ELIZABETH WIESNER (NPI# 1760591515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760591515 |
Entity Type | Individual |
Full Name | ELIZABETH WIESNER |
Credential | M.D. |
Practice Address |
240 Indian River Rd Suite B-1 Orange CT 06477-3649 |
Practice Telephone | 2037954924 |
Practice Fax Number | 2037991554 |
Mailing Telephone | 2037954924 |
Mailing Fax Number | 2037991554 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2014-01-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 023395 | CT | Allopathic & Osteopathic Physicians |
Street Address |
240 INDIAN RIVER RD SUITE B-1 |
City | ORANGE |
State | CT |
Zip Code | 06477-3649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083600381 | Jeffrey Reynolds | Internal Medicine | 240 Indian River Rd, Suite A5, Orange, CT 06477-3649 | 2005-09-22 |
1578190369 | Patrick Risko | Hearing Instrument Specialist | 240 Indian River Rd, Orange, CT 06477-3649 | 2020-03-24 |
1922648641 | Julia Ellen Muldoon | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2020-01-10 |
1457998502 | Ifeyinwa Leonard | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2019-12-09 |
1679070387 | Murielle Exantus | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2018-04-09 |
1124543632 | Jillian Marie Reid | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2017-08-04 |
1588022461 | Katherine Sullivan | Physical Therapist | 240 Indian River Rd, Suite A8, Orange, CT 06477-3649 | 2016-02-05 |
1083022339 | Weverton Depaula | Technician/Technologist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-07-31 |
1023426285 | Dr. Rocio Alicea O.d., LLC | Optometrist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-07-31 |
1548670094 | Veo Vision Center, LLC | Technician/Technologist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-05-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
Find all providers in zip 06477 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881056349 | Vivian Chima Ogueli | Pediatrics | 1120 W La Veta Ave Ste 450, Orange, CA 92868-4224 | 2016-03-24 |
1326428970 | Chris Tenore | Pediatrics | 1202 West La Veta Ave, Orange, CA 92868-3874 | 2015-06-08 |
1811375280 | Grace Mark Dasovich | Pediatrics | 505 S Main St Ste 505, Orange, CA 92868-4509 | 2015-05-18 |
1750786323 | Venessa Ferragamo Gutierrez | Pediatrics | 2720 E Walnut Ave, Unit 51, Orange, CA 92867-7388 | 2014-10-25 |
1063839934 | Raymundo Miguel Garcia Lora | Pediatrics | 1920 E Katella Ave Ste P, Orange, CA 92867-5150 | 2014-03-27 |
1588949887 | Linda Evelyn Mendoza | Pediatrics | 810 W Collins Ave, Orange, CA 92867-5516 | 2011-10-18 |
1720300239 | Meera Tejura Shah | Pediatrics | 101 The City Drive, Zot 4482, Orange, CA 92868 | 2010-02-25 |
1699002550 | Nwando Uchenna Eze | Pediatrics | 455 S. Main Street, Department of Pediatrics, Orange, CA 92868-3874 | 2009-11-12 |
1235366337 | Jennifer Green Lusk | Pediatrics | 1201 W, La Veta, Orange, CA 92868 | 2009-06-16 |
1265676555 | Sean Henry Vigil | Pediatrics | 333 City Boulevard West Suite 800, Uci Gme, Orange, CA 92868-0000 | 2009-04-30 |
Find all providers in ORANGE |
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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.