MS. KIMBERLY OFOEGBU (NPI# 1588913552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588913552 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY OFOEGBU |
| Practice Address |
79 Sand Pit Rd Ste 102 Danbury CT 06810-4010 |
| Mailing Address |
1 East Hayestown Rd. Unit 20 Danbury CT 06811 |
| Practice Telephone | 7189208840 |
| Mailing Telephone | (570) 977-1056 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2017-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3657 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
015809 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1588913551 | 05 |
| Street Address |
79 SAND PIT RD STE 102 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093236614 | Ann M Hawkins | Nurse Practitioner | 79 Sand Pit Rd Ste 102, Danbury, CT 06810-4010 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547508 | Gabriela M Vargas | Physician Assistant | 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 | 2019-09-16 |
| 1629449103 | Amy E Drabik | Physician Assistant | 69 Sand Pit Road, Suite 300, Danbury, CT 06810 | 2015-10-09 |
| 1518276302 | Chizoro Constance Taylor | Physician Assistant | 9102 Avalon Valley Dr, Danbury, CT 06810-4063 | 2010-09-28 |
| 1588841175 | Jakelinne E Caballero-asta | Physician Assistant | 111 Osborne Street, Danbury, CT 06810 | 2008-01-25 |
| 1770659674 | Donna Ellen Haupt | Physician Assistant | 107 Newtown Rd Ste 2a, Danbury, CT 06810-4180 | 2006-11-24 |
| 1194752501 | Leah Anne Mcgarry | Physician Assistant | Wcmg Danbury Cardiology, 111 Osborne St, 3rd Floor, Danbury, CT 06810-6000 | 2006-06-28 |
| 1326016486 | Gale Lynn Harkness | Physician Assistant | 1009 Main St, Stokes Family Health Center, Danbury, NC 27016-0187 | 2006-03-14 |
| 1740278472 | James T Mcmahon | Physician Assistant | 67 Sand Pit Rd, Suite 308, Danbury, CT 06810-4032 | 2005-10-06 |
| 1720072515 | Melanie Mckeever | Physician Assistant | 7 Germantown Rd, Suite 1b, Danbury, CT 06810-5000 | 2005-09-07 |
| 1407401052 | Stephanie Nicole Marques | Physician Assistant | 24 Hospital Ave, Danbury, CT 06810-6099 | 2019-08-09 |
| Find all providers in DANBURY | ||||
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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.