DR. DANA UFNAL KIVLIN (NPI# 1679869572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679869572 |
| Entity Type | Individual |
| Full Name | DR. DANA UFNAL KIVLIN |
| Credential | D.O. |
| Practice Address |
520 Saybrook Rd Ste 100b Middletown CT 06457-4700 |
| Practice Telephone | 8603478850 |
| Mailing Telephone | 8603478850 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 55927 | CT | Allopathic & Osteopathic Physicians |
| N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
55927 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008076307 | 05 |
| Street Address |
520 SAYBROOK RD STE 100B |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245674720 | Sandra A Glenney | Nurse Practitioner | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | 2013-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669527305 | Middletown Urologic Associates, P.C. | Urology | 27 Ridge St, Middletown, NY 10940-3345 | 2007-01-24 |
| 1245324425 | Rohit A Patel | Urology | 25, Myrtle Avenue, Middletown, NY 10940 | 2006-10-03 |
| 1851368468 | Murray David Schwalb | Urology | 12 Grove Street, Middletown, NY 10940 | 2006-03-02 |
| 1821094707 | David Charles Miller | Urology | 200 Medical Center Dr Ste 500, Middletown, OH 45005-5183 | 2005-06-24 |
| 1376545673 | Douglas L Gaker | Urology | 112 S Main St, Middletown, OH 45044-4023 | 2005-06-01 |
| 1518340280 | Samuel Abourbih | Urology | 707 E Main St, Middletown, NY 10940-2650 | 2015-06-30 |
| 1912263112 | Michael Joseph Piecuch | Urology | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2012-04-02 |
| 1609147974 | Premier Health Specialists Inc | Urology | 112 S Main St, Middletown, OH 45044-4023 | 2012-01-19 |
| 1386937696 | Christopher S. Han | Urology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2011-05-18 |
| 1427359785 | Ansel Raymond Marks | Urology | 111 Highland Ave, Middletown, NY 10940-4712 | 2010-11-03 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.