SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP (NPI# 1629600135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629600135 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP |
| Practice Address |
One Long Wharf Dr. Suite #302 New Haven CT 06511-5602 |
| Practice Telephone | 2037777500 |
| Practice Fax Number | 2037778469 |
| Mailing Telephone | 2037777500 |
| Mailing Fax Number | 2037778469 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | KEN YANAGISAWA (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 2037874244 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
ONE LONG WHARF DR. SUITE #302 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409143 | Hearing Center of Southern Ct LLC | Hearing Aid Equipment | One Long Wharf Dr., Suite # 302, New Haven, CT 06511-5602 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1265936512 | Nofrat Schwartz | Otolaryngology | 47 College St Ste 216, New Haven, CT 06510-3209 | 2018-03-21 |
| 1942543111 | Jeffrey Paul Cranford | Otolaryngology | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | 2013-04-05 |
| 1417259417 | James Michael Dowaliby II | Otolaryngology | 200 College St, Apt. 331, New Haven, CT 06510-2444 | 2010-11-23 |
| 1457448565 | Wendell Yarbrough | Otolaryngology | 35 Park Street, Smilow Cancer Hospital, New Haven, CT 06511 | 2006-10-09 |
| 1609874999 | Jeffrey H Kerner | Otolaryngology | 911-913 State Street, New Haven, CT 06511-3926 | 2005-07-11 |
| 1023496122 | Bruno Cardoso | Otolaryngology | 800 Howard Ave Fl 4, Ynhh, Surgery - Otolaryngology, New Haven, CT 06519-1369 | 2015-05-11 |
| 1639586464 | Michael Weinstock | Otolaryngology | 47 College St, New Haven, CT 06510-3209 | 2014-07-14 |
| 1942627187 | Sarah Maurrasse | Otolaryngology | 20 York St, New Haven, CT 06510-3220 | 2014-03-26 |
| 1356785182 | Nikita Kohli | Otolaryngology | 800 Howard Ave Fl 4, New Haven, CT 06519-1369 | 2013-04-23 |
| Find all providers in NEW HAVEN | ||||
Please comment or provide details below to improve the information on SOUTHERN NEW ENGLAND EAR, NOSE, THROAT & FACIAL PLASTIC SURG GRP. LCP.
| 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.