DR. PAIGE JAMES BRENNAN (NPI# 1740365659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740365659 |
| Entity Type | Individual |
| Full Name | DR. PAIGE JAMES BRENNAN |
| Credential | MD |
| Practice Address |
79 Wawecus St Suite 106 Norwich CT 06360-2160 |
| Practice Telephone | 8608862679 |
| Practice Fax Number | 8608892862 |
| Mailing Telephone | 8608862679 |
| Mailing Fax Number | 8608892862 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
042747 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE PTAN | D400003782 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275177081 | Paige O'reilly Brennan | Student in an Organized Health Care Education/Training Program | 2758 Fullers Aly, Kennesaw, GA 30144-0004 | 2019-11-05 |
| Street Address |
79 WAWECUS ST SUITE 106 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620064 | Jeffrey P Seltzer | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2005-06-24 |
| 1043697352 | Carl Kammerer | Technician/Technologist | 79 Wawecus St, Suite 105, Norwich, CT 06360-2178 | 2015-05-06 |
| 1407255375 | Patricia Varma | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-17 |
| 1649679697 | Jade Paradis | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-15 |
| 1396151858 | Kristen Farrell | Nurse Practitioner | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2173 | 2014-07-05 |
| 1316280803 | Sang and Sridhar Digestive Disease Consultants LLC | Internal Medicine | 79 Wawecus St, Suite 102, Norwich, CT 06360-2160 | 2013-04-03 |
| 1760790612 | Leslie N Brown | Physician Assistant | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2160 | 2010-09-14 |
| 1316264286 | Sunita Sidhu-buonocore | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2010-04-30 |
| 1356500532 | Shivani Sood | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-06-03 |
| 1689846511 | Natalee Simone Sansone | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
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| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679815534 | Karen Craparo | Internal Medicine | 2 Old North Rd, Washington, CT 06793-1303 | 2013-03-19 |
| 1508862632 | Mark A Marieb | Internal Medicine | 863 North Main St Ext, Suite 101, Wallingford, CT 06492 | 2005-06-23 |
| 1093027278 | Edinrin Rae Obasare | Internal Medicine | 20 York St, New Haven, CT 06510 | 2010-07-05 |
| 1699909580 | Joshua Michael Lader | Internal Medicine | 29 Hospital Plz Ste 501, Stamford, CT 06902 | 2009-05-07 |
| 1801045174 | M Saad Khan Sikanderkhel | Internal Medicine | 20 York Street, Ynhh Cardiology, New Haven, CT 06510-3220 | 2008-09-11 |
| 1356550651 | Joseph John Tiano | Internal Medicine | 115 Technology Dr Unit C300, Trumbull, CT 06611-6347 | 2007-05-22 |
| 1346455755 | Vinay Mehta | Internal Medicine | 24 Hospital Ave, Danbury, CT 06810-6099 | 2007-05-11 |
| 1619057569 | Arrhythmia Consultants of Connecticut LLC | Internal Medicine | 1000 Asylum Ave, Suite 3206, Hartford, CT 06105-1770 | 2006-10-16 |
| 1053321950 | Alexander Delvecchio | Internal Medicine | 55 Holly Hill Ln, Suite 240, Greenwich, CT 06830-6074 | 2006-08-09 |
| 1841214830 | Steven Lloyd Zweibel | Internal Medicine | 80 Seymour Street, Hartford Hospital Cardiology Dept, Hartford, CT 06102 | 2006-07-26 |
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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.