JORGE LUIS REGUERO HERNANDEZ (NPI# 1700029394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700029394 |
| Entity Type | Individual |
| Full Name | JORGE LUIS REGUERO HERNANDEZ |
| Credential | M.D. |
| Practice Address |
310 Cedar St Room Lh118 New Haven CT 06510-3218 |
| Practice Telephone | 2037852616 |
| Practice Fax Number | 2037852615 |
| Mailing Telephone | 2037852616 |
| Mailing Fax Number | 2037852615 |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208C00000X | Colon & Rectal Surgery | 4301116413 | MI | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 1.055294 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
310 CEDAR ST ROOM LH118 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117841 | Raffaella Morotti | Pathology | 310 Cedar St, Pathology Department, New Haven, CT 06510-3218 | 2005-07-14 |
| 1194245100 | Jeff Wang | Student in an Organized Health Care Education/Training Program | 310 Cedar St, New Haven, CT 06510-3218 | 2017-06-21 |
| 1851824833 | Edwin Partovi | Pathology | 310 Cedar St, Yusm, Department of Pathology, New Haven, CT 06510-3218 | 2017-04-06 |
| 1568811594 | Hatem Osama Kaseb | Student in an Organized Health Care Education/Training Program | 310 Cedar St, Yusm, Department of Pathology, New Haven, CT 06510-3218 | 2016-06-09 |
| 1689022352 | Benjamin Louis Mazer | Student in an Organized Health Care Education/Training Program | 310 Cedar St, Yusm, Department of Pathology, New Haven, CT 06510-3218 | 2016-06-02 |
| 1255788360 | Omeed Hafez | Student in an Organized Health Care Education/Training Program | 310 Cedar St, Yusm, Department of Pathology, New Haven, CT 06510-3218 | 2016-05-18 |
| 1326494881 | Douglas Rottmann | Student in an Organized Health Care Education/Training Program | 310 Cedar St, Yusm, Department of Pathology, New Haven, CT 06510-3218 | 2016-05-13 |
| 1831545466 | Deepika Kumar | Student in an Organized Health Care Education/Training Program | 310 Cedar St, Yusm, Department of Pathology, New Haven, CT 06510-3218 | 2016-05-12 |
| 1598145120 | Mohammadreza Shervinrad | Student in an Organized Health Care Education/Training Program | 310 Cedar St, Yusm, Department of Pathology, New Haven, CT 06510-3218 | 2015-06-09 |
| 1548648421 | Kevin Timothy Pelland Jr. | Student in an Organized Health Care Education/Training Program | 310 Cedar St, Yusm, Department of Pathology, New Haven, CT 06510-3218 | 2015-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831160936 | Walter E Longo | Colon & Rectal Surgery | 800 Howard Ave, Ypb - Third Floor, New Haven, CT 06519-1369 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427519347 | Mhs Primary Care, Inc. | Colon & Rectal Surgery | 12 Jones Hollow Rd Ste 2, Marlborough, CT 06447-1139 | 2019-03-26 |
| 1124281530 | Marc Joseph Casasanta | Colon & Rectal Surgery | 111 Osborne St Ste 111, Danbury, CT 06810 | 2008-07-07 |
| 1083804231 | Connecticut Colon & Rectal Surgery, LLC | Colon & Rectal Surgery | 40 Hart St Ste B2, New Britain, CT 06052-1745 | 2007-07-25 |
| 1528268182 | Amanda Stevenson Ayers | Colon & Rectal Surgery | 6 Northwestern Dr Ste 305, Bloomfield, CT 06002-3428 | 2007-07-23 |
| 1053373431 | Saumitra R Banerjee | Colon & Rectal Surgery | 6 Northwestern Dr, Suite # 305, Bloomfield, CT 06002-3463 | 2006-04-03 |
| 1699771683 | Steven Almour Hirshorn | Colon & Rectal Surgery | 2660 Main St, Ste 302, Bridgeport, CT 06606-5301 | 2005-06-23 |
| 1891072757 | Community Medical Partners, Inc. | Colon & Rectal Surgery | 163 Broadway St, Colchester, CT 06415-1022 | 2011-11-07 |
| 1376858985 | Ryan Francis Bendl | Colon & Rectal Surgery | 24 Stevens St, Suite D, Norwalk, CT 06850-3852 | 2010-08-09 |
| 1205063849 | Daniel James Mullins | Colon & Rectal Surgery | 6 Northwestern Dr, Bloomfield, CT 06002-3463 | 2009-06-21 |
| 1588899405 | Eric Denis Girard | Colon & Rectal Surgery | 270 Farmington Ave, #352, Farmington, CT 06032-1909 | 2009-05-20 |
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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.