MID STATE MD, LLC (NPI# 1881956514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881956514 |
| Entity Type | Organization |
| Organization Name | MID STATE MD, LLC |
| Practice Address |
85 Church St Ste 500 Middletown CT 06457-3647 |
| Practice Telephone | 8603468657 |
| Practice Fax Number | 8603479554 |
| Mailing Telephone | 8603468657 |
| Mailing Fax Number | 8603479554 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | JOHN J BORKOWSKI (MEMBER) |
| Authorized Official Telephone | 8603468657 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 18705 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
85 CHURCH ST STE 500 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447283460 | Danuta Jaworska-bzymek | Plastic Surgery | 535 Saybrook Rd, Middletown, CT 06457 | 2006-07-10 |
| 1174801898 | Middlesex Plastic Surgery Center,llc | Plastic Surgery | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2011-07-29 |
| 1144539008 | Loomis Plastic Surgery, PC | Plastic Surgery | 225 Dolson Ave, Suite 302, Middletown, NY 10940-6569 | 2010-09-27 |
| 1427211853 | Stefan G. Chevalier, Do, PC | Plastic Surgery | 726 E Main St, Suite 201, Middletown, NY 10940-2653 | 2008-07-07 |
| 1457514226 | Mohamed Elfar | Plastic Surgery | 707 E Main St, Middletown, NY 10940-2650 | 2008-07-02 |
| 1780778522 | Mario G Loomis | Plastic Surgery | 225 Dolson Ave, Suite 302, Middletown, NY 10940-6569 | 2006-10-03 |
| 1649377094 | Stefan Gary Chevalier | Plastic Surgery | 726 E Main St, Suite 201, Middletown, NY 10940-2653 | 2006-09-20 |
| 1134198880 | Sandra L Sacks | Plastic Surgery | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720642762 | Riverview Emergency Services LLC | Plastic Surgery | 148 East Ave Ste 3h, Norwalk, CT 06851-5726 | 2019-04-25 |
| 1073177184 | Laurel Chandler Md Pllc | Plastic Surgery | 195 Danbury Rd Ste 203, Wilton, CT 06897-4075 | 2019-04-24 |
| 1285080416 | Plastic Surgery Practice of Connecticut | Plastic Surgery | 44 Amogerone Crossway # 8151, Greenwich, CT 06830-9993 | 2016-05-06 |
| 1275997975 | Peau | Plastic Surgery | 1472 Boston Post Rd, Darien, CT 06820-5909 | 2016-04-08 |
| 1356684112 | Joseph Lopez | Plastic Surgery | 330 Cedar St Ste 330, New Haven, CT 06510-3218 | 2013-03-30 |
| 1134356959 | Yuen-jong Liu | Plastic Surgery | 722 Post Rd Ste 200, Darien, CT 06820 | 2009-06-18 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1376704353 | Christopher David Hughes | Plastic Surgery | 399 Farmington Ave Ste 210, Farmington, CT 06032-1944 | 2008-06-22 |
| 1659546323 | Richard Restifo, Md PC | Plastic Surgery | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2008-04-24 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.