Katherine Mckenzie
Internal Medicine

Address: 800 Howard Ave, Ypb, 3rd Floor, New Haven, CT 06519-1369
Phone: 2037857411

Katherine Mckenzie (NPI# 1366425423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1366425423
Entity Type Individual
Full Name Katherine Mckenzie
Credential MD
Gender Female
Practice Address 800 Howard Ave
Ypb, 3rd Floor
New Haven
CT 06519-1369
Practice Telephone 2037857411
Practice Fax Number 2037854194
Mailing Address Po Box 208093
New Haven
CT 06520-8093
Mailing Telephone 2037853830
Mailing Fax Number 2037852830
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-11-22
Last Update Date 2011-01-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 034828 CT

Other Provider Identifier

State Identifier Issuer Type Code
CT 001348285 MEDICAID

Other Providers KATHERINE MCKENZIE

NPI Name Taxonomy Address Enumeration
1316441561 Katherine D Mckenzie Counselor 200 Blue Fin Circle, Suite 7, Savannah, GA 31410-2468 2018-03-22
1154798056 Katherine Mckenzie Specialist/Technologist 12601 Sorrento Rd Ste A, Pensacola, FL 32507-8762 2015-08-26
1023475357 Katherine Mckenzie Occupational Therapy Assistant 200 Country Brook Dr, Keller, TX 76248-2125 2016-01-17
1851785117 Katherine J Mckenzie Pharmacist 744 N Waco Ave, Wichita, KS 67203-3936 2015-03-25
1588905103 Katherine Mckenzie Surgery 8900 Van Wyck Expy, Jamaica, NY 11418-2832 2013-03-06
1528321965 Katherine Leslie Mckenzie Nurse Practitioner 1100 Central Ave Se, Albuquerque, NM 87106-4930 2012-06-20

Physician Overview

NPI 1366425423
PAC ID by PECOS 3072656222
Professional Enrollment ID I20100210000280
Full Name Katherine C Mckenzie
Organization Legal Name YALE UNIVERSITY
Gender F
Medical School BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1992
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 9436061736
Number of Group Practice Members 1682
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL

Office Location

Street Address 800 HOWARD AVE
YPB, 3RD FLOOR
City NEW HAVEN
State CT
Zip Code 06519-1369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801153663 Bertrand Paul Tseng Psychiatry & Neurology 800 Howard Ave, New Haven, CT 06519-1369 2012-04-18
1992287577 Brittany Cyr Pharmacist 800 Howard Ave, New Haven, CT 06519-1369 2018-08-30
1700395506 Lauren Katherine Fagan Audiologist 800 Howard Ave, New Haven, CT 06519-1369 2017-09-25
1548784093 Megan Frank Harari Nurse Practitioner 800 Howard Ave, Ste 1st Floor, Room 133, New Haven, CT 06519 2017-07-26
1346777992 Courtney Toombs Student in an Organized Health Care Education/Training Program 800 Howard Ave, New Haven, CT 06519-1369 2017-05-15
1306373071 Mariana Espinal Student in an Organized Health Care Education/Training Program 800 Howard Ave, , Gynecology and Reproductive Sciences, New Haven, CT 06510-3206 2017-05-12
1376079129 Jordan Brand Student in an Organized Health Care Education/Training Program 800 Howard Ave, Ybp 133 Yale-new Haven Hospital, New Haven, CT 06519-1369 2017-05-11
1073040796 David Molho Student in an Organized Health Care Education/Training Program 800 Howard Ave, Yale New Haven Hospital, New Haven, CT 06519-1369 2017-05-11
1558713008 Heather Osborn Otolaryngology 800 Howard Ave, New Haven, CT 06519-1369 2016-07-08
1982056826 Lachelle Maureen Lazarus Audiologist 800 Howard Ave, Ypb 4th Floor, New Haven, CT 06519-1369 2016-07-04
Find all providers in the same location

Providers in the same zip code

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
1578958005 Benjamin David Gallagher Student in an Organized Health Care Education/Training Program 789 Howard Ave Bsmt, New Haven, CT 06519 2015-04-01
1013302637 Christina Josephine Mcclure Student in an Organized Health Care Education/Training Program 430 Congress Ave, New Haven, CT 06519 2015-03-31
1447654736 Anna Martucci Social Worker 230 S Frontage Rd, New Haven, CT 06519 2014-10-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497104822 Anna S Eisenstein Internal Medicine 20 York Street Ynhh, Dermatolgy, New Haven, CT 06510-3220 2016-06-07
1124476296 Katherine Given Ligtenberg Internal Medicine 333 Cedar St # St501, New Haven, CT 06510-3206 2016-05-31
1306220132 Saira Nasar Internal Medicine 1 Long Wharf Dr Ste 500, New Haven, CT 06511 2015-07-10
1619387818 Amy Steinmetz Korwin Internal Medicine Yale New Haven Hospital, Dept of Pulm/cc/sleep Medicine, 20 York Street, New Haven, CT 06510-3220 2014-04-28
1871938886 Sabrina L. Browning Internal Medicine 333 Cedar St Rm Www 211, New Haven, CT 06510-3206 2013-05-03
1114269305 Ahmad Farooq Internal Medicine 159 Willow St, Apt 2, New Haven, CT 06511-2642 2013-03-26
1154683449 Susanna Alton Curtis Internal Medicine 333 Cedar St Rm Www211, Yale School of Medicine, New Haven, CT 06510 2012-06-12
1720349467 Medical Walk In Care of Westville LLC Internal Medicine 1351 Whalley Ave, New Haven, CT 06515-1149 2012-05-30
1134489172 Shana Gleeson Internal Medicine 300 Cedar St Ste S169, New Haven, CT 06519-1612 2012-05-24
1124384037 Paul Elliott Miller Jr. Internal Medicine 20 York Street Yale New Haven Hospital-cardiology, New Haven, CT 06510 2012-04-04
Find all providers in NEW HAVEN

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City NEW HAVEN
Zip Code 06519

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Dataset Information

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.

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