Daniel De Jesus (NPI# 1851373591, PAC ID# 0446146062) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1851373591 |
| PAC ID by PECOS | 0446146062 |
| Professional Enrollment ID | I20040422000551 |
| Full Name | Daniel De Jesus |
| Organization Legal Name | DIAGNOSTIC RADIOLOGY ASSOCIATES, LLC |
| Address |
134 Grandview Ave Suite 101 Waterbury CT 06708-2507 |
| Phone Number | 2035960666 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7113939505 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070005 | WATERBURY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 134 Grandview Ave, Suite 101, Waterbury, CT 06708-2507 | 2035960666 | DIAGNOSTIC RADIOLOGY ASSOCIATES, LLC |
| 64 Robbins St, Waterbury, CT 06708-2613 | 2035960666 | DIAGNOSTIC RADIOLOGY ASSOCIATES, LLC |
| Organization Legal Name | DIAGNOSTIC RADIOLOGY ASSOCIATES, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Champagne | Physician Assistant | Diagnostic Radiology Associates, LLC | 134 Grandview Ave, Suite 101, Waterbury, CT 06708-2507 |
| Ross Utter | Physician Assistant | Diagnostic Radiology Associates, LLC | 134 Grandview Ave, Suite 101, Waterbury, CT 06708-2507 |
| Street Address |
134 GRANDVIEW AVE SUITE 101 |
| City | WATERBURY |
| State | CT |
| Zip | 06708-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Champagne | Physician Assistant | Diagnostic Radiology Associates, LLC | 134 Grandview Ave, Suite 101, Waterbury, CT 06708-2507 |
| Meghan M Slemmens | Obstetrics/gynecology | Physicians for Women's Health, LLC | 134 Grandview Ave, Waterbury, CT 06708-2507 |
| David J Delucia | Internal Medicine | Doctors Pun and Delucia PC | 134 Grandview Ave, Suite 202, Waterbury, CT 06708-2507 |
| Hector R Pun | Internal Medicine | Doctors Pun and Delucia PC | 134 Grandview Ave, Suite 202, Waterbury, CT 06708-2507 |
| Krystal Laporte | Physician Assistant | Physicians for Women's Health, LLC | 134 Grandview Ave, Waterbury, CT 06708-2507 |
| Andrea J Kaufmann | Physician Assistant | Physicians for Women's Health, LLC | 134 Grandview Ave, Waterbury, CT 06708-2507 |
| Ross Utter | Physician Assistant | Diagnostic Radiology Associates, LLC | 134 Grandview Ave, Suite 101, Waterbury, CT 06708-2507 |
| Denise E Pratt | Nurse Practitioner | Specialists In Womens Healthcare PC | 134 Grandview Ave, Waterbury, CT 06708-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette A Burton | Qualified Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| Allison Phipps | Qualified Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| Kay Yanagisawa | Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| John Peirce Byram | Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| Trudy Tamara Pearson | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Brittney R Jackson | Clinical Social Worker | Step Up Care PC LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Sarah J Jacob | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Christine Leah Shapter | Psychiatry | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Kimberly A Gagnon | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Jaclyn M Sylvia | Physician Assistant | Westwood Ear, Nose and Throat, P.C. | 60 Westwood Ave, Waterbury, CT 06708-2460 |
| Find all physicians in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WATERBURY + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.