NORTHEAST AMBULATORY ANESTHESIA LLC (NPI# 1194119982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194119982 |
Entity Type | Organization |
Organization Name | NORTHEAST AMBULATORY ANESTHESIA LLC |
Practice Address |
4920 Main St Bridgeport CT 06606-1300 |
Mailing Address |
65 High Street East Haven CT 06512 |
Practice Telephone | 2035838906 |
Mailing Telephone | 2034672472 |
Enumeration Date | 2015-03-19 |
Last Update Date | 2015-03-19 |
Authorized Official Name | DR. JEFFREY WAGNER (MANAGER) |
Authorized Official Telephone | 2034672474 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
Street Address |
4920 MAIN ST |
City | BRIDGEPORT |
State | CT |
Zip Code | 06606-1300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487610390 | Surgery Center of Fairfield County LLC | Clinic/Center | 4920 Main St, Bridgeport, CT 06606-1300 | 2006-04-21 |
1023113701 | Surgical Center of Connecticut LLC | Clinic/Center | 4920 Main St, Bridgeport, CT 06606-1300 | 2006-09-14 |
1124033949 | Patrick A Tennant | Anesthesiology | 4920 Main St, 200, Bridgeport, CT 06606 | 2006-07-30 |
1710927561 | Phillis Beberman-jennes | Anesthesiology | 4920 Main St, Suite 202, Bridgeport, CT 06606 | 2006-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
Find all providers in zip 06606 |
Taxonomy Code | 207L00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104818376 | Anthony Peluso | Anesthesiology | 267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805 | 2005-08-16 |
1932624152 | Michael Robert Droniak Jr. | Anesthesiology | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-08-09 |
1720500275 | Natalie Elaine Hutchinson | Anesthesiology | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-07-15 |
1285083253 | Michael Allen | Anesthesiology | 2800 Main St, Bridgeport, CT 06606-4201 | 2016-06-09 |
1891109120 | Matthew Mitchell | Anesthesiology | 2800 Main St, Bridgeport, CT 06606-4201 | 2014-06-14 |
1598185175 | Itisha Bansal | Anesthesiology | 2800 Main St, Gme Office, Bridgeport, CT 06606 | 2014-04-22 |
1083032940 | Brett Alan Tomlin | Anesthesiology | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2014-03-28 |
1174950984 | Precision Anesthesia Services, LLC | Anesthesiology | 68 State Route 7, Bridgeport, OH 43912-1642 | 2013-10-11 |
1790048346 | Robert Michael Doody | Anesthesiology | 267 Grant St, Bridgeport, CT 06610-2870 | 2012-06-19 |
1548581911 | Scott M Ross | Anesthesiology | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2010-06-18 |
Find all providers in BRIDGEPORT |
City | BRIDGEPORT |
Zip Code | 06606 |
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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.