DR. STEPHANIE L. SUGIN (NPI# 1114997137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114997137 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE L. SUGIN |
| Credential | M.D. |
| Practice Address |
1201 W Main St Suite 100 Waterbury CT 06708-3105 |
| Practice Telephone | 2035979100 |
| Practice Fax Number | 2035964758 |
| Mailing Telephone | 2035979100 |
| Mailing Fax Number | 2034016517 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 032548 | CT | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
32548 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE PTAN | 180000559 | 01 |
| Street Address |
1201 W MAIN ST SUITE 100 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931829 | Andrew Joseph Levada | Ophthalmology | 1201 W Main St, Waterbury, CT 06708-3105 | 2005-06-10 |
| 1346506094 | Nhu-y Thi Dao | Ophthalmology | 1201 W Main St, Suite 100, Waterbury, CT 06708-3105 | 2012-04-06 |
| 1407084544 | Thomas Berenberg | Ophthalmology | 1201 W Main St, Suite 100, Waterbury, CT 06708-3105 | 2009-06-28 |
| 1598927634 | Danielle Sylvie Rudich | Ophthalmology | 1201 W Main St, Suite 100, Waterbury, CT 06708-3105 | 2008-06-30 |
| 1174714117 | Cinthia Guzman Covey | Ophthalmology | 1201 W Main St, Waterbury, CT 06708-3105 | 2007-08-06 |
| 1174721864 | Tara H Cronin | Ophthalmology | 1201 W Main St, Waterbury, CT 06708-3105 | 2007-07-05 |
| 1902026370 | The Eye Care Group, P.C. | Ophthalmology | 1201 W Main St, Suite 100, Waterbury, CT 06708 | 2007-04-26 |
| 1588636807 | Peter J. Branden | Ophthalmology | 1201 W Main St, Suite 100, Waterbury, CT 06708-3105 | 2006-02-02 |
| 1679543680 | Aron D. Rose | Ophthalmology | 1201 W Main St, Suite 100, Waterbury, CT 06708-3105 | 2006-01-23 |
| 1669442687 | Yanina Kostina | Ophthalmology | 1201 W Main St, Suite 100, Waterbury, CT 06708-3105 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861806002 | Neil Sameer Kalbag | Ophthalmology | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205127818 | Scott Daniel Walter | Ophthalmology | 191 Main St Ste 3, Manchester, CT 06042-3574 | 2011-04-29 |
| 1366914699 | Refocus Eye Health of Connecticut PC | Ophthalmology | 57 North St Ste 415, Danbury, CT 06810-5629 | 2018-12-27 |
| 1316329733 | Retina Group of New England PC | Ophthalmology | 174 Cross Rd, Waterford, CT 06385-1215 | 2015-06-22 |
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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.