CHRISTINA M MCLEAN (NPI# 1912072455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912072455 |
Entity Type | Individual |
Full Name | CHRISTINA M MCLEAN |
Credential | M.D. |
Practice Address |
8 Vista Dr Eastport North Business Park Old Lyme CT 06371-1587 |
Mailing Address |
4 Coach Dr Old Lyme CT 06371-1354 |
Practice Telephone | 8604348849 |
Practice Fax Number | 8604340428 |
Mailing Telephone | 8604346474 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
033793 | CT | Allopathic & Osteopathic Physicians |
X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
033793 | CT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508269465 | Christina Mclean | Registered Nurse | 1250 N. 8 Ave., San Luis, AZ 85349 | 2014-10-06 |
1942544226 | Christina Marie Mclean | Occupational Therapy Assistant | 1900 E Main St, Lancaster, OH 43130-9302 | 2012-11-26 |
Street Address |
8 VISTA DR EASTPORT NORTH BUSINESS PARK |
City | OLD LYME |
State | CT |
Zip Code | 06371-1587 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376540849 | Mary Cummings Satti | Internal Medicine | 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371-1537 | 2005-06-30 |
1639556640 | New England Plastic Surgery Center | Surgery | 8 Vista Dr, Old Lyme, CT 06371-1587 | 2015-04-28 |
1700141330 | New England Plastic Surgery Group, LLC | Surgery | 8 Vista Dr, Old Lyme, CT 06371-1587 | 2012-07-10 |
1972786531 | Primary Care for Women Mary Cummings Satti,m.d., LLC | Internal Medicine | 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371-1587 | 2007-12-06 |
1831300144 | Maria A Koslawy | Nurse Practitioner | 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371-1587 | 2007-05-25 |
1538116348 | Anisha Rajesh Parekh | Family Medicine | 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371-1537 | 2006-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134761877 | Sabine Odonnell LLC | Marriage & Family Therapist | 80 Halls Rd, Old Lyme, CT 06371 | 2019-10-15 |
1619487162 | Emily Chung | Pharmacist | 42 Browns Ln, Old Lyme, CT 06371 | 2017-10-10 |
1659822088 | Mona Saleh Hassan | Nurse Practitioner | Medoptions, 55 Hatchetts Hill Road, Old Lyme, Ct, CT 06371 | 2016-10-20 |
1740653278 | New England Pa LLC | Physician Assistant | 5 Davis Road East, Old Lyme, CT 06371 | 2015-11-05 |
1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
1285956987 | Karl R. Friedmann | Family Medicine | 40 Coult Lane, Old Lyme, CT 06371 | 2010-02-22 |
1285844977 | Cary L. Walker | Social Worker | 6 Town Street, Lyme, CT 06371 | 2007-05-23 |
1578784765 | Lynne Zimmerman | Psychologist | 16 Library Ln, Old Lyme, CT 06371 | 2007-05-02 |
1588784375 | Jan Fitzgerald Briscoe | Marriage & Family Therapist | 81 Halls Rd Unit C, Old Lyme, CT 06371 | 2007-03-29 |
1588702583 | Karl M Goldkamp | Naturopath | 81 Halls Road, Old Lyme, CT 06371 | 2007-02-02 |
Find all providers in zip 06371 |
Taxonomy Code | 207QA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adolescent Medicine |
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
1831185248 | Mauks Koepke Medical LLC | Family Medicine | 57 North St, Suite # 309-310, Danbury, CT 06810-5660 | 2005-09-21 |
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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.