DR. LISA M DUNKLE (NPI# 1568617918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568617918 |
| Entity Type | Individual |
| Full Name | DR. LISA M DUNKLE |
| Credential | MD |
| Practice Address |
12 Richborough Rd Madison CT 06443-2530 |
| Practice Telephone | 2032451042 |
| Practice Fax Number | 2035996069 |
| Mailing Telephone | 2032451042 |
| Mailing Fax Number | 2035996069 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2015-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
R6582 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
030377 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
12 RICHBOROUGH RD |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127506 | Heather R. Clinton | Social Worker | 847 West Main Street, Suite 3, Branford, CT 06443 | 2014-09-17 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1073750493 | Darlene F. Talavera | Occupational Therapist | 22 Overshore Drive, Madison, CT 06443 | 2009-01-08 |
| 1013182518 | Susan Jean Isaac | Social Worker | 105 Winding Road, Unit 2, Madison, CT 06443 | 2008-04-25 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
| 1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
| Find all providers in zip 06443 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609133875 | Emma Louise Mohr | Pediatrics | American Family Childrens Hospital 1675 Highland Ave, Madison, WI 53792-0001 | 2012-04-12 |
| 1942405683 | Sandor Feldman | Pediatrics | 119 Laird Ave, Madison, MS 39110-7670 | 2007-06-20 |
| 1215391313 | Bryan Vonasek | Pediatrics | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-05 |
| 1356386189 | Sheryl L Henderson | Pediatrics | 2880 University Ave, Madison, WI 53705-3644 | 2006-06-17 |
| 1447226188 | James H Conway | Pediatrics | 2880 University Ave, Madison, WI 53705 | 2006-02-23 |
| 1073589727 | Bruce S Klein | Pediatrics | 2880 University Ave, Madison, WI 53705 | 2006-02-23 |
| 1053387720 | Ellen R Wald | Pediatrics | 600 Highland Ave, Madison, WI 53792-4108 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841600616 | Melissa Campbell | Pediatrics | 464 Congress Ave Fl 2, New Haven, CT 06519-1362 | 2014-05-02 |
| 1942274550 | Peter Krause | Pediatrics | 60 College St, New Haven, CT 06510-3201 | 2006-02-13 |
| 1881037430 | Edward Chieman Kim | Pediatrics | 282 Washington St, Hartford, CT 06106 | 2013-04-14 |
| 1659627479 | Mark Lobato | Pediatrics | 410 Capitol Ave, 11-tub, Hartford, CT 06106-1367 | 2012-07-30 |
| 1770817991 | Sachin N Desai | Pediatrics | 2 Church St S, Suite 300a, New Haven, CT 06519-1717 | 2009-09-21 |
| 1013150028 | Caitlin Elizabeth Hansen | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2009-04-07 |
| 1598929655 | Thomas S Murray | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2008-07-17 |
| 1376519579 | Henry Feder | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-27 |
| 1649246190 | Juan Carlos Salazar | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-24 |
| 1134102692 | Marietta Vazquez | Pediatrics | 20 York St, Ynhh Children's Hospital, West Pavilion, 2nd Fl, New Haven, CT 06510-3220 | 2005-11-29 |
| Find all providers with the same taxonomy | ||||
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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.