BRIDGEPORT HOSPITAL (NPI# 1174147052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174147052 |
| Entity Type | Organization |
| Organization Name | BRIDGEPORT HOSPITAL |
| Practice Address |
267 Grant St Bridgeport CT 06610-2805 |
| Mailing Address |
100 Church St S # Mcs2 New Haven CT 06519-1703 |
| Practice Telephone | 2033843000 |
| Mailing Telephone | 2036888543 |
| Mailing Fax Number | 2036886005 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | MS. MARY GERETTE MESSINA (SENIOR REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 2036888543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bridgeport Hospital Ambulatory Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
| 1205362423 | Bridgeport Hospital | General Acute Care Hospital | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2017-05-08 |
| 1275072985 | Bridgeport Hospital | Clinic/Center | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2017-02-14 |
| 1962952671 | Bridgeport Hospital | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-10-05 |
| 1871807446 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2010-08-05 |
| 1568613040 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2008-10-02 |
| 1508038282 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2008-04-02 |
| 1992910152 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant Street, Bridgeport, CT 06610 | 2007-05-11 |
| 1790837227 | Bridgeport Hospital | Rehabilitation Unit | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-01-17 |
| 1609928134 | Bridgeport Hospital | Psychiatric Unit | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRIDGEPORT HOSPITAL | 267 Grant St, Bridgeport, CT 06610-2805 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL | 267 Grant Street, Bridgeport, CT 06610 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS, INC. | Jennifer Willcox, Esq., Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 |
| Street Address |
267 GRANT ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818376 | Anthony Peluso | Anesthesiology | 267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805 | 2005-08-16 |
| 1992306138 | Anna Maria Clabby | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-11-04 |
| 1336756519 | Jane Silva | Physical Medicine & Rehabilitation | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-30 |
| 1407461890 | Mary Antonette Evangelista Cordon | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-11 |
| 1467064022 | Courtney Alexandra Irving | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-08-17 |
| 1528677416 | Britnia St. Pierre | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-07-27 |
| 1881203040 | Adrianna Janelle Sutfin | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-23 |
| 1750990081 | Allison Jamie Stark | Nurse Anesthetist, Certified Registered | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-22 |
| 1164030565 | Alyssa Garza | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-21 |
| 1730797549 | Laura Bienashski | Student in an Organized Health Care Education/Training Program | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525466 | Ilja Hulinsky Md PC | Internal Medicine | 4641 Main St Ste 3, Bridgeport, CT 06606-1827 | 2019-08-26 |
| 1801245931 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 307, Bridgeport, WV 26330-9010 | 2016-06-09 |
| 1972957819 | Diana Rachel Stern Ferrante | Internal Medicine | 267 Grant St., Bridgeport, CT 06610 | 2016-04-18 |
| 1053711879 | Louis Ernest D'onofrio Jr. | Internal Medicine | 3180 Main St Unit 1b, Bridgeport, CT 06606-4237 | 2014-08-28 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1477849354 | Hervey Weitzman, Md, LLC | Internal Medicine | 4699 Main St Ste 213, Bridgeport, CT 06606-1830 | 2011-06-20 |
| 1598086506 | Saurabh Ranjan | Internal Medicine | 267 Grant Street, Gme 4th Floor, Bridgeport Hospital, Bridgeport, CT 06610 | 2010-06-14 |
| 1013143130 | Kevin B Panzer | Internal Medicine | 1381 Reservoir Ave., Bridgeport, CT 06606 | 2009-06-03 |
| 1720228455 | Wayne S Levin Md | Internal Medicine | 3690 Main St, Bridgeport, CT 06606-3610 | 2009-02-20 |
| 1992908537 | Jonathan Edmund Stanley | Internal Medicine | 527 Medical Park Dr Ste 302, Bridgeport, WV 26330-9009 | 2007-06-11 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.