MEP OF BRISTOL, LLC (NPI# 1598033342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598033342 |
| Entity Type | Organization |
| Organization Name | MEP OF BRISTOL, LLC |
| Practice Address |
Brewster Road Bristol CT 06011-0977 |
| Mailing Address |
6880 W Snowville Rd Suite 210 Brecksville OH 44141-3254 |
| Practice Telephone | 8605853000 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | DAVID KLEIN (MD) |
| Authorized Official Telephone | 3019440034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Mep of Bristol, LLC | 12410 Milestone Center Drive, Suite #225, Germantown, MD 20876 |
| Street Address |
BREWSTER ROAD |
| City | BRISTOL |
| State | CT |
| Zip Code | 06011-0977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770690802 | Sheri Ann Gelzaines | Dietitian, Registered | Brewster Road, Bristol, CT 06011 | 2006-08-24 |
| 1295877017 | Laureen Whitney | Pharmacist | Brewster Road, Bristol, CT 06011 | 2007-02-12 |
| 1508948274 | Collaborative Laboratory Services-bristol | Clinical Medical Laboratory | Brewster Road, Bristol, CT 06011 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477515625 | Charles Barnicoat | Physician Assistant | Bristol Hospital, Bristol, CT 06011 | 2006-04-04 |
| 1659606028 | Lise D Lawrence | Dietitian, Registered | 41 Brewster Road, Bristol, CT 06011 | 2009-10-02 |
| 1932312667 | Karen Daprile Ryan | Registered Nurse | 41 Brewster Rd, Bristol Hospital, Bristol, CT 06011 | 2007-05-08 |
| 1922023829 | Jennifer Muneyyirci Dugan | Emergency Medicine | Bristol Hospital, Brewster Road, Bristol, CT 06011 | 2006-07-12 |
| 1952319915 | Pacifico G Flores Jr. | Internal Medicine | 665 Terryville Ave, Bristol, CT 06011-0465 | 2006-08-04 |
| 1891795316 | Surendran Raja Raja Varma | Internal Medicine | 621 Terryville Ave, Bristol, CT 06011-0570 | 2005-07-27 |
| 1124051750 | Antonio Santoro | Physician Assistant | Bristol Hospital, Brewster Rd., Bristol, CT 06011-0977 | 2006-07-08 |
| 1831215482 | Sarah Sandberg | Physician Assistant | 41 Brewster Rd, Bristol, CT 06011-0977 | 2007-03-22 |
| 1093854416 | Kimberley Joy Dompier | Dietitian, Registered | 41 Brewster Road, Bristol, CT 06011-0977 | 2007-02-05 |
| 1619901642 | Bristol Hospital Incorporated | General Acute Care Hospital | 41 Brewster Rd, Bristol, CT 06011-0977 | 2006-07-10 |
| Find all providers in zip 06011 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689931446 | Medexpress Urgent Care, PC - Tennessee | Emergency Medicine | 2686 W State St, Bristol, TN 37620-1817 | 2012-04-18 |
| 1790066074 | Barry J Burton | Emergency Medicine | 143 King St, Bristol, PA 19007-3106 | 2011-08-31 |
| 1013942739 | Craig S Graul | Emergency Medicine | 104 Manchester Pl, Bristol, TN 37620-6632 | 2006-07-11 |
| 1285686451 | Joseph Sabry Radawi | Emergency Medicine | 2726 W State St, Bristol, TN 37620-1827 | 2006-05-16 |
| 1992779912 | James P. Walden | Emergency Medicine | 1215 Farmington Ave, Bristol, CT 06010 | 2006-02-15 |
| 1144224783 | Theodore Thompson | Emergency Medicine | 1220 Volunteer Pkwy, Bristol, TN 37620-4628 | 2005-06-10 |
| 1629071972 | Joanne Blow | Emergency Medicine | 201 Forest Hills Dr, Bristol, TN 37620-2708 | 2005-05-31 |
| 1578096632 | Jesse Matteson | Emergency Medicine | 208 Medical Park Blvd, Bristol, TN 37620-7343 | 2017-04-06 |
| 1093052367 | Emergency Associates of Lower Bucks | Emergency Medicine | 501 Bath Road, Bristol, PA 19007 | 2013-01-07 |
| 1558642330 | Emergency Medical Associates of Connecticut PC | Emergency Medicine | 41 Brewster Rd, Bristol, CT 06010-5161 | 2011-09-07 |
| Find all providers in BRISTOL | ||||
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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.