ASENA DEROHANNESIAN (NPI# 1043685308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043685308 |
| Entity Type | Individual |
| Full Name | ASENA DEROHANNESIAN |
| Other Name | ASENA LEVENT |
| Practice Address |
425 Thorme St Bridgeport CT 06606-3418 |
| Mailing Address |
46 Albion St Bridgeport CT 06605-2602 |
| Practice Telephone | 2032754115 |
| Practice Fax Number | 2032750198 |
| Mailing Telephone | 2033306000 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
6410 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 968 Fairfield Ave, Bridgeport, CT 066051116 | 2033306000 |
| Street Address |
425 THORME ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568581908 | City of Bridgeport Health Dept School Based Health Center | Clinic/Center | 425 Thorme St, Bridgeport, CT 06606-3418 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1295711331 | Polly F Cromwell | Nurse Practitioner | 752 E Main St, Bridgeport, CT 06608-2335 | 2005-12-20 |
| 1629053889 | Nancy Irene Munn | Nurse Practitioner | 680 Park Ave, Bridgeport, CT 06604-4610 | 2005-12-09 |
| 1396225355 | Kimberly Rose Cifelli | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2018-08-20 |
| 1487191102 | Judie Kane | Nurse Practitioner | 900 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2017-01-20 |
| 1093269185 | Yejin Lee | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2016-08-07 |
| 1730598947 | Carolyn Walsh | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605 | 2014-08-13 |
| 1578998902 | Kayla Renee Watson | Nurse Practitioner | 900 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2013-09-04 |
| 1144654666 | Keith Lawrence Ellis | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2013-09-03 |
| 1164864005 | Marnie B Frey | Nurse Practitioner | 267 Grant St, Nbicu, Bridgeport, CT 06610-2805 | 2013-07-19 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on ASENA DEROHANNESIAN.
| 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.