PHYSICAL MEDICINE AND CHIROPRACTIC CENTER LORELEI DAVIDSON M.D. MARC K (NPI# 1023102209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023102209 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE AND CHIROPRACTIC CENTER LORELEI DAVIDSON M.D. MARC K |
| Practice Address |
1867 Summer St Stamford CT 06905-5016 |
| Practice Telephone | 2039757000 |
| Practice Fax Number | 2039750876 |
| Mailing Telephone | 2039757000 |
| Mailing Fax Number | 2039750876 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | DR. MARC DAVID KIRSHNER (PRESIDENT) |
| Authorized Official Telephone | 2039757000 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 044106 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | KIRSHNER BC | 050000952CT01 | 01 |
| CT | 4125747 | 05 | |
| CT | LYNNE BC | 050001402CT01 | 01 |
| Street Address |
1867 SUMMER ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669566022 | Leonard Kundel | Dentist | 1867 Summer St, Stamford, CT 06905-5016 | 2006-10-02 |
| 1679963573 | Susan Robbins/yarett | Naturopath | 1867 Summer St, Stamford, CT 06905-5016 | 2015-01-29 |
| 1316352495 | James E Sherry Lcsw LLC | Social Worker | 1867 Summer St, 2nd Floor, Stamford, CT 06905-5016 | 2014-06-26 |
| 1568615714 | Susan Elizabeth Woehr | Social Worker | 1867 Summer St, Stamford, CT 06905-5016 | 2008-10-31 |
| 1912108325 | Midas Medical PC | Physical Medicine & Rehabilitation | 1867 Summer St, Stamford, CT 06905-5016 | 2007-05-31 |
| 1508950742 | Jennifer Elyse Lynne | Chiropractor | 1867 Summer St, Stamford, CT 06905-5016 | 2006-10-03 |
| 1124112370 | Michael Anthony Naccarella | Chiropractor | 1867 Summer St, Stamford, CT 06905-5016 | 2006-10-03 |
| 1780778944 | Marc David Kirshner | Chiropractor | 1867 Summer St, Stamford, CT 06905-5016 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477634533 | Avi Weiner | Neuromusculoskeletal Medicine, Sports Medicine | 47 Oak St, Ste 110, Stamford, CT 06905-5320 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407876733 | William Joseph Garrity | Neuromusculoskeletal Medicine, Sports Medicine | 230b Mountain Rd, Suffield, CT 06078-2094 | 2006-07-20 |
| 1841283744 | Albert J Kozar | Neuromusculoskeletal Medicine, Sports Medicine | 54 W Avon Rd, Suite 202, Avon, CT 06001-3680 | 2005-08-25 |
| 1902899800 | Paul David Tortland | Neuromusculoskeletal Medicine, Sports Medicine | 59 Sycamore St, #301, Glastonbury, CT 06033-4535 | 2005-08-25 |
| 1730186222 | Kevin J Reagan | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-06-30 |
| 1053713800 | Connecticut Headache and Migraine Relief Center LLC | Neuromusculoskeletal Medicine, Sports Medicine | 235 Glenville Rd, Suite 2b, Greenwich, CT 06831-4148 | 2014-09-24 |
| 1831429885 | Westsports Medicine Inc | Neuromusculoskeletal Medicine, Sports Medicine | 166 East Ave, Norwalk, CT 06851-5725 | 2010-01-13 |
| 1649403320 | Integrated Medical of Danbury, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 46 Mill Plain Rd, Danbury, CT 06811-5140 | 2009-08-28 |
| 1871799635 | Valley Sports Physicians & Orthopedic Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 54 W Avon Rd, Suite 202, Avon, CT 06001-3680 | 2007-06-26 |
| 1063628295 | Ward J Mcfarland Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 32 Trumbull St, C/o R Fabbri, M.d., New Haven, CT 06511-6310 | 2007-05-15 |
| 1598898843 | Joshua B Frank | Neuromusculoskeletal Medicine, Sports Medicine | 761 Main Ave, Suite 115, Norwalk, CT 06851-1080 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
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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.