Provider Demographics
NPI:1447216981
Name:DANES, STRATTON (MD)
Entity type:Individual
Prefix:DR
First Name:STRATTON
Middle Name:
Last Name:DANES
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 1:6 RESEARCH DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6228
Mailing Address - Country:US
Mailing Address - Phone:203-210-6340
Mailing Address - Fax:203-502-2615
Practice Address - Street 1:35 WELLS ST UNIT 3
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2962
Practice Address - Country:US
Practice Address - Phone:401-315-9575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214947208600000X, 2086S0129X
NH162122086S0129X
CT560422086S0129X
RIMD156962086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT56042OtherCT MEDICAL LICENSE
NY02876497Medicaid
NH3088217Medicaid
CT56042OtherCT MEDICAL LICENSE
NYRB4630Medicare PIN
NY02876497Medicaid