MS. JENNIFER BRIDGET MCDERMOTT (NPI# 1417281882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417281882 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER BRIDGET MCDERMOTT |
| Practice Address |
30 Shelburne Rd Stamford CT 06902-3628 |
| Practice Telephone | 2032761000 |
| Mailing Telephone | 2032761000 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2016-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2325 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346891959 | Jennifer Tobin Mcdermott | Occupational Therapist | 4525 Old Pond Dr, Plano, TX 75024-4708 | 2019-09-25 |
| 1659829596 | Jennifer Mae Mcdermott | Dental Hygienist | 34679 Alpine Ave, Saint Helens, OR 97051-9307 | 2016-09-20 |
| 1760833453 | Jennifer Anne Mcdermott | Behavioral Analyst | 490 Woodland Shores Rd Apt B, Charleston, SC 29412-2427 | 2016-06-24 |
| 1326227281 | Jennifer Lynn Mcdermott | Registered Nurse | 8320 Kniseley Rd, Greenville, OH 45331-9422 | 2007-10-29 |
| 1306056684 | Jennifer Kristen Mcdermott | Developmental Therapist | 71 Orphanage Rd, Ft Mitchell, KY 41017-3006 | 2007-05-23 |
| 1568510824 | Jennifer Beth Mcdermott | Psychologist | 1919 University Ave W, Suite 200, Saint Paul, MN 55104-3453 | 2007-01-05 |
| Street Address |
30 SHELBURNE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351759 | Bo Xu | Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2005-10-27 |
| 1518311984 | Pankil Desai | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-04-21 |
| 1033571229 | Rami Al-aref | Surgery | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-25 |
| 1508228198 | Borna Dabiri | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-23 |
| 1073971735 | Tyler Ferraro | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-09 |
| 1376901256 | Vanie Mangal | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-05 |
| 1487023115 | Cynthia Degracia | Spec/Tech, Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-09-23 |
| 1154708873 | Kelly Fellows | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-05-01 |
| 1932595360 | Somera Chaudhry | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 | 2015-04-13 |
| 1043606486 | Chao Guo | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902 | 2015-04-13 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496961 | Ashley Nicole Pekera | Physician Assistant | 126 Hoyt St Apt 5g, Stamford, CT 06905-5733 | 2020-01-13 |
| 1487293346 | Hannah R Prange | Physician Assistant | 50 Forest St Apt 1015, Stamford, CT 06901-1870 | 2019-12-24 |
| 1003455940 | Mark Branton | Physician Assistant | 150 Southfield Ave Apt 2142, Stamford, CT 06902-7765 | 2019-12-23 |
| 1144884651 | Vanessa L Barber | Physician Assistant | 48 Glen Ave, Stamford, CT 06906-1205 | 2019-04-30 |
| 1447744594 | Avinash Thomas | Physician Assistant | 2015 W Main St # 350, Stamford, CT 06902-4536 | 2018-06-20 |
| 1255522900 | Ingrid Armorer | Physician Assistant | 25 Adams Ave, 214, Stamford, CT 06902 | 2007-08-07 |
| 1578698940 | Edna Caraballo-gonzalez | Physician Assistant | 32 Strawberry Hill Ct Fl 4, Suite 6, Stamford, CT 06902-2594 | 2007-02-23 |
| 1609856020 | James Tulacro | Physician Assistant | 999 Summer St, 304, Stamford, CT 06905-5546 | 2006-01-20 |
| 1194351056 | Kathleen Ouellette | Physician Assistant | 623 Newfield Ave, Stamford, CT 06905-3302 | 2020-03-22 |
| 1366075871 | Molly Ann Verderame | Physician Assistant | 1 Hospital Plz, Stamford, CT 06902-3602 | 2020-02-13 |
| Find all providers in STAMFORD | ||||
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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.