RANDY BERKE (NPI# 1639272719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639272719 |
| Entity Type | Individual |
| Full Name | RANDY BERKE |
| Credential | MD |
| Practice Address |
449 Farmington Avenue Hartford CT 06105 |
| Practice Telephone | 8602365431 |
| Practice Fax Number | 8602323792 |
| Mailing Telephone | 8602365431 |
| Mailing Fax Number | 8602323792 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 028344 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001283449 | 05 |
| Street Address |
449 FARMINGTON AVENUE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184727265 | Gene Freylikhman | Obstetrics & Gynecology | 449 Farmington Avenue, Hartford, CT 06105 | 2006-09-06 |
| 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 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093179624 | Jessica Lovesky | Obstetrics & Gynecology | 85 Seymour St Ste 1019, Hartford, CT 06106-5530 | 2016-04-10 |
| 1205218682 | Rui Wang | Obstetrics & Gynecology | 85 Seymour St Ste 525, Hartford, CT 06106-5525 | 2015-06-23 |
| 1881960201 | Loretta Ruth Hallock | Obstetrics & Gynecology | 114 Woodland St., St. Francis Hospital, Hartford, CT 06105 | 2012-03-29 |
| 1134449697 | Stephanie L Bakaysa | Obstetrics & Gynecology | 85 Jefferson St Ste 625, Hartford Hospital Maternal Fetal Medicine, Hartford, CT 06106 | 2010-06-08 |
| 1114048329 | Jonathan Paul Shepherd | Obstetrics & Gynecology | 114 Woodland St Dept Of, Hartford, CT 06105-1208 | 2007-04-03 |
| 1609942416 | Gene David Kirschenbaum | Obstetrics & Gynecology | 360 Market Street, Hartford, CT 06120 | 2006-11-27 |
| 1902909088 | Leonard Lippman | Obstetrics & Gynecology | 449 Farmington Ave, Hartford, CT 06105 | 2006-09-06 |
| 1538182068 | Janice Hartnett | Obstetrics & Gynecology | 136 Retreat Ave, Hartford, CT 06106-2529 | 2006-07-25 |
| 1265474340 | Gary Francis Nobert | Obstetrics & Gynecology | Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 | 2006-06-12 |
| 1578536272 | Alan Fine | Obstetrics & Gynecology | 21 Woodland St, Suite 310, Hartford, CT 06105-4318 | 2006-02-12 |
| Find all providers in HARTFORD | ||||
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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.