SUNITA SIDHU-BUONOCORE (NPI# 1316264286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316264286 |
| Entity Type | Individual |
| Full Name | SUNITA SIDHU-BUONOCORE |
| Other Name | SUNITA SIDHU |
| Credential | MD |
| Practice Address |
79 Wawecus St Suite 101 Norwich CT 06360-2160 |
| Practice Telephone | 8608862655 |
| Practice Fax Number | 8608879003 |
| Mailing Telephone | 8608862655 |
| Mailing Fax Number | 8608879003 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2012-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
48684 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | P01052399 | 01 | |
| MEDICARE PTAN | D400021782 | 01 | |
| CT | AETNA | 9593541 | 01 |
| CT | OXFORD | P4244379 | 01 |
| Street Address |
79 WAWECUS ST SUITE 101 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620064 | Jeffrey P Seltzer | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2005-06-24 |
| 1043697352 | Carl Kammerer | Technician/Technologist | 79 Wawecus St, Suite 105, Norwich, CT 06360-2178 | 2015-05-06 |
| 1407255375 | Patricia Varma | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-17 |
| 1649679697 | Jade Paradis | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-15 |
| 1396151858 | Kristen Farrell | Nurse Practitioner | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2173 | 2014-07-05 |
| 1316280803 | Sang and Sridhar Digestive Disease Consultants LLC | Internal Medicine | 79 Wawecus St, Suite 102, Norwich, CT 06360-2160 | 2013-04-03 |
| 1760790612 | Leslie N Brown | Physician Assistant | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2160 | 2010-09-14 |
| 1356500532 | Shivani Sood | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-06-03 |
| 1689846511 | Natalee Simone Sansone | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-04-01 |
| 1447438924 | Norwich Ophthalmology Group, P.C. | Ophthalmology | 79 Wawecus St, Suite 105, Norwich, CT 06360-2160 | 2008-02-06 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1962656314 | Jefrey Salek | Internal Medicine | 79 Wawecus St., Suite 101, Norwich, CT 06360-2173 | 2008-11-12 |
| 1629132030 | Eng Chiong T. Lim, M.d., P.C. | Internal Medicine | 49 Cortland St, Norwich, NY 13815-1318 | 2006-12-20 |
| 1316280803 | Sang and Sridhar Digestive Disease Consultants LLC | Internal Medicine | 79 Wawecus St, Suite 102, Norwich, CT 06360-2160 | 2013-04-03 |
| 1356500532 | Shivani Sood | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-06-03 |
| 1689846511 | Natalee Simone Sansone | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-04-01 |
| 1306053160 | Vaibhav A Mehendiratta | Internal Medicine | 105 Wawecus St, Norwich, CT 06360-2146 | 2007-05-17 |
| 1982671087 | Norwich Gi Associates, P.C. | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2006-03-07 |
| 1861489585 | Abera H Abay | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2005-09-29 |
| 1104813724 | Tonya E.l. Hall | Internal Medicine | 105 Wawecus St, Suite 1, Norwich, CT 06360-2146 | 2005-09-29 |
| 1275520892 | You Sung Sang | Internal Medicine | 105 Wawecus St, Suite 1, Norwich, CT 06360-2146 | 2005-09-29 |
| Find all providers in NORWICH | ||||
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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.