DR. DERRICK ALEXANDER LAM (NPI# 1740841899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740841899 |
Entity Type | Individual |
Full Name | DR. DERRICK ALEXANDER LAM |
Credential | MD |
Practice Address |
120 Main St Danbury CT 06810-7834 |
Practice Telephone | 2037439760 |
Mailing Telephone | 2037439760 |
Enumeration Date | 2019-06-27 |
Last Update Date | 2019-06-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
120 MAIN ST |
City | DANBURY |
State | CT |
Zip Code | 06810-7834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842857 | Yuliya Miras | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2020-05-15 |
1063033298 | Arezou Babaesfahani | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2020-04-28 |
1902426166 | Rewaida Hall | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2020-04-17 |
1235759440 | Robert Beeman | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2020-04-17 |
1831719038 | Levy Wallace | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2020-04-17 |
1609496850 | Alla Jusufi | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2020-04-17 |
1912569674 | Azadeh Ghassemi | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2019-07-02 |
1932761012 | Cassandra Pitcher | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2019-06-28 |
1982265575 | Arjun Deepesh Ram | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2019-06-24 |
1003475971 | David Louisia | Student in an Organized Health Care Education/Training Program | 120 Main St, Danbury, CT 06810-7834 | 2019-06-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
1821619651 | Sambhawana Bhandari | Student in an Organized Health Care Education/Training Program | 24 Hosptial Ave, Danbury, CT 06810-6099 | 2020-05-04 |
1831719681 | Oluwole Olaniyi Odujoko | Student in an Organized Health Care Education/Training Program | 24, Hospital Avenue, Danbury, Ct, Danbury, CT 06810-6099 | 2020-04-22 |
1033774708 | Sydney Weisler | Student in an Organized Health Care Education/Training Program | 29 Moorland Dr, Danbury, CT 06810-1513 | 2019-05-07 |
1023672052 | Susan Karki | Student in an Organized Health Care Education/Training Program | 24 Hospitall Avenue, 2 Tower, Danbury, CT 06810-6099 | 2019-04-25 |
1336602713 | Egor Potekin | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Kathleen Barry, Danbury, CT 06810-6099 | 2019-04-11 |
1417410887 | Prajay Kundan Rathore | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury, Ct-06810-6099, Danbury, CT 06810-6099 | 2019-04-11 |
1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
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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.