SANDEEP KUMAR JOHAR (NPI# 1174615017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174615017 |
| Entity Type | Individual |
| Full Name | SANDEEP KUMAR JOHAR |
| Credential | DO |
| Practice Address |
500 Chase Pkwy Waterbury CT 06708-3346 |
| Practice Telephone | 2037556677 |
| Practice Fax Number | 2037557166 |
| Mailing Telephone | 2037556677 |
| Mailing Fax Number | 2037557166 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 049078 | CT | Allopathic & Osteopathic Physicians |
| N | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
049078 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001421800 | 05 | |
| NY | 02838200 | 05 |
| Street Address |
500 CHASE PKWY |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352870 | Mark Alan Mashia Jr. | Chiropractor | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2005-11-07 |
| 1205479201 | Caroline Mroz | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2019-10-22 |
| 1164810826 | Suzan Shehu | Nurse Practitioner | 500 Chase Pkwy, Suite 201, Waterbury, CT 06708-3346 | 2015-01-05 |
| 1316340797 | Christina Gugliotti | Physician Assistant | 500 Chase Pkwy, Suite 2b, Waterbury, CT 06708-3346 | 2014-09-30 |
| 1790055168 | Philip K Nelson | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2012-01-03 |
| 1568743128 | Neurosurgery Orthopaedics & Spine Specialists, P.C. | Neurological Surgery | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2011-09-08 |
| 1891075164 | Neurosurgery Orthopaedics & Spine Specialists, P.C. | Neurological Surgery | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2011-08-18 |
| 1518277920 | Stephanie E Beierle | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2010-10-19 |
| 1619284528 | Carolyn M. Losure | Dietitian, Registered | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2010-09-13 |
| 1326286055 | Suehadee Jimenez | Physician Assistant | 500 Chase Pkwy, Suite 2a, Waterbury, CT 06708-3346 | 2009-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386173201 | Beaver Pond Brook Emergency Physicians LLC | Emergency Medicine | 3081 E Main St, Waterbury, CT 06705-3424 | 2017-06-05 |
| 1245261551 | David Goldwag | Emergency Medicine | 64 Robbins Street, Waterbury, CT 06708 | 2006-07-05 |
| 1598755753 | Robert E Murray IIi | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2613 | 2005-10-27 |
| 1154951341 | Christina Devi Drelichowski | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2600 | 2020-01-16 |
| 1003362351 | Peter Samir Hanna | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708 | 2016-08-28 |
| 1821404591 | Gholamreza Sadeghipour Roodsari | Emergency Medicine | 56 Franklin St, Waterbury, CT 06706-1253 | 2014-07-02 |
| 1174866818 | Brian Jeffrey Steiner | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2613 | 2013-04-01 |
| 1831444322 | Ct Colony Emergency Physicians, LLC | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2613 | 2012-07-20 |
| 1164782652 | Christian Kakowski | Emergency Medicine | 56 Franklin St, Waterbury, CT 06706-1253 | 2012-05-18 |
| 1154635217 | Margaret Joan-claire Noonan | Emergency Medicine | 56 Franklin St, Dept of Em, Waterbury, CT 06706-1253 | 2010-07-31 |
| 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.