CONNECTICUT PODIATRY GROUP, P.C. (NPI# 1912076886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912076886 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT PODIATRY GROUP, P.C. |
| Practice Address |
385 Main St West Haven CT 06516-4312 |
| Practice Telephone | 2039338606 |
| Practice Fax Number | 2039329571 |
| Mailing Telephone | 2039338606 |
| Mailing Fax Number | 2039329571 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | DR. MARK JOHN DADDIO (PARTNER) |
| Authorized Official Telephone | 2039338606 |
| Authorized Official Credential | D.P.M |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
P00345 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 0040608280 | 05 |
| Street Address |
385 MAIN ST |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189556 | Glenn Charles Vitale | Podiatrist | 385 Main St, Suite 10, West Haven, CT 06516-4312 | 2005-07-22 |
| 1275929119 | Sarah Shipley | Assistant, Podiatric | 385 Main St, West Haven, CT 06516-4312 | 2015-04-07 |
| 1457752107 | Kripa Plapetta Damodharan | Nurse Practitioner | 385 Main St, Ste 2, West Haven, CT 06516-4312 | 2014-09-12 |
| 1881868842 | Stanleyjwolfeddspc | Dentist | 385 Main St, Suite4, West Haven, CT 06516-4312 | 2008-04-21 |
| 1700860608 | Stanley Jack Wolfe | Dentist | 385 Main St, West Haven, CT 06516-4312 | 2005-12-05 |
| 1366436594 | Joseph Anthony Saracco IIi | Podiatrist | 385 Main St, West Haven, CT 06516-4312 | 2005-09-02 |
| 1295729424 | Mark John Daddio | Podiatrist | 385 Main St, West Haven, CT 06516-4312 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306199351 | Starling Physicians PC | Podiatrist | 160 Hazard Ave, Enfield, CT 06082-3889 | 2012-10-15 |
| 1073887923 | Bruce M Backer | Podiatrist | 272 Charles Ct, Orange, CT 06477-1629 | 2012-02-23 |
| 1275617102 | Podiatric Medicine and Surgery of Fairfield County | Podiatrist | 49 Londonderry Dr, Greenwich, CT 06830-3508 | 2006-10-25 |
| 1679655443 | Central Connecticut Footcare Center, LLC | Podiatrist | 807 Broad St., Meriden, CT 06450-3802 | 2006-10-20 |
| 1689782401 | Chris Paul Kassaris | Podiatrist | 1881 Post Rd, Fairfield, CT 06824-5721 | 2006-08-29 |
| 1184632028 | Peter T Labarbera | Podiatrist | 389 Highland Ave, Waterbury, CT 06708 | 2006-08-04 |
| 1487684288 | Harvey D. Lederman | Podiatrist | 2531 Albany Ave, West Hartford, CT 06117-2308 | 2006-07-04 |
| 1588694764 | Luca Di Matteo | Podiatrist | 538 Hopmeadow St, Simsbury, CT 06070-2415 | 2006-07-04 |
| 1669421665 | Anthony Babigian | Podiatrist | 520 West Ave, Norwalk, CT 06850-4034 | 2006-05-08 |
| 1568427607 | Benedict Charles Valentine II | Podiatrist | 8 Independence Dr, Marlborough, CT 06447-1408 | 2006-04-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on CONNECTICUT PODIATRY GROUP, P.C..
| 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.