Active NPI
John Dale Nash, MD
- Gynecologic Oncology Physician
- Farmington, CT
National Provider Identifier
1376540906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 0101239254
- Practice address
- University of Connecticut Health Ctr
263 Farmington Avenue - Mc1614
Farmington, CT 06030-0001 - Phone
- (860) 679-6052
- Fax
- (860) 679-4973
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 0101239254 | VA | Primary |
Addresses
Primary practice location
University of Connecticut Health Ctr
263 Farmington Avenue - Mc1614
Farmington, CT 06030-0001
Mailing address
University of Connecticut Health Ctr
263 Farmington Avenue - Mc1614
Farmington, CT 06030-0001
Phone (860) 679-6052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10239079 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239254 | VA | MD | Gynecologic Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1376540906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF CONNECTICUT HEALTH CTR",
"address_2": "263 FARMINGTON AVENUE - MC1614",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-6052",
"fax_number": "860-679-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF CONNECTICUT HEALTH CTR",
"address_2": "263 FARMINGTON AVENUE - MC1614",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-6052",
"fax_number": "860-679-4973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "JOHN",
"middle_name": "DALE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "VA",
"license": "0101239254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10239079",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.