SHANNON DEGROFF (NPI# 1699036103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699036103 |
| Entity Type | Individual |
| Full Name | SHANNON DEGROFF |
| Credential | M.D. |
| Practice Address |
Uconn Medical Group 263 Farmington Ave Farmington CT 06030-0001 |
| Practice Telephone | 8606792792 |
| Practice Fax Number | 8606791494 |
| Mailing Telephone | 8606792792 |
| Mailing Fax Number | 8606791494 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 054875 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
UCONN MEDICAL GROUP 263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922069 | Courtney Danielle Holmes | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2005-06-16 |
| 1487101465 | Luriza Glynn | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-09-07 |
| 1871040287 | Diane Cichy | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-09-01 |
| 1023460789 | Alexandra Shaw | Physician Assistant | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-07-06 |
| 1700233327 | Hillary Kathleen Siddons | Audiologist | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-6228 | 2016-05-24 |
| 1518312321 | Denise Desimone | Social Worker | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-04-29 |
| 1811368194 | Lauren Brennan | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2015-10-13 |
| 1346633435 | Elizabeth Ann Connole-pond | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2015-03-12 |
| 1912315201 | Britta Lucretia Shute | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2014-07-30 |
| 1164846226 | Vinutha Maregowda | Internal Medicine | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| 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 |
|---|---|---|---|---|
| 1477787364 | Jennifer Zeliger | Obstetrics & Gynecology | Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 | 2009-05-07 |
| 1427245240 | Farmington Clinic Company LLC | Obstetrics & Gynecology | 1216 Weber Road, Farmington, MO 63640-3325 | 2007-09-25 |
| 1518040476 | Kristean Porter Thorpe | Obstetrics & Gynecology | 610 W. Pinon St., Farmington, NM 87401 | 2006-10-23 |
| 1003852716 | Mark Allen Fisher | Obstetrics & Gynecology | 634 W Pinon St, Farmington, NM 87401-5915 | 2006-06-21 |
| 1225094808 | Daniel W Chang | Obstetrics & Gynecology | 610 W Pinon St, Farmington, NM 87401 | 2006-04-24 |
| 1831171560 | John Joseph Grechus | Obstetrics & Gynecology | 1103 Weber Rd Ste 203, Farmington, MO 63640-3302 | 2005-11-17 |
| 1578559084 | Phillip Lee Kintner | Obstetrics & Gynecology | 546 Maple Valley Dr, Farmington, MO 63640-1981 | 2005-09-21 |
| 1093717563 | Jerry Myron Karabin | Obstetrics & Gynecology | 814 W Maple St, Farmington, NM 87401-5631 | 2005-08-12 |
| 1821095225 | Ursula Steadman | Obstetrics & Gynecology | 499 Farmington Ave, Suite 220, Farmington, CT 06032-1943 | 2005-06-30 |
| 1770129025 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 1308 E 20th St, Farmington, NM 87401-9022 | 2019-11-21 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.