DR. BETHEL GIRMA SHIFERAW (NPI# 1821432113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821432113 |
| Entity Type | Individual |
| Full Name | DR. BETHEL GIRMA SHIFERAW |
| Credential | M.D. |
| Practice Address |
56 Franklin St Waterbury CT 06706-1253 |
| Mailing Address |
1010 Saint Paul St Apt 4m Baltimore MD 21202-2655 |
| Practice Telephone | 2037096402 |
| Mailing Telephone | 5715054640 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
60909 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2201 Hempstead Tpke, Nassau Health Care Corporation, East Meadow, NY 115541859 | 5165724835 |
| Street Address |
56 FRANKLIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929379 | Scovill Medical Group, PC | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1221 | 2005-06-01 |
| 1528676459 | Kate Marie Breiner | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-16 |
| 1417575192 | Muhammad Tasawar Latif | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-09 |
| 1013534148 | Syed Mustajab Ahmed | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-06 |
| 1558989681 | Brooj Awan | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-06 |
| 1699398438 | Michelle Lauren Yeung | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-05-27 |
| 1841810967 | Diana Shapoval | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-18 |
| 1235768649 | Sean Michael Burgwardt | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-07 |
| 1043849326 | Miguel Angel Bravo Jr. | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-07 |
| 1053948430 | Bhavya Vemuri | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| 1962881896 | Daniyal Ahmed Ansari | Internal Medicine | 56 Franklin Street, Saint Mary's Hospital, Waterbury, CT 06706 | 2015-05-26 |
| 1164809885 | Vanessa N. Goyes Ruiz | Student in an Organized Health Care Education/Training Program | 56 Franklin Street, Waterbury, CT 06706 | 2015-05-01 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1306969282 | Sailaja Puttagunta | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1221 | 2007-04-07 |
| 1508874470 | Himal Lal | Internal Medicine | 64 Robbins St, 3rd Floor, Waterbury, CT 06708-2613 | 2006-08-04 |
| 1265458061 | Michael Francis Simms IIi | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1221 | 2006-07-14 |
| 1033183355 | Lydia Aoun-barakat | Internal Medicine | 140 Grandview Ave, Suite #l01, Waterbury, CT 06708-2505 | 2006-02-14 |
| 1164495875 | Steven I Aronin | Internal Medicine | 140 Grandview Ave, Suite L01, Waterbury, CT 06708-2505 | 2006-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768944 | Michael William Dunne | Internal Medicine | 30 Cromwell Pl, Old Saybrook, CT 06475-2512 | 2020-04-14 |
| 1548673627 | Scott Roberts | Internal Medicine | 789 Howard Ave # 3, New Haven, CT 06519-1304 | 2014-06-06 |
| 1568702629 | Infectious Disease Consultancy, LLC | Internal Medicine | 9 Hickory Ln, Woodbridge, CT 06525-1433 | 2013-02-26 |
| 1730443698 | Roger Madison Echols | Internal Medicine | 753 Westport Rd, Easton, CT 06612-1535 | 2012-06-26 |
| 1750642930 | Daniel Alfred Scott | Internal Medicine | 63 Ridgecrest Dr, Ridgefield, CT 06877-2534 | 2012-06-04 |
| 1972861896 | Peter J Piliero | Internal Medicine | 625 Patriot Rd, Southbury, CT 06488-3223 | 2012-04-28 |
| 1710243167 | Robert Gordon Douglas Jr. | Internal Medicine | 265 Old Black Point Rd, Niantic, CT 06357-3732 | 2012-04-10 |
| 1780979526 | Marwan Azar | Internal Medicine | 300 Cedar St # S169, New Haven, CT 06519-1612 | 2011-06-09 |
| 1730415928 | Stephanie Green | Internal Medicine | 54 Meadow St Fl 1, New Haven, CT 06519-1719 | 2009-10-23 |
| 1811129463 | Jeanne Demars Breen | Internal Medicine | 229 Hidden Cove Rd, Old Saybrook, CT 06475-1620 | 2009-08-17 |
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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.