DANIEL O SOUTHERN (NPI# 1154346302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154346302 |
| Entity Type | Individual |
| Full Name | DANIEL O SOUTHERN |
| Credential | MD |
| Practice Address |
195 Danbury Rd Ste 220 Wilton CT 06897-4075 |
| Mailing Address |
13 Indian Hill Rd Wilton CT 06897-1320 |
| Practice Telephone | 2034565717 |
| Mailing Telephone | 2034565717 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 042845 | CT | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
042845 | CT | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
042845 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 226 White St, Danbury, CT 068106814 | 2037971500 | 2037910495 |
| Street Address |
195 DANBURY RD STE 220 |
| City | WILTON |
| State | CT |
| Zip Code | 06897-4075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191878 | Cefaly Us, Inc | Durable Medical Equipment & Medical Supplies | 187 Danbury Rd, 3rd Fl Riverside, Wilton, CT 06897 | 2018-07-24 |
| 1154747798 | Llonel Laxamana De Dios | Physical Therapist | 44 Old Ridgefield, Road Suite 213 Fox Rehab Connecticut Regional Office, Wilton, CT 06897 | 2014-03-06 |
| 1679911937 | Colleen Nee | Social Worker | 29 School St (route 107/redding Rd), Wilton, CT 06897 | 2013-06-10 |
| 1104123397 | Xin Wen Shi | Physical Therapist | 64 Danbury Road, Wilton, CT 06897 | 2011-02-24 |
| 1942434428 | Wilton Retirement Housing, LLC | Assisted Living Facility | 435 Danbury Rd., Wilton, CT 06897 | 2009-05-12 |
| 1891965257 | Ronald E. Ponchak, Pt, PC | Clinic/Center | 1 Danbury Road, Wilton, CT 06897 | 2008-03-01 |
| 1649478199 | Mary Steinowitz | Physical Therapist | 345 Belden Hill Road, Wilton, CT 06897 | 2007-07-06 |
| 1871708503 | Robin H Canter | Social Worker | 237 Danbury Road, Stillpoint Counseling, LLC, Wilton, CT 06897 | 2007-05-14 |
| 1073727541 | Elizabeth Rene Sirois | Occupational Therapy Assistant | 63 Danbury Road, Wilton, CT 06897 | 2007-05-10 |
| 1013132877 | Moore Center for Rehabilitation of Wilton, LLC | Physical Therapist | 37 Danbury Road, Wilton, CT 06897 | 2007-04-16 |
| Find all providers in zip 06897 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740566 | Interventional Orthopedics Ct, P.c | Physical Medicine & Rehabilitation | 195 Danbury Rd Ste B200, Wilton, CT 06897-6009 | 2020-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194165951 | Katherine Rodriguez | Physical Medicine & Rehabilitation | 35 6th St, Stamford, CT 06905-4603 | 2013-06-26 |
| 1013229103 | Robin D Raju | Physical Medicine & Rehabilitation | 1 Long Wharf Dr Fl 6, New Haven, CT 06511 | 2010-07-06 |
| 1205147352 | Jonathan G. Tuma | Physical Medicine & Rehabilitation | 22 Marjorie St, Mystic, CT 06355-3626 | 2010-06-23 |
| 1154580827 | Bohdan J Warycha | Physical Medicine & Rehabilitation | 1579 Straits Tpke Lowr Level, Middlebury, CT 06762-1835 | 2008-06-06 |
| 1699843888 | Perry Michael Perretz | Physical Medicine & Rehabilitation | 112 Portland Ave, West Redding, CT 06896-3119 | 2006-12-04 |
| 1528068921 | Arpad Sandor Fejos | Physical Medicine & Rehabilitation | 512 Saybrook Rd, Suite 100, Middletown, CT 06457-4788 | 2005-07-28 |
| 1639506967 | Hans Knopp | Physical Medicine & Rehabilitation | 1579 Straits Tpke, Middlebury, CT 06762 | 2013-10-01 |
| 1760828172 | David Emmanuel Gutierrez | Physical Medicine & Rehabilitation | 800 Howard Ave Fl 1, New Haven, CT 06519 | 2013-05-14 |
| 1427396019 | Kyle Silva | Physical Medicine & Rehabilitation | 888 White Plains Rd Ste 105&106, Trumbull, CT 06611-4552 | 2013-01-16 |
| 1972799799 | David Lee Tung | Physical Medicine & Rehabilitation | 3180 Main St, Suite 303, Bridgeport, CT 06606-4237 | 2007-09-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DANIEL O SOUTHERN.
| 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.