MS. MONA A GOHARA (NPI# 1679523450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679523450 |
| Entity Type | Individual |
| Full Name | MS. MONA A GOHARA |
| Credential | MD |
| Practice Address |
25 Tamarack Ave Advanced Derm Care PC Danbury CT 06811 |
| Practice Telephone | 2037978990 |
| Practice Fax Number | 2037487861 |
| Mailing Telephone | 2037978990 |
| Mailing Fax Number | 2037487861 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 043192 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001431923 | 05 |
| Street Address |
25 TAMARACK AVE ADVANCED DERM CARE PC |
| City | DANBURY |
| State | CT |
| Zip Code | 06811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023068087 | Advanced Derm Care PC | Dermatology | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811 | 2006-05-11 |
| 1407367212 | Nicole Potucek Strand | Nurse Practitioner | 25 Tamarack Ave, Danbury, CT 06811-4829 | 2017-10-19 |
| 1841634227 | Jillian T Philbin | Nurse Practitioner | 25 Tamarack Ave, Danbury, CT 06811-4829 | 2013-04-29 |
| 1164719043 | Marimeg Quinn Clairwood | Dermatology | 25 Tamarack Ave, Danbury, CT 06811-4829 | 2011-06-29 |
| 1902964554 | Laura Robin Reidy | Physician Assistant | 25 Tamarack Ave, Danbury, CT 06811-4829 | 2006-12-05 |
| 1922059823 | Barry S Goldberg | Dermatology | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811 | 2006-05-15 |
| 1033160924 | Grace L Federman | Dermatology | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811 | 2006-05-15 |
| 1306896287 | Jonathan R Zirn | Dermatology | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811-4829 | 2006-05-11 |
| 1154371904 | Graeme M Lipper | Dermatology | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811-4829 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285361 | Domonique Danza | Massage Therapist | 34 Mill Plain Rd, Danbury, CT 06811 | 2019-09-20 |
| 1538683552 | Walgreen Co | Pharmacy | 113/115 Mill Plain Rd, Danbury, CT 06811 | 2017-08-01 |
| 1366980484 | Heather H Thebodo | Pharmacist | 47-49 Lake Avenue Extention, Danbury, CT 06811 | 2017-02-09 |
| 1851848824 | Ellen Lyall | Dental Hygienist | 6 Field Road, Danbury, CT 06811 | 2016-09-07 |
| 1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
| 1063757730 | Rabiya Ansari-johnston | Occupational Therapist | 1 Glen Hill Road, Danbury, CT 06811 | 2012-12-06 |
| 1407167851 | Appalachian Chiropractic and Wellness LLC | Chiropractor | 103 Mill Plain Road, Suite 1, Danbury, CT 06811 | 2010-06-30 |
| 1730395294 | David P Rentler | Psychologist | 33 and One Half Pembroke Rd, Danbury, CT 06811 | 2007-05-14 |
| 1770704074 | Loretta Marie Osik | Naturopath | One Maplewood Dr, Danbury, CT 06811 | 2007-05-02 |
| 1932227733 | Lorena Jean Tesbir | Counselor | 2 Glen Hill Road, Danbury, CT 06811 | 2007-03-27 |
| Find all providers in zip 06811 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659324515 | Michael Stanley Thibault | Dermatology | 25 Tamarack Avenue, Advanced Derm Care, PC, Danbury, CT 06811 | 2006-05-19 |
| 1023068087 | Advanced Derm Care PC | Dermatology | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811 | 2006-05-11 |
| 1285636498 | Kenneth A Cohen | Dermatology | 73 Sand Pit Rd, Ste 207, Danbury, CT 06810-4015 | 2005-06-01 |
| 1871596544 | Stuart A Kittay | Dermatology | 16 Hospital Ave, Ste 302, Danbury, CT 06810-5994 | 2005-05-24 |
| 1164719043 | Marimeg Quinn Clairwood | Dermatology | 25 Tamarack Ave, Danbury, CT 06811-4829 | 2011-06-29 |
| 1518042092 | Kenneth J Egan | Dermatology | 107 Newtown Rd, Suite 2c, Danbury, CT 06810-4146 | 2006-10-25 |
| 1144255332 | William A Notaro | Dermatology | 27 Hospital Ave, Suite 406, Danbury, CT 06810-5954 | 2006-07-12 |
| 1922059823 | Barry S Goldberg | Dermatology | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811 | 2006-05-15 |
| 1033160924 | Grace L Federman | Dermatology | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811 | 2006-05-15 |
| 1306896287 | Jonathan R Zirn | Dermatology | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811-4829 | 2006-05-11 |
| 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.