FAIRFIELD COUNTY PRIMARY CARE, PC (NPI# 1356670731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356670731 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD COUNTY PRIMARY CARE, PC |
| Practice Address |
345 Main Ave Norwalk CT 06851-1547 |
| Practice Telephone | 2038497777 |
| Practice Fax Number | 2038464477 |
| Mailing Telephone | 2038497777 |
| Mailing Fax Number | 2038464477 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | JOHN RODIS (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2033721900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
345 MAIN AVE |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225101991 | Syed Hyder Reza | Family Medicine | 345 Main Ave, Pmcc, Norwalk, CT 06851-1547 | 2006-11-17 |
| 1568649895 | Maryellen Humes Md, LLC | Obstetrics & Gynecology | 345 Main Ave, Norwalk, CT 06851-1547 | 2008-01-29 |
| 1437347887 | Norwalk Immediate Care | Internal Medicine | 345 Main Ave, Norwalk, CT 06851-1547 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942328182 | Norwalk Maternity and Family Medical Center Inc. | Family Medicine | 11741 The Plz, Norwalk, CA 90650-3932 | 2007-03-26 |
| 1225101991 | Syed Hyder Reza | Family Medicine | 345 Main Ave, Pmcc, Norwalk, CT 06851-1547 | 2006-11-17 |
| 1356312003 | Jason R Orlinick | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-31 |
| 1144291162 | Stephen O'mahony | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-28 |
| 1992775258 | Anjum Khan | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-26 |
| 1851361117 | Mark E Kulaga | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-26 |
| 1841260718 | Satish Gopal | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-24 |
| 1245200187 | Andrea A Peterson | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871067447 | Christina Marie Bolduc Falzone | Family Medicine | 35 Talcottville Rd Ste 1, Vernon, CT 06066-5261 | 2019-01-17 |
| 1760724165 | John Ordway Alden | Family Medicine | 20 Loeffler Rd, T521c, Bloomfield, CT 06002-2276 | 2013-03-23 |
| 1598098881 | Anita Boyd Bennett | Family Medicine | 1249 Boulevard, West Hartford, CT 06119-1603 | 2009-09-17 |
| 1740329168 | Seymour Isaac Kummer | Family Medicine | 67 N Park St, Ellington, CT 06029-4135 | 2007-02-05 |
| 1356433486 | Windsor Locks Medical Center, LLP | Family Medicine | 73 Old County Road, Windsor Locks, CT 06096 | 2006-09-28 |
| 1609982834 | Angelika Jovin | Family Medicine | 27 Commerce St, Clinton, CT 06413-2054 | 2006-08-21 |
| 1720014798 | James M. Perlotto | Family Medicine | 55 Lock St., New Haven, CT 06520-8237 | 2006-06-23 |
| 1184666430 | Alicja Jadwiga Harbut IIi | Family Medicine | 25 Clinton St, New Britain, CT 06053-3509 | 2006-06-12 |
| 1740265925 | Yogesh Kumar Katechia | Family Medicine | 2 Lathrop Ave, Norwich, CT 06360-2309 | 2005-12-11 |
| 1477068773 | Emily T Carter | Family Medicine | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-12-08 |
| 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.