Provider Demographics
NPI:1922015585
Name:TSALAPATANIS, JOHN P (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:TSALAPATANIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MONROE TPKE
Mailing Address - Street 2:CANTERBURY PEDAITRICS
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2276
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:401 MONROE TPKE
Practice Address - Street 2:CANTERBURY PEDAITRICS
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2276
Practice Address - Country:US
Practice Address - Phone:203-452-1063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT030966208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4400746007OtherCIGNA
CTTINOtherPOMCO
CTTINOtherCOMMUNITY HEALTH NETWORK
CTTINOtherPIONEER
CT2V2848OtherHEALTH NET
CTTINOtherNEHCA HMC/PPO
CT507Y51OtherEMPIRE BC/BS
CTTINOtherMULTIPLAN
CTTINOtherFIRST HEALTH
CTZP151OtherOXFORD HEALTH PLANS
CTTINOtherCONSUMER HEALTH NETWORK
CT010030966CT03OtherANTHEM BC/BS
CT309660OtherCONNECTICARE
CT4276853OtherAETNA
CTTINOtherNORTHEAST HEALTH DIRECT
CTTINOtherUNITED HEALTHCARE
CTTINOtherPRIVATE HEALTHCARE SYSTEM
CTTINOtherFIRST HEALTH