ANN MANTUA ASUNTO (NPI# 1073747788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073747788 |
| Entity Type | Individual |
| Full Name | ANN MANTUA ASUNTO |
| Credential | M.D. |
| Practice Address |
805 Atlantic St Stamford CT 06902-6805 |
| Practice Telephone | 2033275111 |
| Practice Fax Number | 2033272991 |
| Mailing Telephone | 2033275111 |
| Mailing Fax Number | 2033272991 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2012-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 047312 | CT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MT188452 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004234788 | 05 |
| Street Address |
805 ATLANTIC ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-6805 |
| 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 |
| 1750535985 | Optimus Health Care Inc. | Clinic/Center | 805 Atlantic St, Stamford, CT 06902-6805 | 2008-11-14 |
| 1003065855 | Christine Muniz | Physician Assistant | 805 Atlantic St, Stamford, CT 06902 | 2008-09-17 |
| 1093988057 | Julie Hetherington | Nurse Practitioner | 805 Atlantic St, Stamford, CT 06902-6805 | 2008-04-10 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447607056 | Ashley Rountree | Family Medicine | 32 Strawberry Hill Ct # 6, Stamford, CT 06902-2594 | 2016-05-24 |
| 1457761512 | Lidya Alexander Bal | Family Medicine | 32 Strawberry Hill Ct Fl 4, Stamford, CT 06902-2594 | 2014-04-29 |
| 1154633980 | Stamford Health Medical Group, Inc. | Family Medicine | One Omega Drive, Building 3, 2nd Floor, Stamford, CT 06907 | 2010-07-09 |
| 1427213958 | Dionne K Smith | Family Medicine | 805 Atlanctic St, Stamford, CT 06902 | 2008-07-24 |
| 1700041118 | Emoliere Chanel Williams | Family Medicine | 1450 Washington Blvd # 103, Stamford Health Integrated Practices Inc., Stamford, CT 06902-2451 | 2008-07-24 |
| 1528231552 | Andrew Killen | Family Medicine | 90 Morgan St Ste 108, Stamford, CT 06905-5436 | 2008-04-10 |
| 1376739730 | Boris Mayzler D.o.llc | Family Medicine | 144 Morgan St Ste 1, Stamford, CT 06905-5433 | 2007-09-19 |
| 1053479998 | Efraim Gomez Zapata | Family Medicine | 60 Strawberry Hill Ave Ste L1, Stamford, CT 06902-8504 | 2006-12-04 |
| 1336249564 | Halli Greer Zung | Family Medicine | 992 High Ridge Rd, Stamford, CT 06905 | 2006-09-25 |
| 1780791822 | Family Medicine Associates of Stamford, P.C. | Family Medicine | 1450 Washington Blvd, Suite 103, Stamford, CT 06902-2451 | 2006-08-24 |
| Find all providers in STAMFORD | ||||
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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.