DR. GEOFFREY ETHERINGTON (NPI# 1689126336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689126336 |
| Entity Type | Individual |
| Full Name | DR. GEOFFREY ETHERINGTON |
| Credential | M.D. |
| Practice Address |
302 Rte 81 Killingworth CT 06419 |
| Practice Telephone | 8606630224 |
| Mailing Telephone | 8606630224 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
019586 | CT | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 019586 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
302 RTE 81 |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497997225 | Beth Zukowski | Skilled Nursing Facility | 150 Schnoor Road, Killingworth, CT 06419 | 2009-03-25 |
| 1154491041 | Ronald E. Wygonik | Dentist | 184 Route 81, Killingworth, CT 06419 | 2006-11-08 |
| 1922119114 | Cynthia Lee Sarris | Social Worker | 46 Granite Hill Rd, Killingworth, CT 06419 | 2006-08-31 |
| 1770190290 | Michelle Ann Serbent | Occupational Therapist | 4 County Rd, Killingworth, CT 06419-1004 | 2020-09-29 |
| 1962752030 | Kelsey Ann Kearns Buttendorf | Counselor | 147 Pond Meadow Rd, Killingworth, CT 06419-1122 | 2012-09-14 |
| 1417467879 | Onecalltherapy,llc | Clinic/Center | 193 N Parker Hill Rd, Killingworth, CT 06419-1124 | 2017-10-11 |
| 1154458545 | Peter Bohuslav Zelinka | Radiology | 221 N Parker Hill Rd, Killingworth, CT 06419-1124 | 2007-02-27 |
| 1255468443 | Jane Elizabeth Robinson | Psychologist | 50 Bethke Rd, Killingworth, CT 06419-1133 | 2007-02-27 |
| 1346516341 | Evr Mental Health Services, LLC | Marriage & Family Therapist | 9 Lovers Ln, Killingworth, CT 06419-1155 | 2012-03-24 |
| 1568789204 | Rachel Anne Jensen | Student in an Organized Health Care Education/Training Program | 46 Schnoor Rd, Killingworth, CT 06419-1162 | 2010-04-20 |
| Find all providers in zip 06419 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029773 | Medexpress Primary Care Texas, P.a. | General Practice | 185 Asylum Street, City Place 1, Hartford, CT 06103-3408 | 2019-08-22 |
| 1225510571 | David Warren Boxwell | General Practice | 67 Church St., Suite 300, Norwich, CT 06360-0636 | 2018-09-04 |
| 1407234685 | Adrian Kenneth Wyllie | General Practice | 4 Research Pkwy, Wallingford, CT 06492-1929 | 2015-05-08 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| 1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
| 1811237142 | Jose Buhain | General Practice | 19 Judson Ave Apt 5d, Woodbury, CT 06798-2844 | 2013-02-23 |
| 1548520661 | Cynthia Zywocinski | General Practice | 92 Everit St, New Haven, CT 06511-1321 | 2012-05-23 |
| 1093071631 | Roger Joseph Branson | General Practice | 12 Woodcreek Rd, Bethlehem, CT 06751-1705 | 2012-04-09 |
| 1427323401 | Kevin David Wolter | General Practice | 43 Oxford Ct, Mystic, CT 06355-1705 | 2012-03-09 |
| 1144590191 | Richard John Annulli | General Practice | 1037 Valley Rd, New Canaan, CT 06840-2818 | 2012-01-09 |
| Find all providers with the same taxonomy | ||||
| City | KILLINGWORTH |
| Zip Code | 06419 |
Please comment or provide details below to improve the information on DR. GEOFFREY ETHERINGTON.
| 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.