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LAUREL B SHADER MD NPI 1356445415


NPI Information

NPI: 1356445415
Provider Name: LAUREL B SHADER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
374 GRAND AVE
FAIR HAVEN COMMUNITY HEALTH CTR
NEW HAVEN, CT
ZIP 06513
Phone: (203) 777-7411
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Laurel B Shader, MD is a pediatrics in New Haven, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Laurel B Shader, MD NPI is 1356445415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

374 GRAND AVE
FAIR HAVEN COMMUNITY HEALTH CTR
NEW HAVEN, CT
ZIP 06513
Phone: (203) 777-7411
Fax: (203) 777-8506

The NPI 1356445415 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 1/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics028282CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010028282CT03OTHERANTHEM BCBS
20282829734OTHERCONNECTICARE
3E27109MEDICARE ID-TYPE UNSPECIFIED
41051526OTHERAETNA US HEALTHCARE
5P473785OTHEROXFORD
65175619OTHERCIGNA
7E27109MEDICARE UPIN
8004235736OTHERCOMMUNITY HEALTH NETWORK
9004235736MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.