CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC (NPI# 1255635371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255635371 |
| Entity Type | Organization |
| Organization Name | CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC |
| Practice Address |
49 Crescent Street Middletown CT 06457-3601 |
| Practice Telephone | 8603449993 |
| Practice Fax Number | 8603449844 |
| Mailing Telephone | 8603449993 |
| Mailing Fax Number | 8603449844 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-05 |
| Authorized Official Name | DR. JULIE S FLAGG (OWNER) |
| Authorized Official Telephone | 8603449993 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 025189 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004089729 | 05 |
| Street Address |
49 CRESCENT STREET |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801216429 | Oluwatosin Odunsi | Obstetrics & Gynecology | 1591 E Matisse Dr, Middletown, DE 19709-9834 | 2014-04-22 |
| 1528201688 | Amy Michelle Renshaw | Obstetrics & Gynecology | 200 Medical Center Dr Ste 200, Middletown, OH 45005 | 2009-04-19 |
| 1912919937 | Rhonda Spillers Washington | Obstetrics & Gynecology | 200 Medical Center Dr Ste 160, Middletown, OH 45005 | 2006-08-12 |
| 1225050560 | Mark W Day | Obstetrics & Gynecology | 6147 State Route 122 Ste 110, Middletown, OH 45005-5201 | 2006-07-24 |
| 1174565683 | Ratna Sabnis Md Pllc | Obstetrics & Gynecology | 81 Prospect Ave, Middletown, NY 10940-4031 | 2006-06-11 |
| 1669424248 | Carla Mcleod | Obstetrics & Gynecology | 49 Crescent St, Middletown, CT 06457-3601 | 2006-05-16 |
| 1104895093 | Deborah J Herchelroath | Obstetrics & Gynecology | 4000 Vine St, Middletown, PA 17057-3565 | 2006-03-14 |
| 1851379960 | Rodney Baltazar | Obstetrics & Gynecology | 120 Sandhill Dr, Middletown, DE 19709-5806 | 2006-01-09 |
| 1174521645 | Southwest Ohio Ob/gyn Inc | Obstetrics & Gynecology | 20 S Breiel Blvd, Middletown, OH 45044-5155 | 2005-07-08 |
| 1922596527 | Nefertari Alisha Owens | Obstetrics & Gynecology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-04-29 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC.
| 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.