AMANDA REDFERN (NPI# 1184047417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184047417 |
| Entity Type | Individual |
| Full Name | AMANDA REDFERN |
| Credential | MD |
| Practice Address |
40 Temple St Ste 3d New Haven CT 06510-2715 |
| Practice Telephone | 2037852020 |
| Mailing Telephone | 2037852020 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 11718700-1205 | UT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Nw 23rd, Legacy Clinic Good Samaritan, Portland, OR 97210 | 5034137074 |
| Street Address |
40 TEMPLE ST STE 3D |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427287382 | Shaheen P. Karim | Ophthalmology | 40 Temple St Fl 3, New Haven, CT 06510-2715 | 2009-07-13 |
| 1528292679 | Miguel Angel Materin | Ophthalmology | 40 Temple St Ste 1b, New Haven, CT 06510-2715 | 2009-05-05 |
| 1003034042 | Michael Ehrlich | Ophthalmology | 40 Temple Street, Yale Ophthalmology, New Haven, CT 06510 | 2007-04-23 |
| 1649341819 | Daniel Salchow | Ophthalmology | 40 Temple Street, Suite 1b, Yale Eye Center, New Haven, CT 06517-2715 | 2006-11-10 |
| 1194771790 | New Haven Ophthalmology Associates, PC | Ophthalmology | 455 Orange St, New Haven, CT 06511-6202 | 2006-05-25 |
| 1396790697 | Paul C Guida | Ophthalmology | 23 Beers St, New Haven, CT 06511-4401 | 2006-05-24 |
| 1811957640 | Robert A. Wiznia | Ophthalmology | 850 Howard Ave, New Haven, CT 06519-1106 | 2006-03-24 |
| 1376179531 | Matthew Swan Lawrence | Ophthalmology | 4 Science Park, New Haven, CT 06511-1962 | 2020-03-19 |
| 1962856047 | Marez Megalla | Ophthalmology | 20 York St, New Haven, CT 06510-3220 | 2016-04-14 |
| 1780066225 | Soshian Sarrafpour | Ophthalmology | 40 Temple St Ste 1b, New Haven, CT 06510-2715 | 2015-06-21 |
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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.