GYNECOLOGIC CANCER CARE, LLC (NPI# 1316354079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316354079 |
| Entity Type | Organization |
| Organization Name | GYNECOLOGIC CANCER CARE, LLC |
| Practice Address |
65 High Ridge Rd #653 Stamford CT 06905-3800 |
| Mailing Address |
65 High Ridge Road #653 Stamford CT 06905 |
| Practice Telephone | 2039700100 |
| Mailing Telephone | 2039700100 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | DR. KAREN NISHIDA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2039700100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
052404 | CT | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | GYNECOLOGIC CANCER CARE, LLC | 65 High Ridge Road #653, Stamford, CT 06905 |
| Street Address |
65 HIGH RIDGE RD #653 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962509653 | Karen J. Nishida | Obstetrics & Gynecology | 1290 Summer St Ste 5200, Stamford, CT 06905-5339 | 2006-09-17 |
| 1710936778 | Iris Wertheim M.d. LLC | Obstetrics & Gynecology | 32 Strawberry Hill Ct, Suite 41052, Stamford, CT 06902-2594 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594496 | Terri Passante | Obstetrics & Gynecology | 99 Colonial Hill Dr, Wallingford, CT 06492-3470 | 2020-06-29 |
| 1023305455 | Middlesex Hosp Dba Thoracic Surg/obgyn Onocology | Obstetrics & Gynecology | 540 Saybrook Rd Ste 180, Middletown, CT 06457-4759 | 2011-07-06 |
| 1235425521 | Marguerite Palisoul | Obstetrics & Gynecology | 85 Seymour St Ste 705, Hartford Hospital Gynecology Oncology, Hartford, CT 06106-5501 | 2011-06-24 |
| 1497835961 | Gloria S Huang | Obstetrics & Gynecology | Smilow Cancer Center Hospital At Yale New Haven, 20 York Street, New Haven, CT 06510-3220 | 2006-10-17 |
| 1376540906 | John Dale Nash | Obstetrics & Gynecology | University of Connecticut Health Ctr, 263 Farmington Avenue - Mc1614, Farmington, CT 06030-0001 | 2005-06-28 |
| 1669817854 | Mitchell Brent Clark | Obstetrics & Gynecology | 333 Cedar St., Yale Medical School, New Haven, CT 06510 | 2013-05-02 |
| 1023368370 | Jennifer Rose Jorgensen | Obstetrics & Gynecology | 263 Farmington Avenue, Farmington, CT 06030 | 2012-09-13 |
| 1508129081 | Erin Greenberg Hartnett | Obstetrics & Gynecology | 114 Woodland St, Hartford, CT 06105-1208 | 2012-06-20 |
| 1407114630 | Gary Altwerger | Obstetrics & Gynecology | 333 Cedar Street, Fmb 328, New Haven, CT 06510-3220 | 2012-04-25 |
| 1518175173 | Melissa Susan Henretta | Obstetrics & Gynecology | 114 Woodland St, Hartford, CT 06105-1208 | 2007-05-18 |
| Find all providers with the same taxonomy | ||||
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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.