MARK PRESTON


Address: 60 Westwood Ave, Ste 200, Waterbury, CT 06708
Phone: 2035745501

MARK PRESTON (NPI# 1902992274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CT 001402370 05

Other Providers MARK PRESTON

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

Office Location

Street Address 60 WESTWOOD AVE
STE 200
City WATERBURY
State CT
Zip Code 06708

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

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

Providers in the same taxonomy and state

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

Competitor

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City WATERBURY
Zip Code 06708

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Dataset Information

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.

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