ALEXIA T KOUDELLOU (NPI# 1346278066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346278066 |
| Entity Type | Individual |
| Full Name | ALEXIA T KOUDELLOU |
| Credential | MD |
| Practice Address |
Six Fieldstone Commons Suite D Tolland CT 06084 |
| Practice Telephone | 8608716710 |
| Practice Fax Number | 8608964869 |
| Mailing Telephone | 8608716710 |
| Mailing Fax Number | 8608964869 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
044946 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
SIX FIELDSTONE COMMONS SUITE D |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1871145086 | Healthy Solutions | Counselor | 643 Main Street, Manchester, CT 06084 | 2019-07-09 |
| 1205363124 | Helen Charette, Msw, Lcsw, LLC | Social Worker | 355 Sugar Hill Rd., Tolland, CT 06084 | 2017-05-23 |
| 1851796163 | Senior Moments, LLC | Clinic/Center | 31 Kingsbury Ave, Tolland, CT 06084 | 2014-10-29 |
| 1548527898 | Ruth Wassik | Occupational Therapy Assistant | 26 Shenipsit Road, Tolland, CT 06084 | 2012-04-11 |
| 1063703551 | Greater Hartford Orthopedic Group, P.C. | Durable Medical Equipment & Medical Supplies | 384 L Merrow Road, Tolland, CT 06084 | 2011-05-02 |
| 1326351412 | Behavioral Wellness Clinic | Social Worker | Behavioral Wellness Clinic, 392 Merrow Road, Suite E, Tolland, CT 06084 | 2010-07-19 |
| 1902975808 | Frederick M Daniels | Dentist | 12 Goose Lane, Tolland, CT 06084 | 2006-11-06 |
| 1306932215 | Beth Schweitzer | Family Medicine | 6 Fieldstone Commons, Suite D, Tolland, CT 06084 | 2006-10-05 |
| 1942302898 | Joseph Macione | Psychologist | 175 Walbridge Hill Rd, Administractive Office, Tolland, CT 06084 | 2006-09-02 |
| Find all providers in zip 06084 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1730525734 | Benjamin Barbash | Internal Medicine | 888 White Plains Rd Ste 110, Trumbull, CT 06611-4552 | 2013-05-16 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1598109753 | Radhika Naga Ayyagari | Internal Medicine | Prime Healthcare PC, 44 Dale Rd, Avon, CT 06001-4320 | 2013-04-18 |
| 1205279247 | Jared Macklin | Internal Medicine | 800 Boston Post Rd Ste 201, Guilford, CT 06437 | 2013-04-09 |
| 1316209141 | Jenna Koliani-pace | Internal Medicine | 300 Western Blvd Ste A, Glastonbury, CT 06033-4305 | 2012-06-07 |
| 1891055323 | Martin H. Floch,m.d.pc | Internal Medicine | 32 Woody Ln, Westport, CT 06880-2259 | 2012-05-17 |
| 1720396567 | Breiter Tech Corp | Internal Medicine | 2842 Main St, Ste 309, Glastonbury, CT 06033-1077 | 2010-09-14 |
| 1275775058 | Donald E. Gullickson IIi | Internal Medicine | Uconn Health Center 263 Farmington Ave, Farmington, CT 06030-0001 | 2009-03-25 |
| 1356582571 | Miechelle L. O'brien | Internal Medicine | 111 Osborne Street- Ste 121, Danbury, CT 06810-6019 | 2009-03-18 |
| 1962656314 | Jefrey Salek | Internal Medicine | 79 Wawecus St., Suite 101, Norwich, CT 06360-2173 | 2008-11-12 |
| 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.