BRIAN CLANCY (NPI# 1083151898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083151898 |
| Entity Type | Individual |
| Full Name | BRIAN CLANCY |
| Practice Address |
425 Post Rd Fairfield CT 06824-6232 |
| Mailing Address |
50 Bunting Rd Seymour CT 06483-3829 |
| Practice Telephone | 2032929000 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3766 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
425 POST RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146802 | Gioia Jo Riccio | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2005-06-30 |
| 1730669920 | Angelina Angeli | Nurse Practitioner | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-08-16 |
| 1649778614 | Rdr Radiology LLC | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-01-25 |
| 1023528270 | Skylar Krystina Robinson | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-10-02 |
| 1962885368 | Deepthi Naik | Family Medicine | 425 Post Rd, Fairfield, CT 06824 | 2015-07-02 |
| 1225370901 | Eric Louis Alter | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2013-03-20 |
| 1356668669 | Steven V Kardos | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824-6232 | 2010-04-26 |
| 1144482308 | Nicholas Lillo | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2008-06-30 |
| 1619134269 | Matthew S Wosnitzer | Urology | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 | 2008-05-21 |
| 1689852410 | Kevin Ryan Mcdonald | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| 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 |
|---|---|---|---|---|
| 1780293548 | Christina Elizabeth Gentile | Physician Assistant | 313 Suburban Ave, Fairfield, CT 06825-1851 | 2020-07-28 |
| 1962963397 | Olivia Leigh Brandt | Physician Assistant | 4 Skyline Trl, Fairfield, PA 17320-8560 | 2019-03-28 |
| 1205299559 | Bita Joobbani | Physician Assistant | 1860 Pennsylvania Ave Ste 230, Fairfield, CA 94533-3550 | 2016-04-04 |
| 1699178210 | Bradley Joseph Barnes | Physician Assistant | 3050 Mack Rd Ste 200, Fairfield, OH 45014-5375 | 2014-09-28 |
| 1841500675 | Nicolle E White | Physician Assistant | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 | 2010-10-14 |
| 1134303894 | Sarah Brooke Sullivan | Physician Assistant | 113 Old Stratfield Rd, Fairfield, CT 06825-4432 | 2007-12-18 |
| 1679752083 | Sandy Pais Narciso-owen | Physician Assistant | Sacred Heart University, Physician Assistant Studies, 5151 Park Avenue, Fairfield, CT 06825 | 2007-11-01 |
| 1316142599 | Michelle Anne Cifelli | Physician Assistant | 19 Addison Dr, Fairfield, NJ 07004-1534 | 2007-06-18 |
| 1285655977 | Laura Lynn Mora | Physician Assistant | 5129 Dartrmoor Circle, Fairfield, CA 94534 | 2006-07-21 |
| 1699775551 | Julie A Lanter | Physician Assistant | 2818 Mack Rd, Fairfield, OH 45014-5130 | 2005-07-21 |
| Find all providers in FAIRFIELD | ||||
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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.