MS. SHAHANA LEE THERIAULT (NPI# 1114322153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114322153 |
Entity Type | Individual |
Full Name | MS. SHAHANA LEE THERIAULT |
Credential | PA-C |
Practice Address |
9 Washington Ave Hamden CT 06518-3267 |
Practice Telephone | 2038656784 |
Practice Fax Number | 2038656788 |
Mailing Telephone | 2038656784 |
Mailing Fax Number | 2038656788 |
Enumeration Date | 2014-11-04 |
Last Update Date | 2016-07-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 3231 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 1114322153 | 05 |
Street Address |
9 WASHINGTON AVE |
City | HAMDEN |
State | CT |
Zip Code | 06518-3267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043216575 | Louis Iorio | Orthopaedic Surgery | 9 Washington Ave, Hamden, CT 06518-3267 | 2005-06-21 |
1346621612 | Sandra Byrnes | Nurse Practitioner | 9 Washington Ave, Hamden, CT 06518-3267 | 2015-06-12 |
1598178428 | Connecticut Orthopaedic Specialists, PC | Occupational Therapist | 9 Washington Ave, Hamden, CT 06518-3267 | 2014-06-09 |
1770995698 | Connecticut Orthopaedic Specialists, PC | Internal Medicine | 9 Washington Ave, Hamden, CT 06518-3267 | 2014-05-27 |
1881005692 | Jeeten Singha | Podiatrist | 9 Washington Ave, Hamden, CT 06518 | 2014-05-14 |
1437591971 | Randall L Owen | Physician Assistant | 9 Washington Ave, Hamden, CT 06518-3267 | 2013-07-25 |
1912286295 | Maria Rose Longobardi Hague | Physical Therapist | 9 Washington Ave, Hamden, CT 06518-3267 | 2011-08-04 |
1174842546 | Rachel Boyarsky | Pediatrics | 9 Washington Ave, Hamden, CT 06518-3267 | 2010-05-25 |
1558590349 | Krista Fiorentino Nolan | Physical Therapist | 9 Washington Ave, Hamden, CT 06518-3267 | 2009-07-14 |
1558505628 | Eman Saeed | Physician Assistant | 9 Washington Ave, Hamden, CT 06518-3267 | 2009-04-21 |
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 | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740836766 | Christina Ferneini | Physician Assistant | 10 Breckenridge Ct, Hamden, CT 06514-1529 | 2019-08-15 |
1174008320 | Janelle Grizzle | Physician Assistant | 8102 Town Walk Dr, Hamden, CT 06518-3715 | 2018-10-03 |
1013491349 | Nina Tufaro | Physician Assistant | 925 Mix Ave Apt 1d, Hamden, CT 06514-5151 | 2018-09-22 |
1649655226 | Shahin Shaikh | Physician Assistant | 2 Skiff St Apt 311, Hamden, CT 06514-1822 | 2015-07-24 |
1053689489 | Wanda Bronstein | Physician Assistant | Internal Medicine of Greater New Haven, 1952 Whitney Ave, Hamden, CT 06517 | 2011-12-13 |
1003197039 | Carly Rumanoff | Physician Assistant | 3588 Whitney Ave, Hamden, CT 06518-1920 | 2011-09-04 |
1598904161 | Stephanie Benedict Parrillo | Physician Assistant | 2560 Dixwell Ave Ste 2b, Hamden, CT 06514-1852 | 2009-02-05 |
1285870121 | Jennifer Pielech | Physician Assistant | 9 Washington Ave Ste 3a, Hamden, CT 06518-3267 | 2008-12-24 |
1134304017 | Richard Elliott Chen | Physician Assistant | 27331 Town Walk Dr, Hamden, CT 06518-3777 | 2008-01-09 |
1073580833 | Marcy Ann Carrera | Physician Assistant | 275 Mount Carmel Ave Bldg 4, Hamden, CT 06518-1905 | 2006-03-01 |
Find all providers in HAMDEN |
Please comment or provide details below to improve the information on MS. SHAHANA LEE THERIAULT.
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.