NEW CANAAN INTERNAL MEDICINE LLC (NPI# 1265593990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265593990 |
| Entity Type | Organization |
| Organization Name | NEW CANAAN INTERNAL MEDICINE LLC |
| Practice Address |
173 East Avenue New Canaan CT 06840 |
| Practice Telephone | 2039724255 |
| Practice Fax Number | 2039726345 |
| Mailing Telephone | 2039724255 |
| Mailing Fax Number | 2039726345 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | PETER G HASAPIS (MEMBER) |
| Authorized Official Telephone | 2039724255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 03877 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTH CARE | 0002021666 | 01 | |
| CIGNA | 3387592 | 01 | |
| OXFORD | P2068445 | 01 | |
| ANTHEM BC BS | 010038777CT02 | 01 | |
| AETNA | 7610180 | 01 |
| Street Address |
173 EAST AVENUE |
| City | NEW CANAAN |
| State | CT |
| Zip Code | 06840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598830234 | Peter M Shutkin | Internal Medicine | 173 East Avenue, New Canaan, CT 06840 | 2006-11-21 |
| 1588713879 | James A Slater | Internal Medicine | 173 East Avenue, New Canaan, CT 06840-2728 | 2007-01-09 |
| 1407917131 | New Canaan Pediatrics LLC | Pediatrics | 173 East Avenue, New Canaan, CT 06840 | 2006-12-13 |
| 1396805842 | New Canaan Medical Group PC | Internal Medicine | 173 East Avenue, New Canaan, CT 06840 | 2006-12-12 |
| 1801963756 | Harrison J Pierce | Pediatrics | 173 East Avenue, New Canaan, CT 06840 | 2006-11-29 |
| 1679640460 | William T Flynn | Pediatrics | 173 East Avenue, New Canaan, CT 06840 | 2006-11-29 |
| 1790852598 | Alyssa Newman | Pediatrics | 173 East Avenue, New Canaan, CT 06840 | 2006-11-29 |
| 1740357540 | Eva Lillian Grunberg | Pediatrics | 173 East Avenue, New Canaan, CT 06840 | 2006-11-29 |
| 1720154354 | Peter George Hasapis | Internal Medicine | 173 East Avenue, New Canaan, CT 06840 | 2006-11-27 |
| 1639245269 | Julia H Voytovich | Internal Medicine | 173 East Avenue, New Canaan, CT 06840 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346506060 | Mary Fetchet | Social Worker | 11th, 161 Cherry Street, Voices of September, New Canaan, CT 06840 | 2012-04-06 |
| 1841514429 | Todd L Anderson | Physical Therapist | 45 Grove Street, New Canaan, CT 06840 | 2010-03-25 |
| 1598098667 | Catherine Leigh Beeson | Dentist | 208 South Ave, New Canaan, CT 06840 | 2009-09-08 |
| 1942451893 | Breann Sara Erickson | Dietitian, Registered | 208 Valley Road, New Canaan, CT 06840 | 2008-10-08 |
| 1699987909 | Vickie (victoria) Zupa | Naturopath | 172 East Ave, New Canaan, CT 06840 | 2007-05-07 |
| 1699890723 | Philip Flemming Pacelli IIi | Oral & Maxillofacial Surgery | 166 Cherry Street, Suite A, New Canaan, CT 06840 | 2007-03-20 |
| 1528190121 | Rachel Coder Matthews | Social Worker | 39 Selleck Place, New Canaan, CT 06840 | 2007-03-09 |
| 1407932544 | Sharon J Littzi | Specialist | Morse Court, New Canaan, CT 06840 | 2006-10-31 |
| 1508940966 | Elizabeth J Granfield | Social Worker | 256 Park St, New Canaan, CT 06840 | 2006-10-24 |
| 1457456261 | Kenneth R Berv | Psychiatry & Neurology | 11 Burtis Ave, 2nd Floor Dr Blum, New Canaan, CT 06840 | 2006-09-14 |
| Find all providers in zip 06840 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457887200 | Yesha Gandhi | Internal Medicine | 36 Grove St Ste 3, New Canaan, CT 06840-5329 | 2017-05-11 |
| 1598886723 | Seymour H Fein | Internal Medicine | 476 Canoe Hill Rd, New Canaan, CT 06840-3713 | 2007-04-03 |
| 1598830234 | Peter M Shutkin | Internal Medicine | 173 East Avenue, New Canaan, CT 06840 | 2006-11-21 |
| 1669544425 | Charles Augustus Crown | Internal Medicine | 7 Brinckerhoff Ave, New Canaan, CT 06840-6207 | 2006-11-15 |
| 1528166824 | Richard E Westfal | Internal Medicine | 173 East Ave, New Canaan, CT 06840-5614 | 2006-09-20 |
| 1174620694 | Denise K Lautenbach | Internal Medicine | 194 South Ave, New Canaan, CT 06840-5728 | 2006-09-19 |
| 1346202371 | Deena Rachel Ebright | Internal Medicine | 36 Grove St, New Canaan, CT 06840-5329 | 2006-04-05 |
| 1588713879 | James A Slater | Internal Medicine | 173 East Avenue, New Canaan, CT 06840-2728 | 2007-01-09 |
| 1396805842 | New Canaan Medical Group PC | Internal Medicine | 173 East Avenue, New Canaan, CT 06840 | 2006-12-12 |
| 1720154354 | Peter George Hasapis | Internal Medicine | 173 East Avenue, New Canaan, CT 06840 | 2006-11-27 |
| Find all providers in NEW CANAAN | ||||
| City | NEW CANAAN |
| Zip Code | 06840 |
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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.