MARTINA BRUECKNER (NPI# 1124003975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124003975 |
| Entity Type | Individual |
| Full Name | MARTINA BRUECKNER |
| Other Name | TINA BRUECKNER |
| Credential | MD |
| Practice Address |
800 Howard Avenue Yale Physicians Building New Haven CT 06519 |
| Mailing Address |
Po Box 9805 300 George Street 6th Floor New Haven CT 06536-0805 |
| Practice Telephone | 2037852140 |
| Practice Fax Number | 2037856414 |
| Mailing Telephone | 2037856610 |
| Mailing Fax Number | 2037856414 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2010-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
029088 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001290882 | 05 |
| Street Address |
800 HOWARD AVENUE YALE PHYSICIANS BUILDING |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450641 | Michael S Remetz | Internal Medicine | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2005-10-12 |
| 1841832391 | Alix Rebecca Wilder | Registered Nurse | 800 Howard Avenue, New Haven, CT 06519 | 2019-10-16 |
| 1174052682 | Logan Petit | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Ybp 133, New Haven, CT 06520 | 2017-06-08 |
| 1295266112 | Matthew Pichert | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Yale Physicians Building 2nd Floor, New Haven, CT 06511 | 2017-03-22 |
| 1598799157 | Robert M. Milstein | Psychiatry & Neurology | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2006-07-10 |
| 1295768166 | Elizabeth Wootton | Physician Assistant | 800 Howard Avenue, Yale New Haven Hospital, New Haven, CT 06519 | 2006-07-07 |
| 1801851936 | Kristaps J Keggi | Orthopaedic Surgery | 800 Howard Avenue, New Haven, CT 06520-8071 | 2006-04-20 |
| 1588623938 | Walter S Gilliam | Psychologist | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2006-03-22 |
| 1003885773 | Calin Gorun-gorunescu | Anesthesiology | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2006-03-15 |
| 1205809068 | Albert Carl Weihl II | Emergency Medicine | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2006-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922262799 | Dina Jane Ferdman | Pediatrics | 333 Cedar St. LLCi 301, New Haven, CT 06510 | 2008-07-10 |
| 1417936022 | William Eugene Hellenbrand | Pediatrics | 1 Park St., New Haven, CT 06520 | 2006-01-12 |
| 1578973459 | Meredith Rose Pesce | Pediatrics | 1 Park Street, Yale New Haven Children's Hospital West Pavilion 2nd Fl, New Haven, CT 06504-8901 | 2014-05-01 |
| 1821438326 | Aziez Ahmed | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2013-06-28 |
| 1861747081 | Jeremy Mark Steele | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2012-07-14 |
| 1235497421 | Erin Faherty | Pediatrics | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-04-25 |
| 1871883942 | Mollie Abigail Simmons | Pediatrics | 20 York St, New Haven, CT 06510 | 2011-04-11 |
| 1851552467 | Constance Gesina Weismann | Pediatrics | 333 Cedar St, Department of Pediatrics, Yale School of Medicine, New Haven, CT 06510-8064 | 2008-06-17 |
| 1346432820 | Eugene Kevin Hall | Pediatrics | 333 Cedar St., Pediatric Cardiology, #208064, New Haven, CT 06510 | 2007-08-17 |
| 1386629848 | Alan H Friedman | Pediatrics | 20 York St, Ynhh (children's) West Pavilion 2nd Floor, New Haven, CT 06510-3220 | 2005-12-07 |
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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.