MRS. AMANDA MARIA DELCAVO (NPI# 1144505538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144505538 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA MARIA DELCAVO |
| Credential | PA-C |
| Practice Address |
50 Franklin Street Waterbury CT 06706 |
| Practice Telephone | 2037096000 |
| Mailing Telephone | 2037096000 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2018-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002616 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008036975 | 05 | |
| CT | USA | 1158906 | 01 |
| CT | RR MEDICARE | P01268782 | 01 |
| CT | OXFORD | P4447933 | 01 |
| CT | CONNECTICARE | 26160 | 01 |
| CT | WELLCARE | 642587 | 01 |
| CT | AETNA | 9840786 | 01 |
| Street Address |
50 FRANKLIN STREET |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| 1962881896 | Daniyal Ahmed Ansari | Internal Medicine | 56 Franklin Street, Saint Mary's Hospital, Waterbury, CT 06706 | 2015-05-26 |
| Find all providers in zip 06706 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479201 | Caroline Mroz | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2019-10-22 |
| 1720457831 | Kristin Zaksewicz | Physician Assistant | 64 Robbins St, Waterbury, CT 06708-2613 | 2015-09-18 |
| 1316340797 | Christina Gugliotti | Physician Assistant | 500 Chase Pkwy, Suite 2b, Waterbury, CT 06708-3346 | 2014-09-30 |
| 1174967186 | Laura Kissane | Physician Assistant | 64 Robbins St, Waterbury, CT 06708-2613 | 2013-04-21 |
| 1417296518 | Ashley Lauren Hill | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2013-02-08 |
| 1790055168 | Philip K Nelson | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2012-01-03 |
| 1518277920 | Stephanie E Beierle | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2010-10-19 |
| 1386975571 | Nicholas Bonomo | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2010-01-27 |
| 1407184138 | Michael C Turk | Physician Assistant | 64 Robbins St, Waterbury, CT 06708-2613 | 2009-11-18 |
| 1326286055 | Suehadee Jimenez | Physician Assistant | 500 Chase Pkwy, Suite 2a, Waterbury, CT 06708-3346 | 2009-02-03 |
| Find all providers in WATERBURY | ||||
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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.