08 |
| 1043669526 | Diana Greco | Nurse Practitioner | 2080 Whitney Ave, Suite 250, Hamden, CT 06518-3600 | 2016-06-06 |
| 1558715466 | Patient Choice Medical Care, LLC | Nurse Practitioner | 2080 Whitney Ave, Suite 250, Hamden, CT 06518-3600 | 2016-04-17 |
| 1346664786 | Peter R Rogol Md LLC | Internal Medicine | 2080 Whitney Ave, 210, Hamden, CT 06518-3600 | 2014-02-05 |
| 1134542178 | Brett Gerstenhaber Md LLC | Internal Medicine | 2080 Whitney Ave, Suite 210, Hamden, CT 06518-3600 | 2014-01-28 |
| 1326344151 | Lisa Louise Hoffer | Nurse Practitioner | 2080 Whitney Ave, Mcgivney Cancer Care Center/smilow Cancer Hospital, Hamden, CT 06518-3600 | 2011-01-26 |
| 1558676973 | Samuel L Bridgers Md LLC | Psychiatry & Neurology | 2080 Whitney Ave, Suite 280, Hamden, CT 06518-3600 | 2010-08-10 |
| 1386810992 | John C. Wong | Dentist | 2080 Whitney Ave, Suite 270, Hamden, CT 06518-3600 | 2008-05-03 |
| 1215110325 | Douglas J. Muller | Dentist | 2080 Whitney Ave, Suite 270, Hamden, CT 06518-3600 | 2007-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922576818 | Greater New Haven Asc, LLC | Clinic/Center | 2080 Whitney Ave Ste 100, Hamden, CT 06518-3603 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017648 | Connecticut Orthopaedic Surgery Center, LLC | Clinic/Center | 205 Sub Way Drive, Milford, CT 06461 | 2019-01-22 |
| 1083188478 | Rocky Hill Surgery Center, LLC | Clinic/Center | 1111 Cromwell Ave Ste 100, Rocky Hill, CT 06067-3449 | 2019-01-18 |
| 1396120168 | Stamford Asc LLC | Clinic/Center | 200 First Stamford Pl, Stamford, CT 06902-6753 | 2015-07-22 |
| 1821332370 | River Valley Asc LLC | Clinic/Center | 45 Salem Tpke, Norwich, CT 06360-6533 | 2012-11-22 |
| 1164732426 | Norwalk Surgery Center, LLC | Clinic/Center | 40 Cross St Ste 120, Norwalk, CT 06851-4698 | 2010-10-20 |
| 1326356320 | Orthopaedic & Neurosurgery Center of Greenwich, LLC | Clinic/Center | 55 Holly Hill Lane, Greenwich, CT 06830 | 2010-09-24 |
| 1053628883 | Plastic Surgery of So Ct | Clinic/Center | 208 Post Rd W, Westport, CT 06880-4604 | 2010-08-31 |
| 1932438553 | Middlesex Center for Advanced Orthopedic Surgery, LLC | Clinic/Center | 510 Saybrook Road, Middletown, CT 06457-4711 | 2009-12-10 |
| 1497904296 | International Cosmetic Surgery | Clinic/Center | 2 Mercia Ln, Greenwich, CT 06830-7068 | 2008-09-17 |
| 1174708390 | Orthopaedic Specialty Surgery Center LLC | Clinic/Center | 40 Old Ridgebury Rd Ste 201, Danbury, CT 06810-5119 | 2008-01-07 |
| Find all providers with the same taxonomy | ||||
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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.