CHRISTINE MUNIZ (NPI# 1003065855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003065855 |
| Entity Type | Individual |
| Full Name | CHRISTINE MUNIZ |
| Practice Address |
805 Atlantic St Stamford CT 06902 |
| Mailing Address |
471 Barnum Ave Bridgeport CT 06608-2409 |
| Practice Telephone | 2033275111 |
| Practice Fax Number | 2033272991 |
| Mailing Telephone | 2033336864 |
| Mailing Fax Number | 2033320376 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2011-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002147 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 002147 | 01 |
| Street Address |
805 ATLANTIC ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013182 | Paul James O Braonain | Family Medicine | 805 Atlantic St, Stamford, CT 06902-6805 | 2005-06-16 |
| 1215546528 | Ernesta D Gadalla | Registered Nurse | 805 Atlantic St, Stamford, CT 06902-6805 | 2020-07-23 |
| 1437700564 | Sara Moura Franco | Registered Nurse | 805 Atlantic St, Stamford, CT 06902-6805 | 2019-09-20 |
| 1265817662 | Adriana M Mora Rodriguez | Physician Assistant | 805 Atlantic St, Stamford, CT 06902-6805 | 2015-07-27 |
| 1679845648 | Maureen Flanagan | Nurse Practitioner | 805 Atlantic St, Stamford, CT 06902-6805 | 2012-02-06 |
| 1831470343 | Prajakta Abhijit Kulkarni | Pediatrics | 805 Atlantic St, Stamford, CT 06902-6805 | 2011-08-30 |
| 1699904797 | Willeatha M Taylor | Pediatrics | 805 Atlantic St, Stamford, CT 06902-6805 | 2009-07-09 |
| 1073747788 | Ann Mantua Asunto | Family Medicine | 805 Atlantic St, Stamford, CT 06902-6805 | 2009-05-08 |
| 1750535985 | Optimus Health Care Inc. | Clinic/Center | 805 Atlantic St, Stamford, CT 06902-6805 | 2008-11-14 |
| 1093988057 | Julie Hetherington | Nurse Practitioner | 805 Atlantic St, Stamford, CT 06902-6805 | 2008-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496961 | Ashley Nicole Pekera | Physician Assistant | 126 Hoyt St Apt 5g, Stamford, CT 06905-5733 | 2020-01-13 |
| 1487293346 | Hannah R Prange | Physician Assistant | 50 Forest St Apt 1015, Stamford, CT 06901-1870 | 2019-12-24 |
| 1003455940 | Mark Branton | Physician Assistant | 150 Southfield Ave Apt 2142, Stamford, CT 06902-7765 | 2019-12-23 |
| 1144884651 | Vanessa L Barber | Physician Assistant | 48 Glen Ave, Stamford, CT 06906-1205 | 2019-04-30 |
| 1447744594 | Avinash Thomas | Physician Assistant | 2015 W Main St # 350, Stamford, CT 06902-4536 | 2018-06-20 |
| 1255522900 | Ingrid Armorer | Physician Assistant | 25 Adams Ave, 214, Stamford, CT 06902 | 2007-08-07 |
| 1578698940 | Edna Caraballo-gonzalez | Physician Assistant | 32 Strawberry Hill Ct Fl 4, Suite 6, Stamford, CT 06902-2594 | 2007-02-23 |
| 1609856020 | James Tulacro | Physician Assistant | 999 Summer St, 304, Stamford, CT 06905-5546 | 2006-01-20 |
| 1194351056 | Kathleen Ouellette | Physician Assistant | 623 Newfield Ave, Stamford, CT 06905-3302 | 2020-03-22 |
| 1366075871 | Molly Ann Verderame | Physician Assistant | 1 Hospital Plz, Stamford, CT 06902-3602 | 2020-02-13 |
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| 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.