EASTERN CONNECTICUT EAR, NOSE & THROAT PC (NPI# 1861560922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861560922 |
| Entity Type | Organization |
| Organization Name | EASTERN CONNECTICUT EAR, NOSE & THROAT PC |
| Practice Address |
36 Watson St Willimantic CT 06226-2122 |
| Practice Telephone | 8604560287 |
| Practice Fax Number | 8604563532 |
| Mailing Telephone | 8604560287 |
| Mailing Fax Number | 8604563532 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | DEBRA TINO (PRACTICE MANAGER) |
| Authorized Official Telephone | 8604560287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 332S00000X | Hearing Aid Equipment | 000208 | CT | Suppliers |
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004170742 | 05 | |
| CT | 004054151 | 05 |
| Street Address |
36 WATSON ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558312074 | William Thomas Culviner | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-05-12 |
| 1285702324 | William Marshall | Audiologist | 36 Watson St, Willimantic, CT 06226-2122 | 2006-11-30 |
| 1316015464 | Elyse Kirschblum | Audiologist | 36 Watson St, Willimantic, CT 06226-2122 | 2006-11-30 |
| 1942236989 | Steven J Green | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-06-23 |
| 1184650285 | Stephen M Rouse | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-06-23 |
| 1588690374 | Jerilyn S Allen | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558312074 | William Thomas Culviner | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-05-12 |
| 1942236989 | Steven J Green | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-06-23 |
| 1184650285 | Stephen M Rouse | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-06-23 |
| 1588690374 | Jerilyn S Allen | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1265936512 | Nofrat Schwartz | Otolaryngology | 47 College St Ste 216, New Haven, CT 06510-3209 | 2018-03-21 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1841624038 | David Lawrence Harsany | Otolaryngology | 10 Elskip Ln, Greenwich, CT 06831-3620 | 2013-08-25 |
| 1942543111 | Jeffrey Paul Cranford | Otolaryngology | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | 2013-04-05 |
| 1366700494 | Paul Daniel Neubauer | Otolaryngology | 32 Strawberry Hill Ct Ste 4, Stamford, CT 06902-2594 | 2012-04-26 |
| 1174815096 | Hailun Wang | Otolaryngology | 21 South Rd Ste 112, Farmington, CT 06032-2482 | 2011-05-11 |
| 1265721013 | Alan Jay Gill | Otolaryngology | 2031 Redding Rd, Fairfield, CT 06824-1708 | 2011-04-01 |
| 1417259417 | James Michael Dowaliby II | Otolaryngology | 200 College St, Apt. 331, New Haven, CT 06510-2444 | 2010-11-23 |
| 1427376334 | Anthony J. Vallone, Md, PC | Otolaryngology | 4718 Main St, Bridgeport, CT 06606-1823 | 2010-05-17 |
| Find all providers with the same taxonomy | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
Please comment or provide details below to improve the information on EASTERN CONNECTICUT EAR, NOSE & THROAT PC.
| 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.