GERALD A GORECKI (NPI# 1699750240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699750240 |
Entity Type | Individual |
Full Name | GERALD A GORECKI |
Credential | DPM |
Practice Address |
800 Howard Ave Yale Physicians Building - 1st Floor New Haven CT 06519-1369 |
Mailing Address |
Po Box 9805 300 George St, 6th Floor New Haven CT 06536-0805 |
Practice Telephone | 2037852579 |
Enumeration Date | 2005-12-07 |
Last Update Date | 2008-07-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | P00341 | CT | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004183927 | 05 |
Street Address |
800 HOWARD AVE YALE PHYSICIANS BUILDING - 1ST FLOOR |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184621419 | John P Fulkerson | Orthopaedic Surgery | 800 Howard Ave, New Haven, CT 06519-1369 | 2005-07-01 |
1467068163 | Catherine Aileen Chagnon | Physical Medicine & Rehabilitation | 800 Howard Ave, New Haven, CT 06519-1369 | 2020-09-17 |
1508408915 | Rebecca Lynne Tallarita | Nurse Practitioner | 800 Howard Ave, New Haven, CT 06519 | 2019-10-17 |
1598323610 | Brianne Krawczyk | Pharmacist | 800 Howard Ave, Hvc Center-2nd Floor, New Haven, CT 06519 | 2019-06-04 |
1467017277 | Gabriel B Lerner | Student in an Organized Health Care Education/Training Program | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-05-07 |
1467915413 | Sarah Elizabeth Savoia | Physician Assistant | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-04-08 |
1992287577 | Brittany Cyr | Pharmacist | 800 Howard Ave, New Haven, CT 06519-1369 | 2018-08-30 |
1700395506 | Lauren Katherine Fagan | Audiologist | 800 Howard Ave, New Haven, CT 06519-1369 | 2017-09-25 |
1548784093 | Megan Frank Harari | Nurse Practitioner | 800 Howard Ave, Ste 1st Floor, Room 133, New Haven, CT 06519 | 2017-07-26 |
1942723168 | Jamie B Freeman | Physician Assistant | 800 Howard Ave, Yale Neurosurgery, New Haven, CT 06519-1369 | 2017-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
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Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417990136 | Aparna S Chauhan | Podiatrist | 136 Sherman Ave Ste 202, New Haven, CT 06511-5210 | 2006-06-13 |
1376526814 | Peter A Blume | Podiatrist | 508 Blake St, New Haven, CT 06515-1287 | 2005-11-29 |
1376547992 | Estell Pappas | Podiatrist | 136 Sherman Ave, Ste 202, New Haven, CT 06511-5210 | 2005-06-10 |
1013443134 | New Haven Foot and Ankle Group,inc | Podiatrist | 136 Sherman Ave Ste 202, New Haven, CT 06511-5210 | 2017-05-10 |
1063944049 | Laura Poindexter Rowe | Podiatrist | 1450 Chapel St, Mob 315, New Haven, CT 06511-4405 | 2017-03-30 |
1376925370 | Shanique Bingham | Podiatrist | 428 Columbus Avenue, Podiatry, New Haven, CT 06519-1233 | 2015-06-25 |
1811154511 | Podiatry Group of New Haven, PC | Podiatrist | 200 Orchard St, Ste 102, New Haven, CT 06511-5363 | 2008-05-20 |
1558438069 | Podiatry Group of New Haven, PC | Podiatrist | 200 Orchard Street, Suite 102, New Haven, CT 06511 | 2006-11-29 |
1306854864 | New Haven Podiatry Associates LLP | Podiatrist | 136 Sherman Ave, Suite 202, New Haven, CT 06511-5238 | 2006-08-03 |
1679555106 | Steven B Silverstein | Podiatrist | 200 Orchard St, Suite 102, New Haven, CT 06511 | 2005-11-18 |
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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.