DR. PRASANNA J ANANTH (NPI# 1982865903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982865903 |
| Entity Type | Individual |
| Full Name | DR. PRASANNA J ANANTH |
| Credential | MD, MPH |
| Practice Address |
35 Park St New Haven CT 06519-1110 |
| Mailing Address |
333 Cedar St # 2082c New Haven CT 06510-3206 |
| Practice Telephone | 2037854081 |
| Mailing Telephone | 2037853562 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2017-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
56996 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT STATE LICENSE | 56996 | 01 |
| Street Address |
35 PARK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716862 | Daniela Gidea-addeo | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2005-08-03 |
| 1356974471 | Jason Jesus Casazola | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2020-02-17 |
| 1639737034 | Beth Ann Wilson | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2019-05-31 |
| 1013575646 | Barbara Cmuchowski | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2019-05-29 |
| 1235600107 | Leesha Kay Gunnink | Physician Assistant | 35 Park St, New Haven, CT 06519-1110 | 2018-12-17 |
| 1881120723 | Jamie R Malette | Nurse Practitioner | 35 Park St, New Haven, CT 06519-1110 | 2017-05-11 |
| 1467811083 | Matthew Harrison Dodd | Physician Assistant | 35 Park St, 8th Floor, New Haven, CT 06519-1110 | 2016-02-11 |
| 1366824336 | Joy Mullins Byrne | Physician Assistant | 35 Park St, New Haven, CT 06519-1110 | 2015-06-25 |
| 1821417627 | Andrew Zhang | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2014-04-09 |
| 1376989160 | Timothy Daily Murtha | Student in an Organized Health Care Education/Training Program | 35 Park St, New Haven, CT 06519-1110 | 2013-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184093163 | Vidya Puthenpura | Pediatrics | 20 York St, New Haven, CT 06510 | 2015-09-18 |
| 1275945115 | Rozalyn Levine Rodwin | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2014-05-27 |
| 1235577792 | Stephanie Diana Prozora | Pediatrics | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-06-06 |
| 1295039675 | Yale Hemophilia Treatment Center | Pediatrics | 333 Cedar Street, Department of Pediatrics, 2073 Lmp, New Haven, CT 06520-8064 | 2010-12-29 |
| 1740508050 | Juan Vasquez | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06510-3206 | 2010-05-11 |
| 1134350499 | Niketa C Shah | Pediatrics | 330 Cedar St, Lmp 2073, New Haven, CT 06510-3218 | 2009-08-05 |
| 1851534481 | Stephanie Ann Massaro | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06520-8064 | 2009-04-13 |
| 1790942670 | Asher Marks | Pediatrics | 20 York St, Lmp-2073, New Haven, CT 06510-3220 | 2008-05-19 |
| 1114100104 | Salley Gibney Pels | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06510-3206 | 2007-12-12 |
| 1407980857 | Kavita Dhodapkar | Pediatrics | 20 York Street, Pediatric Hematology Oncology, New Haven, CT 06520-8064 | 2007-03-16 |
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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.