DR. GEORGE J TERRANOVA (NPI# 1972630010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972630010 |
| Entity Type | Individual |
| Full Name | DR. GEORGE J TERRANOVA |
| Credential | MD |
| Practice Address |
365 Montauk Ave New London CT 06320-4700 |
| Mailing Address |
Po Box 1471 New London Ct CT 06320-1471 |
| Practice Telephone | 8604468265 |
| Practice Fax Number | 8604482543 |
| Mailing Telephone | 8604468265 |
| Mailing Fax Number | 8604482543 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
017403 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 4041679 | 05 | |
| CT | 4024972 | 05 |
| Street Address |
365 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460186 | Steven Lu | Internal Medicine | 365 Montauk Ave, Rm 4.512, New London, CT 06320-4700 | 2005-07-08 |
| 1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
| 1952954117 | Veronica O Lee | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-17 |
| 1265084487 | Lydia Derienzo | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-09 |
| 1184283699 | Theresa Joan Crino | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-08 |
| 1437718137 | Linda Anderson | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-07 |
| 1265091813 | Stephen Richard Cofone | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-07 |
| 1841859683 | Thomas David Page | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-06 |
| 1942869706 | William Edward Sergiy IIi | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| 1578122263 | Mary Stevens | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679651905 | Anthony J Coppola | Emergency Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2006-11-02 |
| 1467541128 | Stephen Tulka | Emergency Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2006-10-12 |
| 1487743159 | Timothy Smith | Emergency Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2006-10-12 |
| 1609965383 | Dennis Pollock | Emergency Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2006-10-12 |
| 1952339251 | Maria Luiza Martins | Emergency Medicine | 273 County Rd, New London, NH 03257-5736 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790858 | Antero Urgent Care | Emergency Medicine | 39 Nott Hwy Unit 7, Ashford, CT 06278-1341 | 2020-08-12 |
| 1336451830 | Paul S Kanfer | Emergency Medicine | 16 Baldwin Dr, Waterford, CT 06385-2708 | 2010-07-13 |
| 1760501126 | Town of Wilton Emergency Medical Services | Emergency Medicine | 238 Danbury Road, Wilton, CT 06897-4008 | 2007-03-28 |
| 1831279058 | Victor Isaac Cohen | Emergency Medicine | 7 Linden Tree Rd, New Milford, CT 06776-3056 | 2006-10-16 |
| 1629013123 | Andrew S Whyte | Emergency Medicine | 50 Hospital Hill Dr, Er Department, Sharon, CT 06069 | 2006-06-18 |
| 1720023294 | Richard A Bennek | Emergency Medicine | 50 Hospital Hill Drive, Er Department, Sharon, CT 06069 | 2006-06-18 |
| 1750329363 | Elizabeth M. Earley | Emergency Medicine | 317 Foxon Rd, East Haven, CT 06513-2038 | 2006-06-04 |
| 1033755095 | Yael Maritza Calle | Emergency Medicine | 56 Franklin St, Waterbury, CT 06706-1253 | 2019-11-25 |
| 1154836450 | Town of North Haven | Emergency Medicine | 11 Broadway, North Haven, CT 06473 | 2017-12-08 |
| 1053864348 | A Walk-in Medical Center LLC | Emergency Medicine | 365 Willard Ave, Suite 2e, Newington, CT 06111-2373 | 2016-08-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.