DR. MARC BERTRAND DAVIGNON


Address: 111 Founders Plz, Suite 400, East Hartford, CT 06108-3212
Phone: 8602466589

DR. MARC BERTRAND DAVIGNON (NPI# 1093816118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093816118
Entity Type Individual
Full Name DR. MARC BERTRAND DAVIGNON
Other Name MARC B DAVIGNON
Credential MD
Practice Address 111 Founders Plz
Suite 400
East Hartford
CT 06108-3212
Practice Telephone 8602466589
Practice Fax Number 8605280778
Mailing Telephone 8602466589
Mailing Fax Number 8605280778
Enumeration Date 2006-09-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207U00000X Nuclear Medicine 022073 CT Allopathic & Osteopathic Physicians
X 2085R0202X Radiology
Specialization: Diagnostic Radiology
022073 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 4097392 05

Office Location

Street Address 111 FOUNDERS PLZ
SUITE 400
City EAST HARTFORD
State CT
Zip Code 06108-3212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083612451 Nancy J Weinstein Anesthesiology 111 Founders Plz, #300, East Hartford, CT 06108-3212 2005-07-11
1912290883 Timothy J Herbst Radiology 111 Founders Plz, Suite 400, East Hartford, CT 06108-3212 2011-05-25
1659514628 Barbara Arcarese Pathology 111 Founders Plz, Suite 300, East Hartford, CT 06108-3212 2009-04-07
1164672192 Jocelyn M Depathy Physician Assistant 111 Founders Plz, Ste 400, East Hartford, CT 06108-3212 2008-09-26
1487838991 Donna M Sanchez Nurse Anesthetist, Certified Registered 111 Founders Plz, Suite 300, East Hartford, CT 06108-3212 2007-12-19
1508989435 Mark George Indelicato Anesthesiology 111 Founders Plz, Suite 300, East Hartford, CT 06108-3212 2007-04-07
1730216052 Lucy A Davidson Nurse Anesthetist, Certified Registered 111 Founders Plz, Suite 300 Attn Credentialing, East Hartford, CT 06108-3212 2007-02-27
1609919869 Carol Curland Nurse Anesthetist, Certified Registered 111 Founders Plz, Suite 300, East Hartford, CT 06108-3212 2007-02-15
1700949831 Care Focus, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 111 Founders Plz, Suite 103, East Hartford, CT 06108-3212 2006-12-19
1134203284 Beacon Hospice, LLC Hospice Care, Community Based 111 Founders Plz, Suite 1803, East Hartford, CT 06108-3212 2006-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003437435 Decent Homecare Services LLC Homemaker 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 2020-04-27
1164055810 First Choice Health Center Inc Durable Medical Equipment & Medical Supplies 110 Connecticut Blbd, East Hartford, CT 06108 2020-02-20
1457848731 Heavenly Care LLC Home Health 35 Greene Terrace, East Hartford, CT 06108 2018-04-22
1750894275 Thamara Vanessa Jonathas Nurse Practitioner 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 2017-11-06
1851802474 Empathic Care Counseling LLC Counselor 357 East Center Street, Manchester, CT 06108 2017-10-23
1235654427 Kacey Megquier Specialist/Technologist 132 Arbutus Street, East Hartford, CT 06108 2017-08-08
1225559826 First Choice Health Centers, Inc. Clinic/Center 809 Main Street, East Hartford, CT 06108 2017-07-05
1205361599 Freda Osei-parker Pharmacist 16a Saint Regis Street, East Hartford, CT 06108 2017-04-25
1831648740 Marcia Loving Care Home Care Agency Home Health 23 Bidwell Street, East Hartford, CT 06108 2016-10-04
1770932642 First Choice Health Centers, Inc. Clinic/Center 92 Connecticut Boulevard, East Hartford, CT 06108 2016-06-10
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Taxonomy Information

Taxonomy Code 207U00000X
Grouping Allopathic & Osteopathic Physicians
Classification Nuclear Medicine

Taxonomy Definition

A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered.
- American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942530977 Iftikhar Ali Nuclear Medicine 60 Watson Blvd, Stratford, CT 06615-7171 2010-01-14
1518158419 Jefferson Radiology, PC Nuclear Medicine 23b Arts Center Ct, Avon, CT 06001 2007-08-06
1609959659 Asha Satpaul Garg Nuclear Medicine 525 Russell Road, Human Resources Cedarcrest Hospital, Newington, CT 06111 2006-10-23
1578502514 Frank David Rollo Nuclear Medicine 7 Waterside Xing, 3rd Floor Attn: Karen Frisk Contracting, Windsor, CT 06095-1540 2006-06-05
1922338649 Kenneth Richard Kaess Nuclear Medicine 100 Redding Rd, Redding, CT 06896-3236 2009-12-31
1336387463 Ming-kai Chen Nuclear Medicine 20 York St, New Haven, CT 06510-3220 2009-01-27
1952560229 Michal E. Kulon Nuclear Medicine 333 Cedar St, New Haven, CT 06510-3206 2008-06-03
1033377700 Priyanka Deb Nuclear Medicine 789 Howard Ave, Tompkins East Building Room 2-230, New Haven, CT 06519 2008-05-29
1700061686 Devrim Ersahin Nuclear Medicine 20 York St, New Haven, CT 06510-3220 2008-01-09
1881876936 Yamil David Fourzali Sabbag Nuclear Medicine 1450 Chapel St, New Haven, CT 06511-4405 2007-11-30
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City EAST HARTFORD
Zip Code 06108

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Dataset Information

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.

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