DR. CORLIS L. ARCHER-GOODE (NPI# 1437152360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437152360 |
| Entity Type | Individual |
| Full Name | DR. CORLIS L. ARCHER-GOODE |
| Other Name | DR. CORLIS L ARCHER |
| Credential | M.D. |
| Practice Address |
1 Lake St Bldg B2nd New Britain CT 06052-1396 |
| Mailing Address |
300 Kensington Ave New Britain CT 06051-3916 |
| Practice Telephone | 8608264453 |
| Practice Fax Number | 8608266219 |
| Mailing Telephone | 8608264453 |
| Mailing Fax Number | 8608266219 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 038810 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BCBS & BCFP | 00138810CT01 | 01 |
| CT | AETNA | 2355107 | 01 |
| CT | CIGNA | 01038810 | 01 |
| CT | GHMC GROUP NPI | 1255448155 | 01 |
| CT | HEALTH NET | 0V7374 | 01 |
| CT | OXFORD | O2096535 | 01 |
| Street Address |
1 LAKE ST BLDG B2ND |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811467343 | Mohamad Beydoun | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2018-11-27 |
| 1225546567 | Pediatric Dentistry and Orthodontics Pllc | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2018-01-22 |
| 1568868123 | Caitlin Mccormick | Physician Assistant | 1 Lake St, Building D, New Britain, CT 06052-1396 | 2014-11-10 |
| 1528470267 | Jonathan Winkler | Internal Medicine | 1 Lake St, New Britain, CT 06052-1396 | 2014-05-29 |
| 1962829101 | Gregory Richard Criscuolo Jr. | Physician Assistant | 1 Lake St, New Britain, CT 06052-1396 | 2014-03-26 |
| 1659527497 | Gilbert Ching | Internal Medicine | 1 Lake St, New Britain, CT 06052-1396 | 2008-08-12 |
| 1437315355 | Jason Leung | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2008-07-30 |
| 1689842569 | Joshua Aaron Stein | Urology | 1 Lake St, #b, New Britain, CT 06052-1396 | 2008-02-13 |
| 1326226044 | Arun Agarwal | Internal Medicine | 1 Lake St, New Britain, CT 06052-1396 | 2008-02-05 |
| 1609064054 | Donna Ford | Nurse Practitioner | 1 Lake St, New Britain, CT 06052-1396 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| Find all providers in zip 06052 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689842569 | Joshua Aaron Stein | Urology | 1 Lake St, #b, New Britain, CT 06052-1396 | 2008-02-13 |
| 1609882141 | New Britain Urological Group PC | Urology | 40 Hart Street, Bldg-a, New Britain, CT 06052-1771 | 2006-08-01 |
| 1275564205 | Paul J Ceplenski | Urology | 1 Lake St, New Britain, CT 06052-1396 | 2006-07-06 |
| 1669469839 | Robert Aj Ave'lallemant | Urology | 1 Lake St, Grove Hill Medical Center, New Britain, CT 06052-1396 | 2005-10-04 |
| 1932107851 | Keith A Kaplan | Urology | 1 Lake St, New Britain, CT 06052-1396 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1407325863 | Health Quest Medical Practice, PC | Urology | 120 Park Lane Poad, Suite A202, New Milford, CT 06776-2445 | 2018-11-15 |
| 1740667815 | Keith Richard O'brien | Urology | 2600 Main St Ste 119, Bridgeport, CT 06606-5305 | 2015-04-28 |
| 1336534312 | David Thomas Ahlborn | Urology | 80 Seymour St Dept Of, Hartford, CT 06106-3315 | 2015-04-06 |
| 1487095451 | Alan Cahn Davidson | Urology | 15 Edgehill Dr, Woodbridge, CT 06525-1418 | 2013-07-08 |
| 1003158106 | Christine White Cumarasamy | Urology | Hartford Hospital Urology Dept, 79 Retreat Avenue, Hartford, CT 06106 | 2013-03-27 |
| 1568722551 | Joseph Mathew Brito IIi | Urology | 789 Howard Ave # Fmp302, New Haven, CT 06519-1304 | 2012-05-23 |
| 1861768749 | Philip B. Jensen | Urology | 59 Hilltop Road, Sharon, CT 06069-0727 | 2012-03-26 |
| 1568749612 | Michael G Tager | Urology | 104 Imperial Ave, Westport, CT 06880-5034 | 2011-11-03 |
| 1679869572 | Dana Ufnal Kivlin | Urology | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | 2011-06-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
Please comment or provide details below to improve the information on DR. CORLIS L. ARCHER-GOODE.
| 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.