THE PEDIATRIC CENTER, P.C. (NPI# 1588778070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588778070 |
Entity Type | Organization |
Organization Name | THE PEDIATRIC CENTER, P.C. |
Practice Address |
126 Morgan St Stamford CT 06905-5431 |
Practice Telephone | 2033271055 |
Enumeration Date | 2006-08-19 |
Last Update Date | 2015-09-25 |
Authorized Official Name | JENNIFER HOAR (PRACTICE ADMIN) |
Authorized Official Telephone | 2033271055 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5419 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004129781 | 05 |
Street Address |
126 MORGAN ST |
City | STAMFORD |
State | CT |
Zip Code | 06905-5431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063413854 | Timothy H Kenefick | Pediatrics | 126 Morgan St, Stamford, CT 06905-5431 | 2005-08-03 |
1285168328 | Kethia Eliezer | Pediatrics | 126 Morgan St, Stamford, CT 06905-5431 | 2017-04-15 |
1336571371 | Courtney M Parker | Nurse Practitioner | 126 Morgan St, Stamford, CT 06905-5431 | 2013-08-01 |
1518191055 | Julie Lynn Sweeney | Pediatrics | 126 Morgan St, Stamford, CT 06905-5431 | 2009-05-12 |
1295828549 | Paule C. Couture | Pediatrics | 126 Morgan St, Stamford, CT 06905-5431 | 2006-10-01 |
1437113974 | Lisa B Rooney | Pediatrics | 126 Morgan St, Stamford, CT 06905-5431 | 2006-04-13 |
1669449252 | Susan Elizabeth Lasky | Pediatrics | 126 Morgan St, Stamford, CT 06905-5431 | 2006-03-02 |
1164498937 | Linda Kornblau | Nurse Practitioner | 126 Morgan St, Stamford, CT 06905-5431 | 2006-02-23 |
1740255785 | Monique Francine Gagnon | Pediatrics | 126 Morgan St, Stamford, CT 06905-5431 | 2006-02-22 |
1750356689 | Joan M Gildea | Nurse Practitioner | 126 Morgan St, Stamford, CT 06905-5431 | 2006-02-22 |
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1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
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1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
Find all providers in zip 06905 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558977801 | Megan Bouchard | Nurse Practitioner | 2351 Summer St, Stamford, CT 06905-4504 | 2020-09-22 |
1518579465 | Ashley Pacheco | Nurse Practitioner | 29 Hospital Plz Ste 504, Stamford, CT 06902-3602 | 2020-08-21 |
1073164059 | Eleina Sapoz | Nurse Practitioner | 51 Greenfield Rd, Stamford, CT 06906-1226 | 2019-09-22 |
1831746395 | Helen Sudkamp-walker | Nurse Practitioner | 22 Fifth St, Stamford, CT 06905-5030 | 2019-08-20 |
1427610658 | Kristen Best-friesz | Nurse Practitioner | 83 Columbus Pl Apt D, Stamford, CT 06907-1661 | 2019-07-09 |
1790243632 | Ann Teresa Rupp | Nurse Practitioner | 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 | 2019-03-11 |
1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
1396232609 | Lisa Walker | Nurse Practitioner | 91 Mather Rd, Stamford, CT 06903-3026 | 2018-04-23 |
1225530447 | Elizabeth Anne Kaplan | Nurse Practitioner | 108 Dogwood Ct, Stamford, CT 06903-4511 | 2018-03-03 |
1932650371 | Lauren Bode | Nurse Practitioner | 35 Sixth Street, Stamford, CT 06905-4108 | 2016-10-20 |
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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.