DR. COURTNEY LYNNE SOUZA (NPI# 1457739583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457739583 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY LYNNE SOUZA |
| Credential | MD |
| Practice Address |
375 Willard Ave Dept of Pediatrics Newington CT 06111-2300 |
| Practice Telephone | 8606665167 |
| Practice Fax Number | 8606658168 |
| Mailing Telephone | 8606665167 |
| Mailing Fax Number | 8606658168 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 064738 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540481 | Courtney Souza | Speech-Language Pathologist | 1266 Furnace Brook Pkwy Ste 100b, Quincy, MA 02169-4789 | 2020-05-21 |
| 1043747660 | Courtney Souza | Occupational Therapist | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2017-05-13 |
| Street Address |
375 WILLARD AVE DEPT OF PEDIATRICS |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906579 | Jeffrey J Mihalek | Obstetrics & Gynecology | 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111-2300 | 2005-07-18 |
| 1013446533 | Jacquelyn Phyllis Pitcher | Dentist | 375 Willard Ave, Newington, CT 06111 | 2017-06-08 |
| 1891221313 | Ledjo Palo | Dentist | 375 Willard Ave, Newington, CT 06111-2300 | 2017-05-03 |
| 1679021273 | Andrea Dufour | Nurse Practitioner | 375 Willard Ave, Newington, CT 06111-2300 | 2016-09-13 |
| 1043669153 | Starling Physicians PC | Durable Medical Equipment & Medical Supplies | 375 Willard Ave, Newington, CT 06111-2300 | 2016-06-09 |
| 1801239587 | Sehera Himani | Pediatrics | 375 Willard Ave, Newington, CT 06111-2300 | 2013-04-11 |
| 1558637256 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111-2300 | 2012-03-27 |
| 1861713240 | Kristina Jean Hennessey Hill | Obstetrics & Gynecology | 375 Willard Ave, Newington, CT 06111-2300 | 2010-06-19 |
| 1831212539 | Kenneth Wayne Fink | Dentist | 375 Willard Ave, Newington, CT 06111-2300 | 2007-04-09 |
| 1609998889 | Jay Harvey Goldstein | Dentist | 375 Willard Ave, Newington, CT 06111-2300 | 2007-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
| 1356843833 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 38 Fenn Road, Newington, CT 06111 | 2018-03-01 |
| 1942719927 | Jessica Quintero-villa | Chiropractor | Judson Family Chiropractic, 133 Louis St., Newington, CT 06111 | 2017-09-22 |
| 1194245993 | Serrita Roper | Registered Nurse | 11 Edward St, Newington, CT 06111 | 2017-06-22 |
| 1417482522 | Aditi Thakkar | Student in an Organized Health Care Education/Training Program | 555 Willard Avenue, Newington Va Hospital, Newington, CT 06111 | 2017-04-26 |
| 1033562525 | Hassan Bin Attique | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, Newington Vamc, Firm Chief, Firm 2, Vact Primary Care, Newington, CT 06111 | 2016-07-19 |
| 1013360098 | Home Care Associates of Ct 2 Inc | In Home Supportive Care | 66 Cedar Street, Unit 301, Newington, CT 06111 | 2016-07-14 |
| 1548623259 | Aniket Sharma | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, 555 Willard Avenue, Newington Vamc, Firm Chief, Firm 2, Vact Pri, Newington, CT 06111 | 2016-03-30 |
| 1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
| 1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
| Find all providers in zip 06111 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
| 1306826748 | Laura J Pickett | Pediatrics | 505 Willard Avenue, Building 2, Suite C, Newington, CT 06111 | 2006-01-20 |
| 1801239587 | Sehera Himani | Pediatrics | 375 Willard Ave, Newington, CT 06111-2300 | 2013-04-11 |
| 1528112299 | Shiji A. Isaac | Pediatrics | 505 Willard Avenue, Building 2, Suite C, Newington, CT 06111 | 2007-01-22 |
| 1184793481 | Jonathan Robert Reidel | Pediatrics | 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111-2300 | 2006-11-08 |
| 1588676589 | Christopher J Veale | Pediatrics | 505 Willard Ave, Building 2, Suite C, Newington, CT 06111-2650 | 2006-08-12 |
| 1528079852 | Richard C Harvey Jr. | Pediatrics | 505 Willard Ave, Building 2, Suite C, Newington, CT 06111-2650 | 2006-08-11 |
| 1104837087 | Amy L Baumer | Pediatrics | 505 Willard Ave, Building 2, Suite C, Newington, CT 06111-2650 | 2006-08-10 |
| 1639189533 | John Siraco | Pediatrics | 505 Willard Ave, Newington, CT 06111-2650 | 2006-08-09 |
| 1699715490 | Saima N Jafri | Pediatrics | 18 Cedar St, Newington, CT 06111-2647 | 2006-06-08 |
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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.