JON C GAUDIO


Address: 196 Parkway South, Suite 103, Waterford, CT 06385
Phone: 8604434383

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
40569 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 196 PARKWAY SOUTH
SUITE 103
City WATERFORD
State CT
Zip Code 06385

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City WATERFORD
Zip Code 06385

Improve Information

Please comment or provide details below to improve the information on JON C GAUDIO.

Dataset Information

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.

Trending Searches