DR. THOMAS C CHERRY JR. (NPI# 1285662627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285662627 |
| Entity Type | Individual |
| Full Name | DR. THOMAS C CHERRY JR. |
| Credential | MD |
| Practice Address |
330 Washington St Suite 410 Norwich CT 06360-2700 |
| Mailing Address |
112 Lafayette St Norwich CT 06360-2737 |
| Practice Telephone | 8604255300 |
| Practice Fax Number | 8604255301 |
| Mailing Telephone | 8604258701 |
| Mailing Fax Number | 8604258707 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2010-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
024376 | CT | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
024376 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | 3V6188 | 01 |
| CT | ANTHEM | 010024376CT01 | 01 |
| CT | 0080123210 | 05 | |
| CT | OXFORD | P4093027 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619109477 | Thomas Ray Cherry Jr. | Dentist | 745 University Village Dr, Blythewood, SC 29016-7613 | 2009-08-12 |
| 1689705972 | Thomas Cherry | Marriage & Family Therapist | 130 Joe B. Hall Ave, Shepherdsville, KY 40165-0690 | 2007-03-08 |
| 1891768610 | Thomas Isidor Cherry | Family Medicine | 4915 25th Ave Ne Ste 300w, Seattle, WA 98105-5668 | 2006-02-10 |
| 1114032091 | Thomas Davies Cherry | Internal Medicine | 8080 Park Meadows Dr, Lonetree, CO 80124-2557 | 2006-08-20 |
| Street Address |
330 WASHINGTON ST SUITE 410 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247788 | Olimpia A Radu | Internal Medicine | 330 Washington St, Ste 430, Norwich, CT 06360-2700 | 2005-10-03 |
| 1912458704 | Allan Dierman | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2016-10-17 |
| 1528467016 | Lisa Decarlo | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2014-08-20 |
| 1952700197 | Maura Theresa Forte | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2014-08-13 |
| 1497012520 | Erin Marie Loughery | Nurse Practitioner | 330 Washington St, Suite 350, Norwich, CT 06360-2700 | 2012-04-13 |
| 1003047481 | Melody Mukon | Physician Assistant | 330 Washington St, Suite 220, Norwich, CT 06360-2700 | 2009-08-03 |
| 1306083142 | Eastern Connecticut Neurosurgery, P.C. | Neurological Surgery | 330 Washington St, Suite 540, Norwich, CT 06360-2700 | 2009-01-15 |
| 1801032784 | Ct Podiatry & Foot Surgery, LLC | Podiatrist | 330 Washington St, Suite 310, Norwich, CT 06360-2700 | 2008-12-26 |
| 1700042900 | Joanne Cantor Friedman | Nurse Practitioner | 330 Washington St, Suite 350, Norwich, CT 06360-2700 | 2008-08-06 |
| 1447415815 | Generations Family Health Center, Inc. | Clinic/Center | 330 Washington St, Ste 510, Norwich, CT 06360-2700 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255879748 | Northeast Breast Reconstruction LLC | Surgery | 21 Southport Terrace, Southport, CT 06890 | 2017-02-06 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1205168499 | Vinod V Pathy Md LLC | Surgery | 1525 Boston Post Rd, Westbrook, CT 06498-2044 | 2010-02-12 |
| 1568609121 | Stacey Lauren June | Surgery | 107 Newtown Road Suite 2c, Danbury, CT 06810 | 2009-01-19 |
| 1982861860 | Mark Manuel Melendez | Surgery | 4 Corporate Dr Ste 288, Shelton, CT 06484-6240 | 2008-05-19 |
| 1275602146 | Andrew Nelson Kornstein | Surgery | 539 Danbury Rd, Wilton, CT 06897-2216 | 2006-11-07 |
| 1831287275 | Sergio D. Francescon | Surgery | 540 S. Broad Street, Suite 3c, Meriden, CT 06450-6600 | 2006-10-11 |
| 1578583282 | Stephan Ariyan | Surgery | 60 Temple St Ste 7c, New Haven, CT 06510-2716 | 2006-07-19 |
| 1093795387 | Colleen J Jambor | Surgery | 33 Dale Road, Ste 1, Avon, CT 06001 | 2006-01-20 |
| 1053303818 | John F Reilly | Surgery | 2 Ivy Brook Rd, Suite 105, Shelton, CT 06484-6416 | 2005-08-18 |
| 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.