BEVERLEY JEANNE SHEARES (NPI# 1629041744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629041744 |
| Entity Type | Individual |
| Full Name | BEVERLEY JEANNE SHEARES |
| Credential | MD, MS |
| Practice Address |
333 Cedar St New Haven CT 06510 |
| Mailing Address |
333 Cedar Street Po Box 208064, Lmp3096a New Haven CT 06520 |
| Practice Telephone | 0327852480 |
| Practice Fax Number | 2037856337 |
| Mailing Telephone | 0327852480 |
| Mailing Fax Number | 2037856337 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
60460 | CT | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
182028 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01187719 | 05 |
| Street Address |
333 CEDAR ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033119524 | Robert Mcnamara | Internal Medicine | 333 Cedar St, Fmp 3, New Haven, CT 06510-3206 | 2005-07-26 |
| 1245850643 | Yale Medical Foundation, Inc. | Anesthesiology | 333 Cedar St, New Haven, CT 06510-3206 | 2020-04-26 |
| 1699395095 | Yale Medicine, P.C. | Anesthesiology | 333 Cedar St, New Haven, CT 06510-3206 | 2020-04-26 |
| 1639798135 | Rohil Malpani | Student in an Organized Health Care Education/Training Program | 333 Cedar St, New Haven, CT 06510-3206 | 2020-04-14 |
| 1538718507 | Jessica L Dorey | Nurse Practitioner | 333 Cedar St, New Haven, CT 06510-3206 | 2019-09-11 |
| 1861058364 | Kirthi Sree Bellamkonda | Student in an Organized Health Care Education/Training Program | 333 Cedar St, New Haven, CT 06510-3206 | 2019-05-10 |
| 1982164364 | Paul Mccracken Bourdillon | Student in an Organized Health Care Education/Training Program | 333 Cedar St, New Haven, CT 06510-3206 | 2019-03-22 |
| 1033611942 | Sarah Jordan Campbell | Physician Assistant | 333 Cedar St, New Haven, CT 06510 | 2018-03-06 |
| 1265930648 | Carla Isabel Becerra | Physician Assistant | 333 Cedar St, New Haven, CT 06510-3206 | 2018-01-31 |
| 1831600139 | Georgios Bouras | Internal Medicine | 333 Cedar St, New Haven, CT 06510-3206 | 2017-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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 |
|---|---|---|---|---|
| 1871907642 | Sabhyata Agrawal | Pediatrics | 1 Park St # Wp-2, New Haven, CT 06504-8901 | 2014-06-19 |
| 1629465141 | Laura Chen | Pediatrics | 20 York St Fl 2, New Haven, CT 06510-3220 | 2015-04-22 |
| 1851792170 | Sherin T. Panacherry | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2014-09-05 |
| 1174792949 | Nutmeg Pediatric Pulmonary Services | Pediatrics | 60 Temple St, 7f, New Haven, CT 06510 | 2008-02-26 |
| 1881670834 | Pnina G Weiss | Pediatrics | 20 York St, Ynhh Children's Hospital, West Pavilion, 2nd Fl, New Haven, CT 06510-3220 | 2005-12-21 |
| 1104800374 | Marie Eloise Egan | Pediatrics | 20 York St, Ynhh (children's) West Pavilion 2nd Floor, New Haven, CT 06504-8900 | 2005-12-01 |
| 1457334666 | Alia Bazzy-asaad | Pediatrics | 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2005-11-22 |
| 1316920523 | Americo Eloy Esquibies | Pediatrics | 20 York St, Ynhh (children's) West Pavilion 2nd Floor, New Haven, CT 06510-3220 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801862602 | Regina M Palazzo | Pediatrics | 6 Business Park Dr, 202, Branford, CT 06405-2988 | 2006-02-23 |
| 1053655548 | Nutmeg Pediatric Pulmonary Services LLC | Pediatrics | 6 Business Park Dr, Suite 202, Branford, CT 06405-2988 | 2012-11-21 |
| 1770836827 | Natalie Rebecca Shilo | Pediatrics | 85 Seymour St Ste 500, Hartford, CT 06106-5524 | 2012-10-25 |
| 1134476658 | Sabina Q Ahmad | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2012-08-15 |
| 1114152733 | Anne Victoria Mclaughlin | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2009-05-27 |
| 1659562031 | Melanie Sue Collins | Pediatrics | 282 Washington St, Suite 2b, Hartford, CT 06106 | 2007-08-09 |
| 1467650697 | Sharon Ann Newport | Pediatrics | 57 Old Post Rd No 2, Greenwich, CT 06830-6786 | 2007-07-10 |
| 1518023522 | Michelle M. Cloutier | Pediatrics | 282 Washington St, Suite 2b, Hartford, CT 06106-3322 | 2006-12-28 |
| 1467541805 | Connecticut Children's Medical Center | Pediatrics | 282 Washington St, Asthma Center - Hartford Square West, Hartford, CT 06106-3322 | 2006-10-12 |
| 1639193741 | Gregory Dworkin | Pediatrics | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-07-26 |
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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.