NORTHEAST AMBULATORY ANESTHESIA LLC


Address: 4920 Main St, Bridgeport, CT 06606-1300
Phone: 2035838906

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology Allopathic & Osteopathic Physicians

Office Location

Street Address 4920 MAIN ST
City BRIDGEPORT
State CT
Zip Code 06606-1300

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City BRIDGEPORT
Zip Code 06606

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Dataset Information

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.

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