JOHN F RODIS (NPI# 1174534150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174534150 |
| Entity Type | Individual |
| Full Name | JOHN F RODIS |
| Credential | MD |
| Practice Address |
30 Shelburne Rd Stamford CT 06902-3628 |
| Practice Telephone | 2032767295 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
026709 | CT | Allopathic & Osteopathic Physicians |
| X | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
026709 | CT | Allopathic & Osteopathic Physicians |
| X | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
026709 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | AETNA | 2565150 | 01 |
| CT | HEALTH NET | 2V0998 | 01 |
| CT | OXFORD HEALTH PLANS | HAS157 | 01 |
| CT | EMPIRE BC/BS | 462D71 | 01 |
| CT | ANTHEM BC/BS | 010026709CT04 | 01 |
| CT | CONNECTICARE | 026709 | 01 |
| CT | UNITED HEALTHCARE | 1217165 | 01 |
| CT | MULTIPLAN | TIN | 01 |
| CT | NEHCA | TIN | 01 |
| CT | POMCO | TIN | 01 |
| CT | CONSUMER HEALTH NETWORK | TIN | 01 |
| CT | CIGNA | TIN | 01 |
| CT | FIRST HEALTH | TIN | 01 |
| CT | GREAT WEST | TIN | 01 |
| CT | PIONEER | TIN | 01 |
| CT | FOCUS-CONENTRA | TIN | 01 |
| CT | PRIVATE HEALTHCARE SYSTEM | TIN | 01 |
| Street Address |
30 SHELBURNE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351759 | Bo Xu | Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2005-10-27 |
| 1518311984 | Pankil Desai | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-04-21 |
| 1033571229 | Rami Al-aref | Surgery | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-25 |
| 1508228198 | Borna Dabiri | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-23 |
| 1073971735 | Tyler Ferraro | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-09 |
| 1376901256 | Vanie Mangal | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-05 |
| 1487023115 | Cynthia Degracia | Spec/Tech, Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-09-23 |
| 1154708873 | Kelly Fellows | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-05-01 |
| 1932595360 | Somera Chaudhry | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 | 2015-04-13 |
| 1043606486 | Chao Guo | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780021550 | Harold Jaime Sherrington | Obstetrics & Gynecology | 27 Iron Gate Rd, Stamford, CT 06903-3820 | 2013-06-03 |
| 1073847851 | Norwalk Gynecology Center LLC | Obstetrics & Gynecology | 107 Glenbrook Rd, Stamford, CT 06902-3001 | 2009-09-25 |
| 1902081011 | Silvio A Mandara Md | Obstetrics & Gynecology | 27 Oak St, Stamford, CT 06905-5342 | 2008-01-08 |
| 1477733798 | Peter Goodhue | Obstetrics & Gynecology | 70 Mill River St, Stamford, CT 06902-3725 | 2007-11-05 |
| 1467645754 | Rita Soledad Castillo | Obstetrics & Gynecology | 107 Glenbrook Rd, Stamford, CT 06902-3001 | 2007-08-21 |
| 1134292881 | Silvio Alexander Mandara | Obstetrics & Gynecology | 27 Oak St, Stamford, CT 06905-5342 | 2006-11-17 |
| 1457431934 | Scott G Chudnoff | Obstetrics & Gynecology | One Hospital Plaza, Stamford, CT 06904-9317 | 2006-10-17 |
| 1275626673 | Stamford Gynecology PC | Obstetrics & Gynecology | 70 Mill River St, Stamford, CT 06902 | 2006-09-30 |
| 1992717938 | Tracy Shevell | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568870665 | Bruce Michael Kaplan | Obstetrics & Gynecology | 750 Hopmeadow St, Simsbury, CT 06070-2212 | 2014-08-01 |
| 1629492699 | David M. Satlof | Obstetrics & Gynecology | 22 Forest Hills Ln, West Hartford, CT 06117-1114 | 2014-02-12 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285921189 | Stephanie Hammerich-hille | Obstetrics & Gynecology | 25 Newell Rd Ste E35, Bristol, CT 06010-5132 | 2011-06-30 |
| 1740576016 | Loredana Christine Cuccia | Obstetrics & Gynecology | 179 E Rocks Rd, House A, Norwalk, CT 06851-1726 | 2011-06-24 |
| 1801108253 | Roberta L. Kline, M.d., LLC | Obstetrics & Gynecology | 464 Stanley Dr, Glastonbury, CT 06033-2624 | 2010-07-13 |
| 1265669063 | Joseph A Welna | Obstetrics & Gynecology | 3 Rockridge Rd, New Britain, CT 06052-1848 | 2009-06-18 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| 1871785766 | Thames Gynecologic Group PC | Obstetrics & Gynecology | 425 Montauk Avenue, New London, CT 06320-4642 | 2007-08-14 |
| 1164643508 | Advanced Obgyn Care | Obstetrics & Gynecology | 35 Nod Rd Ste 201b, Avon, CT 06001-3826 | 2007-05-02 |
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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.