ERIN FAHERTY (NPI# 1235497421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235497421 |
Entity Type | Individual |
Full Name | ERIN FAHERTY |
Credential | M.D. |
Practice Address |
20 York St # T-209 Yale-new Haven Hospital New Haven CT 06510-3220 |
Practice Telephone | 2036882259 |
Practice Fax Number | 2036885599 |
Mailing Telephone | 2036882259 |
Mailing Fax Number | 2036885599 |
Enumeration Date | 2012-04-25 |
Last Update Date | 2018-08-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
61566 | CT | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
20 YORK ST # T-209 YALE-NEW HAVEN HOSPITAL |
City | NEW HAVEN |
State | CT |
Zip Code | 06510-3220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629099551 | Lori Kwan | Anesthesiology | 20 York St # T-209, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2006-07-23 |
1578943932 | Vanessa Juliane Lentz | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2015-06-01 |
1497175756 | Raymond Alexander Jean | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2014-04-24 |
1457785149 | Gabriel Pissardo | General Acute Care Hospital | 20 York St # T-209, New Haven, CT 06510-3220 | 2013-08-29 |
1922440338 | Monika Maheshkumar Vyas | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, Yale- New Haven Hospital, New Haven, CT 06510-3220 | 2013-07-26 |
1639519648 | Hannah Oi Hay Chan | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-07-05 |
1225477839 | Daniel Stanley Rubinshtein | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, New Haven, CT 06510-3220 | 2013-06-17 |
1972941102 | Jessica Walrath | Emergency Medicine | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-06-10 |
1235577792 | Stephanie Diana Prozora | Pediatrics | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-06-06 |
1821436494 | Matthew Dolan | Emergency Medicine | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-06-05 |
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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 | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922262799 | Dina Jane Ferdman | Pediatrics | 333 Cedar St. LLCi 301, New Haven, CT 06510 | 2008-07-10 |
1417936022 | William Eugene Hellenbrand | Pediatrics | 1 Park St., New Haven, CT 06520 | 2006-01-12 |
1578973459 | Meredith Rose Pesce | Pediatrics | 1 Park Street, Yale New Haven Children's Hospital West Pavilion 2nd Fl, New Haven, CT 06504-8901 | 2014-05-01 |
1821438326 | Aziez Ahmed | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2013-06-28 |
1861747081 | Jeremy Mark Steele | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2012-07-14 |
1871883942 | Mollie Abigail Simmons | Pediatrics | 20 York St, New Haven, CT 06510 | 2011-04-11 |
1851552467 | Constance Gesina Weismann | Pediatrics | 333 Cedar St, Department of Pediatrics, Yale School of Medicine, New Haven, CT 06510-8064 | 2008-06-17 |
1346432820 | Eugene Kevin Hall | Pediatrics | 333 Cedar St., Pediatric Cardiology, #208064, New Haven, CT 06510 | 2007-08-17 |
1124003975 | Martina Brueckner | Pediatrics | 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 | 2005-12-14 |
1386629848 | Alan H Friedman | Pediatrics | 20 York St, Ynhh (children's) West Pavilion 2nd Floor, New Haven, CT 06510-3220 | 2005-12-07 |
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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.