DR. MELISSA SUSAN HENRETTA


Address: 114 Woodland St, Hartford, CT 06105-1208
Phone: 8607144000

DR. MELISSA SUSAN HENRETTA (NPI# 1518175173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518175173
Entity Type Individual
Full Name DR. MELISSA SUSAN HENRETTA
Credential MD, MPH
Practice Address 114 Woodland St
Hartford
CT 06105-1208
Mailing Address 231 Westmont St
West Hartford
CT 06117-2935
Practice Telephone 8607144000
Mailing Telephone (614) 203-1348
Enumeration Date 2007-05-18
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
56675 CT Allopathic & Osteopathic Physicians
N 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
261553 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Cancer Ctr, 3 Edmund D. Pellegrino Drive, Stony Brook, NY 117940001 6314442989

Office Location

Street Address 114 WOODLAND ST
City HARTFORD
State CT
Zip Code 06105-1208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255334207 Richard Soucier Internal Medicine 114 Woodland St, Hartford, CT 06105-1208 2005-05-23
1003425745 Brooke M P Chaves Nurse Practitioner 114 Woodland St, Hartford, CT 06105-1208 2020-07-29
1215545793 Xuanthao Nguyen Nurse Practitioner 114 Woodland St, Hartford, CT 06105-1208 2020-07-21
1053939231 Daniel Guilmette Nurse Anesthetist, Certified Registered 114 Woodland St, Hartford, CT 06105-1208 2020-07-14
1598383556 Sarah Beth Flynn-savoie Nurse Practitioner 114 Woodland St, Hartford, CT 06105-1208 2020-07-07
1215550215 Rachael Barber Speech-Language Pathologist 114 Woodland St, Hartford, CT 06105-1208 2020-05-26
1407479595 Erin Michelle Sullivan Physician Assistant 114 Woodland St, Hartford, CT 06105-1208 2020-05-22
1831712256 Hospitalist Medicine Physicians of Connecticut - Tcs, LLC Family Medicine 114 Woodland St, Hartford, CT 06105-1208 2020-05-20
1164044947 Marena Josephine Harrison Physician Assistant 114 Woodland St, Hartford, CT 06105-1208 2020-05-14
1477175776 David Neubauer Physician Assistant 114 Woodland St, Hartford, CT 06105-1208 2020-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275155939 Pruthwy R Addanki Student in an Organized Health Care Education/Training Program Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 2020-05-15
1700447802 Samuel Flynn Student in an Organized Health Care Education/Training Program 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 2019-06-28
1730743568 Turab J Mohammed Student in an Organized Health Care Education/Training Program Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 2019-04-26
1164900387 Breanne Ferrara Social Worker 43 Wooland St, Hartford, CT 06105 2018-07-31
1154814069 Signature Smiles of Hartford LLC Dentist 550 Farmington Avenue, Suite B, Hartford, CT 06105 2018-06-14
1356839062 Jaimy Villavicencio Student in an Organized Health Care Education/Training Program 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 2018-04-27
1750885679 Brittany Bird Student in an Organized Health Care Education/Training Program 839-841 Asylum Avenue, Hartford, CT 06105 2018-03-23
1972032241 Ashley Nicole Mills Student in an Organized Health Care Education/Training Program 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 2017-06-08
1528506847 Samuel Agyei Social Worker 291 Collins St, Hartford, CT 06105 2017-02-07
1841735818 Katie Strahowski Nurse Practitioner 85 Gillett Street, Clean Slate, Hartford, CT 06105 2016-12-30
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Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235425521 Marguerite Palisoul Obstetrics & Gynecology 85 Seymour St Ste 705, Hartford Hospital Gynecology Oncology, Hartford, CT 06106-5501 2011-06-24
1508129081 Erin Greenberg Hartnett Obstetrics & Gynecology 114 Woodland St, Hartford, CT 06105-1208 2012-06-20
1518900133 Amy K. Brown Obstetrics & Gynecology 80 Seymour St, Hartford Hospital Gynoncology Dept, Hartford, CT 06102 2006-06-13
1780679969 Phillip Y. Roland Obstetrics & Gynecology 1000 Asylum Ave, Suite 2110, Hartford, CT 06105-1770 2005-09-14
1093711954 Beth E Nelson Obstetrics & Gynecology 1000 Asylum Ave, Ste 2110, Hartford, CT 06105-1719 2005-06-24
1437153012 Allan R Mayer Obstetrics & Gynecology 1000 Asylum Ave, Ste 2110, Hartford, CT 06105-1719 2005-06-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619594496 Terri Passante Obstetrics & Gynecology 99 Colonial Hill Dr, Wallingford, CT 06492-3470 2020-06-29
1023305455 Middlesex Hosp Dba Thoracic Surg/obgyn Onocology Obstetrics & Gynecology 540 Saybrook Rd Ste 180, Middletown, CT 06457-4759 2011-07-06
1497835961 Gloria S Huang Obstetrics & Gynecology Smilow Cancer Center Hospital At Yale New Haven, 20 York Street, New Haven, CT 06510-3220 2006-10-17
1962509653 Karen J. Nishida Obstetrics & Gynecology 1290 Summer St Ste 5200, Stamford, CT 06905-5339 2006-09-17
1376540906 John Dale Nash Obstetrics & Gynecology University of Connecticut Health Ctr, 263 Farmington Avenue - Mc1614, Farmington, CT 06030-0001 2005-06-28
1316354079 Gynecologic Cancer Care, LLC Obstetrics & Gynecology 65 High Ridge Rd, #653, Stamford, CT 06905-3800 2014-07-15
1669817854 Mitchell Brent Clark Obstetrics & Gynecology 333 Cedar St., Yale Medical School, New Haven, CT 06510 2013-05-02
1023368370 Jennifer Rose Jorgensen Obstetrics & Gynecology 263 Farmington Avenue, Farmington, CT 06030 2012-09-13
1407114630 Gary Altwerger Obstetrics & Gynecology 333 Cedar Street, Fmb 328, New Haven, CT 06510-3220 2012-04-25
1538100722 Linus Tsu-huang Chuang Obstetrics & Gynecology 95 Locust Ave, Stroock Tower, 2nd Floor, Danbury, CT 06810 2006-06-09
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Competitor

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City HARTFORD
Zip Code 06105

Improve Information

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Dataset Information

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.

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