PHILEASE J MARTIN (NPI# 1255844197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255844197 |
| Entity Type | Individual |
| Full Name | PHILEASE J MARTIN |
| Practice Address |
2001 W Main St Stamford CT 06902-4501 |
| Mailing Address |
21715 Jamaica Ave Apt 2b Queens Village NY 11428-2122 |
| Practice Telephone | 2036588291 |
| Practice Fax Number | 2036588294 |
| Mailing Telephone | 7739102518 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
021588-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2001 W MAIN ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275866 | Katherine Kelly Noble | Pediatrics | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2005-09-14 |
| 1073011870 | Matthew Mason | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2018-01-26 |
| 1548625569 | Sound Beach Pediatrics, LLC | Clinic/Center | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2015-12-17 |
| 1760856306 | Clinic 21 of Connecticut LLC | Emergency Medicine | 2001 W Main St, #100, Stamford, CT 06902-4501 | 2015-11-19 |
| 1619346418 | Celebrating Children | Occupational Therapist | 2001 W Main St, Suite #135, Stamford, CT 06902-4501 | 2015-09-22 |
| 1316386428 | Munroetherapies & Consultation, P.C. | Community/Behavioral Health | 2001 W Main St, Stamford, CT 06902-4501 | 2013-06-21 |
| 1801231659 | Nordberg Plastic Surgery Center, LLC | Clinic/Center | 2001 W Main St, Suite 150, Stamford, CT 06902 | 2013-05-07 |
| 1285975417 | Beth O'donnell, Ph.d. LLC | Psychologist | 2001 W Main St, Suite 106g, Stamford, CT 06902-4501 | 2013-03-13 |
| 1598931057 | Louise Marie Anselmo | Physical Therapist | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2008-05-05 |
| 1043482128 | Leif O Nordberg Md, LLC | Clinic/Center | 2001 W Main St, Suite 155, Stamford, CT 06902 | 2008-03-28 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280065 | Carly Wachtel | Physician Assistant | 28650 State Highway 23, Stamford, NY 12167-1712 | 2019-08-16 |
| 1366999856 | Brianna Faust | Physician Assistant | 1 Hospital Plaza, Stamford Hospital - Emergency Department, Stamford, CT 06902 | 2016-09-01 |
| 1396154233 | Sarah Spring | Physician Assistant | 1 Blachley Rd, Stamford, CT 06902-0002 | 2014-08-05 |
| 1821389040 | Betty Exume | Physician Assistant | One Hospital Plaza, Stamford, CT 06904 | 2011-04-21 |
| 1134445760 | Michael Adam Bergman | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2010-04-07 |
| 1205159290 | Christopher Joseph Palkimas | Physician Assistant | 945 Summer St Fl 3, Stamford, CT 06905-5557 | 2010-03-05 |
| 1255660247 | Megan Arthur Mask | Physician Assistant | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2009-12-22 |
| 1982746707 | Kathleen Anne O'connor | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2007-02-12 |
| 1649351602 | Shilpa Desai | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2006-10-18 |
| 1427142058 | Albert Anthony Luongo | Physician Assistant | 32 Strawberry Hill Ct, Suite 41052, Stamford, CT 06902-2594 | 2006-10-03 |
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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.