DR. DAVID TKESHELASHVILI (NPI# 1306878731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306878731 |
| Entity Type | Individual |
| Full Name | DR. DAVID TKESHELASHVILI |
| Credential | M.D. |
| Practice Address |
60 Westwood Ave Suite320 Waterbury CT 06708-2460 |
| Practice Telephone | 2037568995 |
| Practice Fax Number | 2037564041 |
| Mailing Telephone | 2037568995 |
| Mailing Fax Number | 2037564041 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036113 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1361138 | 05 |
| Street Address |
60 WESTWOOD AVE SUITE320 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352544 | John Kingsbury Conant Jr. | Urology | 60 Westwood Ave, Ste 230, Waterbury, CT 06708-2460 | 2005-08-10 |
| 1821606195 | Emily Lynn Ryan | Midwife | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2020-07-22 |
| 1134753080 | Marta Sarzynski | Nurse Practitioner | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2020-03-01 |
| 1710518824 | Quest Diagnostics LLC | Clinical Medical Laboratory | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2020-01-28 |
| 1386170215 | Katelynd Lee Tremblay | Physical Therapist | 60 Westwood Ave, 300, Waterbury, CT 06708-2460 | 2017-05-11 |
| 1669710414 | Russell Parvin | Internal Medicine | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2013-01-28 |
| 1508138801 | Rebecca Sauve | Physical Medicine & Rehabilitation | 60 Westwood Ave, Suite 300, Waterbury, CT 06708-2460 | 2012-02-01 |
| 1518129741 | Molly Margaret Shipman | Obstetrics & Gynecology | 60 Westwood Ave, Suite 100, Waterbury, CT 06708-2460 | 2008-06-29 |
| 1376705962 | Heather Mcallister | Occupational Therapist | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2008-06-26 |
| 1750558656 | Elizabeth Anne Kelly | Obstetrics & Gynecology | 60 Westwood Ave, Suite 100, Waterbury, CT 06708-2460 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598012528 | David J.m. Whitehouse | Psychiatry & Neurology | 111 Euclid Ave, Waterbury, CT 06710-1614 | 2012-08-09 |
| 1548571110 | Katherine Kedzierski | Psychiatry & Neurology | 64 Robbins St, Waterbury Hospital, Waterbury, CT 06708-2613 | 2010-06-29 |
| 1760525943 | Sreedevi Nampoothiri | Psychiatry & Neurology | 88 Grandview Ave, Behavioral Health, Waterbury, CT 06708-2509 | 2007-02-15 |
| 1548333487 | Alphonse Roger Bobowick | Psychiatry & Neurology | 134 Grandview Ave, Suite 104, Waterbury, CT 06708 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1366850521 | Mendelsohn Medical LLC | Psychiatry & Neurology | 18 Pinewood Shrs, Sherman, CT 06784-2505 | 2014-07-31 |
| 1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
| 1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1811316250 | Leon Meytin | Psychiatry & Neurology | 280 S Main St Ste 102, Cheshire, CT 06410-3112 | 2014-04-14 |
| 1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
| 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.