DR. TITO L. VASQUEZ (NPI# 1083889398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083889398 |
| Entity Type | Individual |
| Full Name | DR. TITO L. VASQUEZ |
| Credential | M.D. |
| Practice Address |
2600 Post Rd Southport CT 06890-1258 |
| Practice Telephone | 2032928119 |
| Practice Fax Number | 2032928120 |
| Mailing Telephone | 2032928119 |
| Mailing Fax Number | 2032928120 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2012-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 046169 | CT | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
046169 | CT | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
046169 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE PTAN | D300000073 | 01 |
| Street Address |
2600 POST RD |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06890-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871573329 | Robert W Kipp Jr. | Chiropractor | 2600 Post Rd, Suite L2, Southport, CT 06890-1258 | 2006-01-20 |
| 1861046948 | Jason J Grygier | Optometrist | 2600 Post Rd, Ste 210, Southport, CT 06890-3206 | 2019-07-28 |
| 1689160145 | Aaron Nichols | Optometrist | 2600 Post Rd, Southport, CT 06890 | 2018-07-09 |
| 1801228598 | Breanna Lyn Razdan | Chiropractor | 2600 Post Rd, Southport, CT 06890-1258 | 2013-08-05 |
| 1710224415 | Eyecare Associates LLC | Optometrist | 2600 Post Rd, Southport, CT 06890-1258 | 2013-01-15 |
| 1487981395 | Michael Joseph Reynolds | Dentist | 2600 Post Rd, Southport, CT 06890-1258 | 2009-11-13 |
| 1689812885 | Connecticut Plastic Surgery Group, LLC | Surgery | 2600 Post Rd, Southport, CT 06890-1258 | 2009-01-26 |
| 1174715460 | Eye Care Associatel of Fairfield PC | Optometrist | 2600 Post Rd, Southport, CT 06890-1258 | 2007-08-10 |
| 1548487259 | Judy L Boslow | Obstetrics & Gynecology | 2600 Post Rd, Suite Suite 1l, Southport, CT 06890-1258 | 2007-04-20 |
| 1982734885 | Pro-health Chiropractic, P.C. | Chiropractor | 2600 Post Rd, Suite L2, Southport, CT 06890-1258 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821500703 | Abby Hill Smith | Audiologist | 2600 Post Rd Ste 2, Southport, CT 06890 | 2017-10-31 |
| 1255879748 | Northeast Breast Reconstruction LLC | Surgery | 21 Southport Terrace, Southport, CT 06890 | 2017-02-06 |
| 1487108908 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 3530 Post Rd Ste 306, Southport, CT 06890 | 2016-08-12 |
| 1023469343 | Alexandra Kosma | Behavioral Analyst | 1080 Mill Hill Ter, Southport, CT 06890 | 2016-06-28 |
| 1801126552 | Sabita Kanhai | Massage Therapist | 3519 Post Road, Southport, CT 06890 | 2009-12-31 |
| 1083689962 | Ben Duncan Ramaley | Specialist | 2600 Post Road, Suite 1l, Southport, CT 06890 | 2006-02-22 |
| 1346594116 | Sharon Renee Mccormick | Marriage & Family Therapist | 49 John Street, New Learning Therapy Center, Southport, CT 06890 | 2012-11-01 |
| 1841558897 | Olga Marsillio | Nurse Anesthetist, Certified Registered | Norwalk Hospital, 34 Maple Street, Norwalk, CT 06890 | 2012-04-27 |
| 1033215256 | Bradford Stephen Chervin | Otolaryngology | 2600 Post Road, Southport, CT 06890 | 2006-09-15 |
| 1396074365 | Louis Matis | Specialist | 775 Flintlock Rd, Southport, CT 06890-1066 | 2009-12-21 |
| Find all providers in zip 06890 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205035102 | Phillip David Khan | Plastic Surgery | 1456 N Howe St Ste 201, Southport, NC 28461-2674 | 2007-07-12 |
| 1538578174 | Novant Medical Group, Inc | Plastic Surgery | 1456 N Howe St Ste 201, Southport, NC 28461-2674 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720642762 | Riverview Emergency Services LLC | Plastic Surgery | 148 East Ave Ste 3h, Norwalk, CT 06851-5726 | 2019-04-25 |
| 1073177184 | Laurel Chandler Md Pllc | Plastic Surgery | 195 Danbury Rd Ste 203, Wilton, CT 06897-4075 | 2019-04-24 |
| 1285080416 | Plastic Surgery Practice of Connecticut | Plastic Surgery | 44 Amogerone Crossway # 8151, Greenwich, CT 06830-9993 | 2016-05-06 |
| 1275997975 | Peau | Plastic Surgery | 1472 Boston Post Rd, Darien, CT 06820-5909 | 2016-04-08 |
| 1356684112 | Joseph Lopez | Plastic Surgery | 330 Cedar St Ste 330, New Haven, CT 06510-3218 | 2013-03-30 |
| 1881956514 | Mid State Md, LLC | Plastic Surgery | 85 Church St Ste 500, Middletown, CT 06457-3647 | 2012-06-08 |
| 1134356959 | Yuen-jong Liu | Plastic Surgery | 722 Post Rd Ste 200, Darien, CT 06820 | 2009-06-18 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1376704353 | Christopher David Hughes | Plastic Surgery | 399 Farmington Ave Ste 210, Farmington, CT 06032-1944 | 2008-06-22 |
| 1659546323 | Richard Restifo, Md PC | Plastic Surgery | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2008-04-24 |
| 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.