GINA RUPERT (NPI# 1184652711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184652711 |
Entity Type | Individual |
Full Name | GINA RUPERT |
Credential | PAC |
Practice Address |
385 Main St South Ste 301 Union Square Southbury CT 06488 |
Practice Telephone | 2032643319 |
Practice Fax Number | 2032676382 |
Mailing Telephone | 2032643319 |
Mailing Fax Number | 2032676382 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2014-01-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001710 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
385 MAIN ST SOUTH STE 301 UNION SQUARE |
City | SOUTHBURY |
State | CT |
Zip Code | 06488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619973823 | Bipinchandra Jagjivan | Radiology | 385 Main St South, Union Square Bldg #1 Nvra Imaging Network, Southbury, CT 06488 | 2005-06-22 |
1538249065 | Geoffrey L Manton | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-10-17 |
1245252824 | Diagnostic Imaging of Southbury | Clinic/Center | 385 Main St South, Nvra Union Square Bldg 2, Southbury, CT 06488 | 2006-07-24 |
1346274255 | Robert Gumbardo | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
1871527788 | Jeffrey Hawley | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
1780618694 | Mark Johnson | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
1578597308 | Philip Rothfeld | Radiology | 385 Main St South, Union Square, Bldg#1, Southbury, CT 06488 | 2006-07-10 |
1114959541 | Matthew Bushey | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-07 |
1699707018 | Carolyn Ajemian | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
Find all providers in zip 06488 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629250246 | Rebecca Ann Strubbe | Physician Assistant | 1461 South Britain Rd., Southbury, CT 06488-0901 | 2007-12-05 |
1265658298 | Thomas L Winn | Physician Assistant | 1461 South Britain Road, Southbury Training School, Southbury, CT 06488-0901 | 2007-04-18 |
1952456980 | Allene B. Mcmurrer-troy | Physician Assistant | 22 Old Waterbury Rd, Suite 204, Southbury, CT 06488-3848 | 2007-01-23 |
1669420584 | Trishna Walsh | Physician Assistant | 385 Main St S, Suite 301, Southbury, CT 06488-4240 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578163671 | Kirsten Alexandra Drobiak | Physician Assistant | 37 Jennifer Ln, Griswold, CT 06351-3500 | 2020-10-28 |
1255955019 | Amanda Uscilla | Physician Assistant | 20 Hilltop Rd, Bethany, CT 06524-3514 | 2020-06-07 |
1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
1811547508 | Gabriela M Vargas | Physician Assistant | 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 | 2019-09-16 |
1275192049 | Molly J Mable | Physician Assistant | 282 Washington St Fl 1, Hartford, CT 06106-3322 | 2019-06-06 |
1003377631 | Stephan Anton Bayer | Physician Assistant | 205 Elm St Apt 5, West Haven, CT 06516-4659 | 2019-03-27 |
1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
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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.