DR. KENNETH ELI MANCHER (NPI# 1255348025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255348025 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ELI MANCHER |
| Credential | M.D. |
| Practice Address |
17 Westerman Ave Seymour CT 06483-3320 |
| Practice Telephone | 2038810400 |
| Practice Fax Number | 2038812708 |
| Mailing Telephone | 2038810400 |
| Mailing Fax Number | 2038812708 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2013-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
025678 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | 001070 | 01 |
| CT | OXFORD | P402416 | 01 |
| CT | 001256783 | 05 | |
| CT | ANTHEM | 010025678 | 01 |
| CT | CIGNA | 0796894 | 01 |
| CT | CONNECTICARE | 759954 | 01 |
| Street Address |
17 WESTERMAN AVE |
| City | SEYMOUR |
| State | CT |
| Zip Code | 06483-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104856921 | Madhu Siddaveere Gowda | Internal Medicine | 17 Westerman Ave, Seymour, CT 06483-3320 | 2006-07-04 |
| 1942311733 | Kimberly Michelle Davis | Naturopath | 17 Westerman Ave, Seymour, CT 06483-3320 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255847851 | Erica Kelly | Occupational Therapist | 17 Sagamore Drive, Seymour, CT 06483 | 2017-12-18 |
| 1588938831 | Kerri Ann Anderson | Marriage & Family Therapist | 100 Bank Street., Ste 306, Seymour, CT 06483 | 2012-03-05 |
| 1326311325 | Elizabeth Schenker | Social Worker | 40 Rimmon St., Seymour, CT 06483 | 2012-02-22 |
| 1962647594 | Irwin F. Silver | Dentist | 256 Bank St, Seymour, CT 06483 | 2008-12-11 |
| 1932325669 | Rimmon Pond Counseling LLC | Counselor | 100 Bank Street, Suite 306, Seymour, CT 06483 | 2007-04-18 |
| 1235608811 | Grey Brook Associates, LLC | Counselor | 377 Main Street, C/o Shoreline Center, West Haven, CT 06483 | 2018-11-13 |
| 1245648401 | Olga Romanovsky | Optometrist | 25 New Haven Rd, Seymour, CT 06483 | 2014-07-31 |
| 1619252400 | Susan P Sidway | Marriage & Family Therapist | 100 Bank Street, Suite 306, Seymour, CT 06483 | 2011-10-12 |
| 1942345350 | Mary E Kruger | Marriage & Family Therapist | 100 Bank St, Suite 306 Rimmon Pond Counseling LLC, Seymour, CT 06483 | 2007-02-21 |
| 1861575490 | Andrew Kurjanowicz | Dentist | 135 Main Street, Seymour, CT 06483 | 2006-10-24 |
| Find all providers in zip 06483 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629119177 | Stephanie M Johnson Md LLC | Family Medicine | 274 Hannah Ave, Seymour, IN 47274-4058 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871067447 | Christina Marie Bolduc Falzone | Family Medicine | 35 Talcottville Rd Ste 1, Vernon, CT 06066-5261 | 2019-01-17 |
| 1760724165 | John Ordway Alden | Family Medicine | 20 Loeffler Rd, T521c, Bloomfield, CT 06002-2276 | 2013-03-23 |
| 1598098881 | Anita Boyd Bennett | Family Medicine | 1249 Boulevard, West Hartford, CT 06119-1603 | 2009-09-17 |
| 1740329168 | Seymour Isaac Kummer | Family Medicine | 67 N Park St, Ellington, CT 06029-4135 | 2007-02-05 |
| 1225101991 | Syed Hyder Reza | Family Medicine | 345 Main Ave, Pmcc, Norwalk, CT 06851-1547 | 2006-11-17 |
| 1356433486 | Windsor Locks Medical Center, LLP | Family Medicine | 73 Old County Road, Windsor Locks, CT 06096 | 2006-09-28 |
| 1609982834 | Angelika Jovin | Family Medicine | 27 Commerce St, Clinton, CT 06413-2054 | 2006-08-21 |
| 1720014798 | James M. Perlotto | Family Medicine | 55 Lock St., New Haven, CT 06520-8237 | 2006-06-23 |
| 1184666430 | Alicja Jadwiga Harbut IIi | Family Medicine | 25 Clinton St, New Britain, CT 06053-3509 | 2006-06-12 |
| 1740265925 | Yogesh Kumar Katechia | Family Medicine | 2 Lathrop Ave, Norwich, CT 06360-2309 | 2005-12-11 |
| Find all providers with the same taxonomy | ||||
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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.