DR. OMAR ETON (NPI# 1275736050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275736050 |
| Entity Type | Individual |
| Full Name | DR. OMAR ETON |
| Credential | M.D. |
| Practice Address |
85 Seymour St Ste 227 Hartford CT 06106-5501 |
| Practice Telephone | (860) 696-5151 |
| Mailing Telephone | 8606965151 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 230372 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
56793 | CT | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
230372 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110083570A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 021182905 | 6176386428 | 6174145756 |
| 85 Retreat Avenue, Hartford Hospital Cancer Center, Hartford, CT 061062555 | 8609723790 |
| Street Address |
85 SEYMOUR ST STE 227 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245721992 | Brianna Gawish | Physician Assistant | 85 Seymour St Ste 227, Hartford, CT 06106-5501 | 2018-05-29 |
| 1285925016 | Ahmad Daher | Psychiatry & Neurology | 85 Seymour St Ste 227, Hartford, CT 06106-5501 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760643407 | Sudhanshu Bharat Mulay | Internal Medicine | 114 Woodland Street / Cancer Center, Saint Francis Medical Group, Inc, Hartford, CT 06105-0000 | 2008-06-24 |
| 1861706939 | Karishma Kapal Mehra | Internal Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2010-08-01 |
| 1881851616 | Mohammad Pazooki | Internal Medicine | 43 Woodland St, Suite G-80, Gothic Park, Hartford, CT 06105-2362 | 2008-05-20 |
| 1407029473 | Pragna Kapadia | Internal Medicine | 85 Retreat Ave, Hartford, CT 06106-2527 | 2008-04-10 |
| 1982894697 | Madhavi Gorusu | Internal Medicine | 85 Seymour St, Suite 901, Hartford, CT 06106-5501 | 2007-07-30 |
| 1558495689 | Todd J Alekshun | Internal Medicine | 85 Seymour St, Suite 901, Hartford, CT 06106-5501 | 2007-03-14 |
| 1487713913 | Jessica M Clement | Internal Medicine | 85 Seymour Street, Hartford Hospital Cancer Center, Hartford, CT 06106-2555 | 2006-12-08 |
| 1497850614 | Paul Dekker | Internal Medicine | 85 Seymour St, 901, Hartford, CT 06106-5501 | 2006-09-13 |
| 1467557694 | Stephen Firshein | Internal Medicine | 85 Seymour St, Suite 901, Hartford, CT 06106-5501 | 2006-09-13 |
| 1114022357 | Mohanakrishin Menon | Internal Medicine | 85 Seymour St, Suite 901, Hartford, CT 06106-5501 | 2006-09-13 |
| Find all providers in HARTFORD | ||||
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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.