MARK PRESTON (NPI# 1902992274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902992274 |
Entity Type | Individual |
Full Name | MARK PRESTON |
Credential | MD |
Practice Address |
60 Westwood Ave Ste 200 Waterbury CT 06708 |
Practice Telephone | 2035745501 |
Practice Fax Number | 2035960912 |
Mailing Telephone | 2035745501 |
Mailing Fax Number | 2035960912 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2013-11-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
040237 | CT | Allopathic & Osteopathic Physicians |
Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
040237 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 001402370 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861780983 | Mark Arthur Preston | Urology | 36 Hancock St, Apt 5b, Boston, MA 02114-4117 | 2011-07-11 |
1942413620 | Mark Durant Preston | Occupational Therapist | 306 Homepark Rd, Kingston, TN 37763-4434 | 2007-05-08 |
1629086665 | Mark C Preston | Plastic Surgery | 765 North Hamilton Rd, Suite 130, Columbus, OH 43230-8703 | 2006-08-04 |
1396883682 | Mark Preston | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2007-02-01 |
1396729810 | Mark Paul Preston | Radiology | 122 4th Ave, Suite 100, Indialantic, FL 32903-3112 | 2005-11-30 |
1811987043 | Mark A Preston | Psychiatry & Neurology | 1700 W Townline St, Creston, IA 50801-1054 | 2005-10-27 |
Street Address |
60 WESTWOOD AVE STE 200 |
City | WATERBURY |
State | CT |
Zip Code | 06708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457352544 | John Kingsbury Conant Jr. | Urology | 60 Westwood Ave, Ste 230, Waterbury, CT 06708-2460 | 2005-08-10 |
1821606195 | Emily Lynn Ryan | Midwife | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2020-07-22 |
1134753080 | Marta Sarzynski | Nurse Practitioner | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2020-03-01 |
1710518824 | Quest Diagnostics LLC | Clinical Medical Laboratory | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2020-01-28 |
1386170215 | Katelynd Lee Tremblay | Physical Therapist | 60 Westwood Ave, 300, Waterbury, CT 06708-2460 | 2017-05-11 |
1669710414 | Russell Parvin | Internal Medicine | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2013-01-28 |
1508138801 | Rebecca Sauve | Physical Medicine & Rehabilitation | 60 Westwood Ave, Suite 300, Waterbury, CT 06708-2460 | 2012-02-01 |
1518129741 | Molly Margaret Shipman | Obstetrics & Gynecology | 60 Westwood Ave, Suite 100, Waterbury, CT 06708-2460 | 2008-06-29 |
1376705962 | Heather Mcallister | Occupational Therapist | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2008-06-26 |
1750558656 | Elizabeth Anne Kelly | Obstetrics & Gynecology | 60 Westwood Ave, Suite 100, Waterbury, CT 06708-2460 | 2008-05-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
Find all providers in zip 06708 |
Taxonomy Code | 207VF0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114007770 | Katherine S Sandhu | Obstetrics & Gynecology | 292 Long Ridge Rd, Suite 202, Stamford, CT 06902-1627 | 2006-10-17 |
1982791505 | Oz Harmanli | Obstetrics & Gynecology | 800 Howard Ave, 3rd Floor, New Haven, CT 06519-1369 | 2006-10-06 |
1982613659 | Brian J Hines | Obstetrics & Gynecology | 292 Long Ridge Rd, Suite 202, Stamford, CT 06902-1627 | 2006-08-05 |
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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.