TYLER HECKMANN (NPI# 1568063790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568063790 |
| Entity Type | Individual |
| Full Name | TYLER HECKMANN |
| Practice Address |
5151 Park Ave Fairfield CT 06825-1090 |
| Practice Telephone | 2033717999 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5151 PARK AVE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942282793 | Michael J Emery | Physical Therapist | 5151 Park Ave, Fairfield, CT 06825-1023 | 2005-11-17 |
| 1205437795 | Ashton Craig Ogle | Physician Assistant | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-11-03 |
| 1699381715 | Olivia Ray | Student in an Organized Health Care Education/Training Program | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-09-23 |
| 1417561457 | Courtney Jane Murray | Student in an Organized Health Care Education/Training Program | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-09-08 |
| 1760096812 | Melissa Kathleen Andrew | Physician Assistant | 5151 Park Ave, Fairfield, CT 06825-1000 | 2020-09-06 |
| 1093329781 | Alyssa Joyce Balz | Student in an Organized Health Care Education/Training Program | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-09-01 |
| 1720692395 | Kaitlyn Rose Rubnitz | Physician Assistant | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-09-01 |
| 1912535345 | Samantha Rae November | Specialist/Technologist | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-03-31 |
| 1689202111 | Kimberly Malmborg | Specialist/Technologist | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-03-30 |
| 1366070948 | Jeanine Grabowski | Specialist/Technologist | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| 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 |
|---|---|---|---|---|
| 1780293548 | Christina Elizabeth Gentile | Physician Assistant | 313 Suburban Ave, Fairfield, CT 06825-1851 | 2020-07-28 |
| 1962963397 | Olivia Leigh Brandt | Physician Assistant | 4 Skyline Trl, Fairfield, PA 17320-8560 | 2019-03-28 |
| 1205299559 | Bita Joobbani | Physician Assistant | 1860 Pennsylvania Ave Ste 230, Fairfield, CA 94533-3550 | 2016-04-04 |
| 1699178210 | Bradley Joseph Barnes | Physician Assistant | 3050 Mack Rd Ste 200, Fairfield, OH 45014-5375 | 2014-09-28 |
| 1841500675 | Nicolle E White | Physician Assistant | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 | 2010-10-14 |
| 1134303894 | Sarah Brooke Sullivan | Physician Assistant | 113 Old Stratfield Rd, Fairfield, CT 06825-4432 | 2007-12-18 |
| 1679752083 | Sandy Pais Narciso-owen | Physician Assistant | Sacred Heart University, Physician Assistant Studies, 5151 Park Avenue, Fairfield, CT 06825 | 2007-11-01 |
| 1316142599 | Michelle Anne Cifelli | Physician Assistant | 19 Addison Dr, Fairfield, NJ 07004-1534 | 2007-06-18 |
| 1285655977 | Laura Lynn Mora | Physician Assistant | 5129 Dartrmoor Circle, Fairfield, CA 94534 | 2006-07-21 |
| 1699775551 | Julie A Lanter | Physician Assistant | 2818 Mack Rd, Fairfield, OH 45014-5130 | 2005-07-21 |
| Find all providers in FAIRFIELD | ||||
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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.