DR. JAIME ANN CAVALLO (NPI# 1710185624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710185624 |
| Entity Type | Individual |
| Full Name | DR. JAIME ANN CAVALLO |
| Credential | MD, MPHS |
| Practice Address |
789 Howard Avenue Urology Suite, Fmp 300 New Haven CT 06519 |
| Practice Telephone | 2037855339 |
| Practice Fax Number | 2037854043 |
| Mailing Telephone | 2037855339 |
| Mailing Fax Number | 2037854043 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2007016879 | MO | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 291812-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 63683 | CT | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 273672 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
789 HOWARD AVENUE UROLOGY SUITE, FMP 300 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275518771 | Stephen J Huot | Internal Medicine | 789 Howard Avenue, Dana Building 3rd Floor, New Haven, CT 06510-8056 | 2005-12-07 |
| 1861840282 | Megan Mccullough | Internal Medicine | 789 Howard Avenue, Ynhh Department of Internal Medicine, New Haven, CT 06520-8025 | 2016-05-26 |
| 1558527424 | Seyedtaghi Takyar | Internal Medicine | 789 Howard Avenue, 2nd Floor Winchester Chest Clinic, New Haven, CT 06519-1304 | 2008-07-31 |
| 1063676138 | Chisaraokwu Ngozi Asomugha | Pediatrics | 789 Howard Avenue, New Haven, CT 06520 | 2008-07-17 |
| 1316113152 | Jennifer Dyan Possick | Internal Medicine | 789 Howard Avenue, Winchester Chest Clinic, New Haven, CT 06519 | 2008-05-01 |
| 1285825943 | Beverly A Isaac | Physician Assistant | 789 Howard Avenue, Ynhh Women's Center, New Haven, CT 06519 | 2007-08-07 |
| 1700906294 | Rajasekhara R Ayyagari | Radiology | 789 Howard Avenue, Clinical Building, Cb 363h, New Haven, CT 06520-8042 | 2007-03-30 |
| 1447314695 | Martha Minihan Mitchell | Nurse Practitioner | 789 Howard Avenue, Yale New Haven Hospital Womens Center, New Haven, CT 06519 | 2006-12-21 |
| 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 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568722551 | Joseph Mathew Brito IIi | Urology | 789 Howard Ave # Fmp302, New Haven, CT 06519-1304 | 2012-05-23 |
| 1639330079 | Piruz Motamedinia | Urology | 789 Howard Ave # 300, New Haven, CT 06519-1304 | 2008-06-18 |
| 1396922670 | Adam Benjamin Hittelman | Urology | 330 Cedar Street, #208058, Department of Urology, Yale School of Medicine, New Haven, CT 06520-8058 | 2008-01-29 |
| 1174713218 | Patrick A Kenney | Urology | 789 Howard Avenue, Fmp 315a, Yale University, Dept of Urology, New Haven, CT 06519 | 2007-07-25 |
| 1487674768 | Peter Schulam | Urology | 20 York St, Np-4, Smilow Cancer Center - Ynhh, New Haven, CT 06510-3202 | 2006-07-20 |
| 1093744567 | Israel Franco | Urology | 789 Howard Avenue, Fmp 300, New Haven, CT 06520 | 2006-06-30 |
| 1063497352 | Harris E Foster Jr. | Urology | 800 Howard Avenue #318, New Haven, CT 06520-8041 | 2005-12-09 |
| 1821094020 | Stanton C. Honig | Urology | 330 Orchard St Ste 164, New Haven, CT 06511-4429 | 2005-06-22 |
| 1972056042 | Stephanie Marie Tatzel | Urology | 20 York St, New Haven, CT 06510-3220 | 2016-07-25 |
| 1295116218 | Gregory Mcmahon | Urology | 20 York St, New Haven, CT 06510-3220 | 2015-06-16 |
| Find all providers in NEW HAVEN | ||||
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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.