TDG CONNECTICUT PLLC (NPI# 1245744846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245744846 |
| Entity Type | Organization |
| Organization Name | TDG CONNECTICUT PLLC |
| Practice Address |
134 Park St New Haven CT 06511-5409 |
| Mailing Address |
347 Mount Pleasant Ave Ste 205 West Orange NJ 07052-2749 |
| Practice Telephone | 9735712121 |
| Practice Fax Number | 9734980512 |
| Mailing Telephone | 9735712121 |
| Mailing Fax Number | 9734980512 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | SIMON SAMAHA (CEO) |
| Authorized Official Telephone | 9735712121 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
134 PARK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649218223 | Lisa Marian Donofrio | Dermatology | 134 Park St, New Haven, CT 06511-5409 | 2006-06-03 |
| 1386724011 | The Savin Center, P.C. | Dermatology | 134 Park St, New Haven, CT 06511-5409 | 2006-10-17 |
| 1366482846 | Ronald Clifford Savin | Dermatology | 134 Park St, New Haven, CT 06511-5409 | 2006-06-07 |
| 1528006038 | Gregory Jarvis Rau | Physician Assistant | 134 Park St, New Haven, CT 06511-5409 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1336551589 | Alicia Joan Little | Dermatology | 333 Cedar St, Dermatology, New Haven, CT 06520-8059 | 2014-05-22 |
| 1457627531 | Ian Douglas Odell | Dermatology | 333 Cedar St Bldg Lmp, Room 5040, New Haven, CT 06510-3206 | 2012-03-22 |
| 1346425071 | Oscar Rene Colegio | Dermatology | Yale-new Haven Hospital, 20 York Street, T-209, New Haven, CT 06510 | 2007-12-31 |
| 1639377690 | Dermatology Associates P.C. | Dermatology | 1 Long Wharf Dr # 30, New Haven, CT 06511-5991 | 2007-07-10 |
| 1649218223 | Lisa Marian Donofrio | Dermatology | 134 Park St, New Haven, CT 06511-5409 | 2006-06-03 |
| 1841258282 | Christine J Ko | Dermatology | 15 York Street, Lmp 5031, New Haven, CT 06510 | 2006-05-03 |
| 1497104822 | Anna S Eisenstein | Dermatology | 15 York Street, Lmp 5040, New Haven, CT 06510-3220 | 2016-06-07 |
| 1083063549 | Nan Guo Ring | Dermatology | 15 York Street, Ynhh Dept of Medicine, Lmp 1092, New Haven, CT 06520-8030 | 2016-06-06 |
| 1700248143 | Ian William Tattersall | Dermatology | 20 York St, Ynhh Dermatology, New Haven, CT 06510-3220 | 2016-03-24 |
| Find all providers in NEW HAVEN | ||||
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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.