JONATHAN SPORN (NPI# 1700889771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700889771 |
| Entity Type | Individual |
| Full Name | JONATHAN SPORN |
| Credential | MD |
| Practice Address |
94 Woodland St Hartford CT 06105-1217 |
| Mailing Address |
1000 Asylum Ave Ste 2109a Hartford CT 06105-1719 |
| Practice Telephone | 8607144680 |
| Practice Fax Number | 8607148047 |
| Mailing Telephone | 8607146581 |
| Mailing Fax Number | 8607148311 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
028198 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001281989 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710229240 | Jonathan Sporn | Psychiatry & Neurology | 230 Riverside Dr, 19d, New York, NY 10025-6105 | 2013-03-22 |
| Street Address |
94 WOODLAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980735 | Syed Bilgrami | Internal Medicine | 94 Woodland St, Hartford, CT 06105-1217 | 2005-05-23 |
| 1720143563 | Connecticut Radiation Oncology, P.C. | Radiology | 94 Woodland St, Hartford, CT 06105-1217 | 2006-12-22 |
| 1003829615 | Bruce M. (michael) Kaplan | Radiology | 94 Woodland St, Hartford, CT 06105-1217 | 2006-08-14 |
| 1649207762 | Richard C Shumway | Radiology | 94 Woodland St, Radiation Oncology, Hartford, CT 06105-1217 | 2006-06-26 |
| 1730181355 | Alison Johnson | Physician Assistant | 94 Woodland St, Cancer Center, Hartford, CT 06105-1217 | 2005-08-12 |
| 1821090432 | Jose Morales-marin | Physician Assistant | 94 Woodland St, Cancer Center, Hartford, CT 06105-1217 | 2005-08-12 |
| 1730181348 | Agatha Hecht | Nurse Practitioner | 94 Woodland St, Cancer Center, Hartford, CT 06105-1217 | 2005-08-12 |
| 1134122104 | Richard Edwards | Internal Medicine | 94 Woodland St, Hartford, CT 06105-1217 | 2005-05-24 |
| 1447253422 | Susan Rabinowe | Internal Medicine | 94 Woodland St, Hartford, CT 06105-1217 | 2005-05-24 |
| 1417950494 | Zia Rahman | Internal Medicine | 94 Woodland St, Hartford, CT 06105-1217 | 2005-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063454759 | Peter K Schauer | Internal Medicine | 85 Retreat Ave, Hartford, CT 06106-2527 | 2006-06-10 |
| 1295777613 | Stacy R Nerenstone | Internal Medicine | 85 Retreat Ave, Hartford, CT 06106-2527 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063884146 | Mmi Script Hub & Medical Supplies | Internal Medicine | 1768 Storrs Rd, Storrs, CT 06268-1260 | 2015-10-28 |
| 1477988764 | Rosemary Mazanet | Internal Medicine | 24 Daffodil Ln, Cos Cob, CT 06807-1409 | 2013-09-05 |
| 1083932578 | Yu Zhang | Internal Medicine | Smilow Cancer Hospital, 20 York Street, Np4, New Haven, CT 06510 | 2010-05-10 |
| 1467607283 | Myra Frances Barginear | Internal Medicine | 15 Manitou Rd, Westport, CT 06880-6008 | 2008-11-20 |
| 1942464276 | Ashita Dilipkumar Talsania | Internal Medicine | 200 Kennedy Drive, Smlow Torrington Care Center, Torrington, CT 06790 | 2008-07-16 |
| 1538328778 | Mandar Deepak Muzumdar | Internal Medicine | Smilow Cancer Hospital, 35 Park Street, New Haven, CT 06511 | 2008-06-03 |
| 1225121932 | Pamela Lyn Kunz | Internal Medicine | Yale Medical School, 333 Cedar Street, New Haven, CT 06510-8028 | 2006-10-02 |
| 1073619490 | Anne C Chiang | Internal Medicine | 200 York Street, Np15-304, Yale University School of Medicine, New Haven, CT 06520 | 2006-09-15 |
| 1164430757 | Hematology & Oncology Associates of Greenwich | Internal Medicine | 77 Lafayette Place, Greenwich, CT 06830 | 2006-08-03 |
| 1043245889 | Ivan Stephen Lowenthal | Internal Medicine | 6 Devine St Ste 2c, North Haven, CT 06473-2222 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
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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.