PHILIP A MICALIZZI, JR. M.D. PC


Address: 3180 Main St, Ste 302, Bridgeport, CT 06606-4237
Phone: 2033726505

PHILIP A MICALIZZI, JR. M.D. PC (NPI# 1437359759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437359759
Entity Type Organization
Organization Name PHILIP A MICALIZZI, JR. M.D. PC
Practice Address 3180 Main St
Ste 302
Bridgeport
CT 06606-4237
Mailing Address 3180 Main Street
Ste 302
Bridgeport
CT 06606
Practice Telephone 2033726505
Practice Fax Number 2033725622
Mailing Telephone 2033726505
Mailing Fax Number 2033725622
Enumeration Date 2007-07-24
Last Update Date 2007-10-07
Authorized Official Name DR. PHILIP A MICALIZZI II (DOCTOR)
Authorized Official Telephone 2033726505
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 026207 CT Managed Care Organizations

Office Location

Street Address 3180 MAIN ST
STE 302
City BRIDGEPORT
State CT
Zip Code 06606-4237

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1477838951 Jeimy Bueno Canosa Physical Therapist 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 2011-10-17
1609014893 Core Physical Therapy & Sports Medicine PC Clinic/Center 3180 Main St, Ste 303, 304, Bridgeport, CT 06606-4237 2009-01-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1578192001 Karin Alexandra Skalina Student in an Organized Health Care Education/Training Program 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 2020-04-06
1720641293 Valeriia Klymenko Student in an Organized Health Care Education/Training Program 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2019-04-19
1821579996 Ashley Liese Nurse Practitioner Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 2018-08-27
1699261289 Gema Estefania Giler-sacoto Student in an Organized Health Care Education/Training Program St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2018-07-06
1114418365 Jona Bumci Physician Assistant 3180 Main St Ste 304, Bridgeport, CT 06606 2018-05-23
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1861867442 Marie Dorothea Lisieski Social Worker 2400 Main Street, Bridgeport, CT 06606 2015-12-08
1548603384 Gerald E. Hedley Internal Medicine 390 Charles Street Unit #101, Bridgeport, CT 06606 2013-04-11
1487997581 Gerald Micalizzi, M.d., LLC Radiology 558 Fairview Avenue, Bridgeport, CT 06606 2013-03-27
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

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Providers in the same taxonomy and state

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1689070989 Sam-car LLC Preferred Provider Organization 15 Church Ln, East Lyme, CT 06333-1621 2014-11-13
1891199931 /wayfaring Ministries Preferred Provider Organization 29r Marne St Rear, Hamden, CT 06514-3628 2014-10-17
1457793291 Mgda Preferred Provider Organization 146 Highland Ave, Waterbury, CT 06708-2761 2013-07-22
1710248083 Sovereign Home Healthcare LLC Preferred Provider Organization 135 Burnside Ave Ste A2, East Hartford, CT 06108-3421 2012-06-04
1164749057 Dr Ovanessian Treatment Center LLC Preferred Provider Organization 20 Church Hill Rd, Newtown, CT 06470-1657 2010-05-01
1598912164 Triad Healthcare, Inc. Preferred Provider Organization 80 Spring Ln, Plainville, CT 06062-1151 2008-08-26
1891985610 Cohen's Fashion Optical Preferred Provider Organization 431 Post Road East, Westport, CT 06880 2007-07-27
1558994319 Focus Family Eyecare LLC Preferred Provider Organization 75 Freshwater Blvd, Enfield, CT 06082-3854 2020-02-19
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Competitor

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City BRIDGEPORT
Zip Code 06606

Improve Information

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Dataset Information

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.

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