DR. STEPHEN JOSEPH PHELAN (NPI# 1326142332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326142332 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JOSEPH PHELAN |
| Credential | M.D. |
| Practice Address |
91 Voluntown Rd Pawcatuck CT 06379-1366 |
| Practice Telephone | 8605995477 |
| Practice Fax Number | 8608652389 |
| Mailing Telephone | 8605995477 |
| Mailing Fax Number | 8608652389 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 242245-1 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 12629 | NH | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
046242 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508924903 | Stephen Todd Phelan | Dentist | 2102 W Pleasant Grove Rd, Suite 1, Rogers, AR 72758-8242 | 2006-12-05 |
| 1932195674 | Stephen Stratford Phelan | Dentist | 1554 E Trinity Blvd, Montgomery, AL 36106-3609 | 2005-09-27 |
| Street Address |
91 VOLUNTOWN RD |
| City | PAWCATUCK |
| State | CT |
| Zip Code | 06379-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396724134 | William H Kober | Family Medicine | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 | 2006-01-11 |
| 1962885244 | Vera Marie Borkowski | Nurse Practitioner | 91 Voluntown Rd, Pawcatuck, CT 06379-1389 | 2015-07-03 |
| 1376930586 | John William Lindsay | Internal Medicine | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 | 2015-04-26 |
| 1881002517 | Kerry Marie Phelan | Physician Assistant | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 | 2014-07-25 |
| 1396825097 | Louis C Iovino | Internal Medicine | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 | 2006-10-17 |
| 1255437752 | Brenda Louise Applegate | Family Medicine | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957565 | Stacy Jean Wheland | Behavioral Analyst | 2 Hickory Ln, Pawcatuck, CT 06379 | 2017-12-11 |
| 1255882379 | Jacqueline M. Nichols-holden | Massage Therapist | 10 Croft Ct, Pawcatuck, CT 06379 | 2016-10-24 |
| 1972635027 | Roy C Gumpel | Internal Medicine | 86 Palmer Neck Rd, Pawcatuck, CT 06379 | 2007-03-12 |
| 1811062904 | Gene S Renz | Dentist | 101 West Broad Street, Pawcatuck, CT 06379 | 2006-11-22 |
| 1790746295 | Mary Sue Agostini | Physical Therapist | 158 South Broad Street, Dynamic Physical Therapy LLC, Pawcatuck, CT 06379 | 2006-04-01 |
| 1558907154 | Holden Hands Massage, LLC | Massage Therapist | 10 Croft Ct, Pawcatuck, CT 06379-1233 | 2019-11-19 |
| 1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
| 1093369852 | Ryan David Lee | Specialist/Technologist | 1 Fairway Ct, Pawcatuck, CT 06379-1240 | 2019-07-30 |
| 1891094116 | Susan Alfiero-bavasso | Speech-Language Pathologist | 2 Fairway Ct, Pawcatuck, CT 06379-1240 | 2011-03-25 |
| 1164935250 | Katharine Headley | Student in an Organized Health Care Education/Training Program | 61 Timber Ridge Rd, Pawcatuck, CT 06379-1241 | 2017-11-10 |
| Find all providers in zip 06379 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103762 | Fairfield County Endocrine, LLC | Internal Medicine | 18 Sunnyside Ln, Westport, CT 06880-1710 | 2019-06-18 |
| 1013458447 | James Magner | Internal Medicine | 1022 Field Dr, Woodbridge, CT 06525-2638 | 2017-03-18 |
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1740675818 | Vivek Alaigh | Internal Medicine | 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 | 2015-04-05 |
| 1669801619 | Geetika Gupta | Internal Medicine | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | 2013-11-09 |
| 1134562911 | Lori Marie De La Portilla | Internal Medicine | 462 Queen St # 303, Southington, CT 06489-1801 | 2013-04-11 |
| 1346592862 | Kathleen Mary O'connell | Internal Medicine | 9 Stonecrop Ln, Wilton, CT 06897-2405 | 2012-10-08 |
| 1104159037 | Robert Aaron Levine | Internal Medicine | 137 Winthrop Rd, Guilford, CT 06437-1632 | 2009-09-10 |
| 1124209101 | Maryanne Horta Bhojwani | Internal Medicine | 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 | 2007-11-19 |
| 1366585762 | Ann E Taylor | Internal Medicine | Pfizer, Eastern Point Road, Groton, CT 06340 | 2007-02-15 |
| 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.