JON C GAUDIO (NPI# 1205885258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205885258 |
| Entity Type | Individual |
| Full Name | JON C GAUDIO |
| Credential | M.D. |
| Practice Address |
196 Parkway South Suite 103 Waterford CT 06385 |
| Mailing Address |
481 Gold Star Hwy Suite 101 Groton CT 06340-6224 |
| Practice Telephone | 8604434383 |
| Practice Fax Number | 8604486797 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2013-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
40569 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHNET/ECCD:06-1616101 | 2V2262 | 01 | |
| BLUECARE FAMILY PLAN | 001405697 | 01 | |
| ANTHEM/ECCG:06-1049086 | 010040569CT01 | 01 | |
| ANTHEM/ECCD:06-1616101 | 010040569CT03 | 01 | |
| CONNECTICARE | 040569 | 01 | |
| RR MED/ECCG: 06-1049086 | 060069422 | 01 | |
| OXFORD/ECCD: 06-1616101 | P3615266 | 01 | |
| ANTHEM/HOSP-BASED ECCD | 500HBC444CT01 | 01 | |
| OXFORD/ECCG: 06-1049086 | P2680050 | 01 | |
| RR MED/ECCD: 06-1616101 | 060070007 | 01 | |
| UNITEDHEALTHCARE/ECCD | 06-1616101 | 01 | |
| CT | 001405697 | 05 | |
| COMM. HEALTH NETWORK/ECCG | 06-1049086 | 01 | |
| UNITEDHEALTHCARE/ECCG | 06-1049086 | 01 | |
| COMM. HEALTH NETWORK/ECCD | 06-1616101 | 01 | |
| HEALTHNET/ECCG:06-1049086 | 2V2256 | 01 |
| Street Address |
196 PARKWAY SOUTH SUITE 103 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437146404 | David Alan Brill | Internal Medicine | 196 Parkway South, Suite 103, Waterford, CT 06385 | 2005-10-04 |
| 1538576111 | Amandeep Singh Aujla | Internal Medicine | 196 Parkway South, Waterford, CT 06385 | 2014-07-16 |
| 1649354374 | John R Kozlowski | Dentist | 196 Parkway South, Suite 305, Waterford, CT 06385 | 2006-10-25 |
| 1134204639 | James Oleary | Dentist | 196 Parkway South, Suite 305, Waterford, CT 06385 | 2006-10-25 |
| 1255374864 | Mark Somers | Internal Medicine | 196 Parkway South, Suite 103, Waterford, CT 06385 | 2006-06-13 |
| 1285676353 | Robert Kupis | Internal Medicine | 196 Parkway South, Suite 103, Waterford, CT 06385 | 2006-06-12 |
| 1366482556 | Peter Milstein | Internal Medicine | 196 Parkway South, Suite 103, Waterford, CT 06385 | 2006-06-07 |
| 1659329688 | Brian S Ehrlich | Internal Medicine | 196 Parkway South, Suite 103, Waterford, CT 06385 | 2006-05-04 |
| 1487626214 | Michael Joel Kane | Internal Medicine | 196 Parkway South, Suite 303, Waterford, CT 06385 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225098395 | Sharath S Chandra | Internal Medicine | 4000 Highland Rd, Ste 109, Waterford, MI 48328-2167 | 2006-03-24 |
| 1437146404 | David Alan Brill | Internal Medicine | 196 Parkway South, Suite 103, Waterford, CT 06385 | 2005-10-04 |
| 1215920764 | Creagh E Milford | Internal Medicine | 6889 Highland Rd, Waterford, MI 48327-1658 | 2005-08-30 |
| 1588657076 | John Quenith Dickey Jr. | Internal Medicine | 5210 Highland Rd Ste 200, Waterford, MI 48327-1970 | 2005-08-30 |
| 1518058379 | Heart Care PC | Internal Medicine | 6889 Highland Rd, Waterford, MI 48327-1658 | 2006-09-27 |
| 1376587584 | Kimberly Chemacki | Internal Medicine | 196 Parkway S, Suite 103, Waterford, CT 06385-1234 | 2006-06-16 |
| 1255374864 | Mark Somers | Internal Medicine | 196 Parkway South, Suite 103, Waterford, CT 06385 | 2006-06-13 |
| 1275575409 | Valerie Popkin | Internal Medicine | 196 Parkway S, Suite 103, Waterford, CT 06385-1234 | 2006-06-12 |
| 1285676353 | Robert Kupis | Internal Medicine | 196 Parkway South, Suite 103, Waterford, CT 06385 | 2006-06-12 |
| 1366482556 | Peter Milstein | Internal Medicine | 196 Parkway South, Suite 103, Waterford, CT 06385 | 2006-06-07 |
| Find all providers in WATERFORD | ||||
Please comment or provide details below to improve the information on JON C GAUDIO.
| 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.