MS. REGINA C K EICHENBERGER (NPI# 1043445760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043445760 |
| Entity Type | Individual |
| Full Name | MS. REGINA C K EICHENBERGER |
| Other Name | MS. REGINA CELESTE KISTNER |
| Credential | PA-C, MPH, MS |
| Practice Address |
2505 Main St Ste 223 Stratford CT 06615-5839 |
| Mailing Address |
570 King St Chappaqua NY 10514-3537 |
| Practice Telephone | 2033755812 |
| Practice Fax Number | 2033756027 |
| Mailing Telephone | 9142381101 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2016-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 002266 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 008159-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2505 MAIN ST STE 223 |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-5839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023439338 | Liza Goldman Huertas | Family Medicine | 2505 Main St Ste 223, Stratford, CT 06615-5839 | 2014-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| 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 |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1225452386 | Colleen Elizabeth Driscoll | Physician Assistant | 59 Jefferson St, Stratford, CT 06615-7808 | 2014-02-10 |
| 1083897599 | Rosemary A Decicco | Physician Assistant | 205 E. Laurel Rd., Stratford, NJ 08084 | 2007-12-07 |
| 1306942511 | Catherine Haas Mcnulty | Physician Assistant | 18 E. Laurel Road, Stratford, NJ 08084 | 2006-09-15 |
| 1821634239 | Justin Micheal Sullivan | Physician Assistant | 205 E Laurel Rd, Stratford, NJ 08084-1301 | 2019-11-20 |
| 1497218036 | Alicia Villaescusa Karagianes | Physician Assistant | 205 E Laurel Rd, Stratford, NJ 08084-1301 | 2019-04-10 |
| 1205391893 | Yunru Lai | Physician Assistant | 2876 Main St, Stratford, CT 06614-4984 | 2019-02-07 |
| 1235619933 | Sierra Miller | Physician Assistant | 205 E Laurel Rd, Stratford, NJ 08084-1301 | 2018-08-21 |
| 1265981096 | Taylor Joswiak | Physician Assistant | 212800 Stainless Ave, Stratford, WI 54484-4325 | 2016-09-21 |
| 1134502701 | Cynthia M Perez | Physician Assistant | 2890 Main St, Suite 2a, Stratford, CT 06614-4980 | 2015-07-01 |
| Find all providers in STRATFORD | ||||
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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.