JASON R HALDAS


Address: 3 Shaws Cv, Suite 201, New London, CT 06320-4952
Phone: 8604391770

JASON R HALDAS (NPI# 1275532541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275532541
Entity Type Individual
Full Name JASON R HALDAS
Credential M.D.
Practice Address 3 Shaws Cv
Suite 201
New London
CT 06320-4952
Practice Telephone 8604391770
Practice Fax Number 8604472854
Mailing Telephone 8604391770
Mailing Fax Number 8604472854
Enumeration Date 2005-07-19
Last Update Date 2010-08-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
040056 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001400564 05

Office Location

Street Address 3 SHAWS CV
SUITE 201
City NEW LONDON
State CT
Zip Code 06320-4952

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053319624 Anthony Dennis Quinn Specialist 3 Shaws Cv, Suite 206, New London, CT 06320-4952 2005-07-08
1124638382 Kiersten Rooney Advanced Practice Midwife 3 Shaws Cv, New London, CT 06320-4952 2020-08-03
1225324239 David F Crawley Urology 3 Shaws Cv, Suite 206, New London, CT 06320-4952 2011-06-28
1942230982 Oncology & Hematology Associates, PC Internal Medicine 3 Shaws Cv, Suite 201, New London, CT 06320-4952 2006-07-04
1821097601 Richard Miller Hellman Internal Medicine 3 Shaws Cv, Suite 201, New London, CT 06320-4952 2005-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942824891 Shilpi Jain Physical Therapist 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 2020-06-05
1174009641 Catherine Hinojosa Nurse Practitioner 1 Shaws Cove, New London, CT 06320 2018-07-17
1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003039959 Fox Valley Hematology & Oncology, S.c. Internal Medicine 1370 N Shawano St E, New London, WI 54961-2155 2007-04-10
1942230982 Oncology & Hematology Associates, PC Internal Medicine 3 Shaws Cv, Suite 201, New London, CT 06320-4952 2006-07-04
1821097601 Richard Miller Hellman Internal Medicine 3 Shaws Cv, Suite 201, New London, CT 06320-4952 2005-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154751907 David S Fischer Internal Medicine 17 Abigail St, Milford, CT 06460-7918 2013-11-14
1265746879 Eric Bleickardt Internal Medicine 3 Hidden Brook Rd, Hamden, CT 06518-1764 2010-08-06
1467763946 Kelsey Thompson Martin Internal Medicine 240 Indian River Rd Ste A1, Orange, CT 06477-3690 2010-06-29
1780907295 Kenneth L Sacks Internal Medicine 10 Oyster Landing Rd, Milford, CT 06460-6566 2010-03-11
1396981668 Michael W Rosen Internal Medicine 32 Mackay Farm Rd, Woodbury, CT 06798-2509 2008-12-17
1083879134 Jia Li Internal Medicine 950 Campbell Ave # 111d, West Haven, CT 06516-2770 2008-07-28
1760643407 Sudhanshu Bharat Mulay Internal Medicine 114 Woodland Street / Cancer Center, Saint Francis Medical Group, Inc, Hartford, CT 06105-0000 2008-06-24
1194938324 Anamika Katoch Internal Medicine 1075 Chase Pkwy Ste B, Harold Leever Cancer Center, Waterbury, CT 06708-2948 2007-05-07
1760694327 Joseph Donadio Internal Medicine 140 Blue Hills Rd, Durham, CT 06422-3100 2007-05-04
1720136757 Wylie David Hosmer Internal Medicine 55 Meriden Ave Ste 1a, Southington, CT 06489-3237 2007-01-08
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Competitor

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City NEW LONDON
Zip Code 06320

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Dataset Information

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.

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