DR. MARK SHEKHMAN (NPI# 1720245178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720245178 |
| Entity Type | Individual |
| Full Name | DR. MARK SHEKHMAN |
| Credential | M.D. |
| Practice Address |
31 Seymour St Suite 100 Hartford CT 06106-5501 |
| Mailing Address |
270 Farmington Ave Ste 102 Farmington CT 06032-1920 |
| Practice Telephone | 8605498221 |
| Practice Fax Number | 8602448890 |
| Mailing Telephone | 8605498276 |
| Mailing Fax Number | 8606748084 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 046781 | CT | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
046781 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | GROUP NPI | 1972500304 | 01 |
| INDIVIDUAL NPI | 1720245178 | 01 |
| Street Address |
31 SEYMOUR ST SUITE 100 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357733 | Michael Aronow | Orthopaedic Surgery | 31 Seymour St, Ste 100, Hartford, CT 06106-5521 | 2005-06-22 |
| 1740803618 | Erin Malone | Physician Assistant | 31 Seymour St, Hartford, CT 06106 | 2020-05-26 |
| 1124377536 | Melissa Ruth Goclowski | Nurse Practitioner | 31 Seymour St, Ste 100, Hartford, CT 06106-5521 | 2012-08-30 |
| 1942219654 | Cathleen M Platt | Nurse Practitioner | 31 Seymour St, Ste 100, Hartford, CT 06106-5521 | 2006-08-05 |
| 1376576421 | Theodore Blaine | Orthopaedic Surgery | 31 Seymour St, Ste 100, Hartford, CT 06106-5521 | 2006-07-09 |
| 1407853773 | Christopher J Lena | Orthopaedic Surgery | 31 Seymour St, Ste 100, Hartford, CT 06106-5521 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710017439 | Hartford Orthopedic Surgeons,pc | Orthopaedic Surgery | 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 | 2007-03-06 |
| 1386608990 | Robert W Mcallister | Orthopaedic Surgery | 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 | 2006-04-12 |
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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.