MR. DONALD WILLIAM BAGNALL (NPI# 1457332603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457332603 |
| Entity Type | Individual |
| Full Name | MR. DONALD WILLIAM BAGNALL |
| Credential | ATC |
| Practice Address |
986 Forest Rd New Haven CT 06515-2501 |
| Mailing Address |
9 Sturbridge Ln Woodbridge CT 06525-1512 |
| Practice Telephone | 2033975749 |
| Practice Fax Number | 2033892249 |
| Mailing Telephone | 2033895749 |
| Mailing Fax Number | 2033892249 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
986 FOREST RD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881668648 | Margaret Claire Connolly | Specialist/Technologist | 986 Forest Rd, New Haven, CT 06515-2501 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
| 1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
| 1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
| 1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
| Find all providers in zip 06515 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824552 | Deni Nicole Roller | Specialist/Technologist | 544 Royalton Dr, New Haven, IN 46774-2658 | 2020-05-31 |
| 1780229856 | Julio Rojas | Specialist/Technologist | 60 Sylvan Ave, New Haven, CT 06519-1025 | 2019-11-13 |
| 1194280230 | Ross Thomas Seitter | Specialist/Technologist | 3472 Highway Y, New Haven, MO 63068-2402 | 2019-02-03 |
| 1053814640 | Brittany Ruffin | Specialist/Technologist | 223 Blake St Fl 1, New Haven, CT 06515-1310 | 2018-03-09 |
| 1124575519 | Whitney Cristine Fink | Specialist/Technologist | 3923 Centerstone Pkwy, New Haven, IN 46774-2283 | 2016-09-02 |
| 1629291042 | Lindsay Trudell Robillard | Specialist/Technologist | 20 Tower Pkwy, New Haven, CT 06511-8930 | 2007-04-11 |
| 1952431934 | Valerie L Davis | Specialist/Technologist | 13610 State Road 37 E, New Haven, IN 46774-9752 | 2007-03-07 |
| 1710923396 | Carol A. Nelson | Specialist/Technologist | 125 Wintergreen Ave, Southern Connecticut State University - Mfh, New Haven, CT 06515-1059 | 2006-06-21 |
| 1700841855 | Kelly Elizabeth Copperthite | Specialist/Technologist | 70 Tower Parkway, Yale University, Athletics, New Haven, CT 06520 | 2006-04-20 |
| 1609418151 | Max Spielman | Specialist/Technologist | 501 Crescent St, New Haven, CT 06515-1330 | 2019-10-16 |
| Find all providers in NEW HAVEN | ||||
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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.