DR. ANSELM CHIBUIKE ANYOHA (NPI# 1598788770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598788770 |
| Entity Type | Individual |
| Full Name | DR. ANSELM CHIBUIKE ANYOHA |
| Credential | MD |
| Practice Address |
3715 Main St Suite 403 Bridgeport CT 06606-3618 |
| Practice Telephone | 2033714800 |
| Practice Fax Number | 2033714900 |
| Mailing Telephone | 2033714800 |
| Mailing Fax Number | 2033714900 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
035279 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001352799 | 05 |
| Street Address |
3715 MAIN ST SUITE 403 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435309 | Anthony G Ciccaglione | Internal Medicine | 3715 Main St, Ste 408, Bridgeport, CT 06606-3611 | 2005-05-23 |
| 1821567744 | Muriel Maxwell Lcsw LLC | Counselor | 3715 Main St, Bridgeport, CT 06606-3618 | 2018-11-20 |
| 1881048080 | Bridgeport Braces, LLC | Dentist | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2016-04-14 |
| 1750707808 | Oluwatosin Marriott | Counselor | 3715 Main St, Suite 406, Bridgeport, CT 06606-3618 | 2014-03-13 |
| 1760724678 | Robert D Markowitz | Dentist | 3715 Main St, Suite #303, Bridgeport, CT 06606-3618 | 2013-03-19 |
| 1033484043 | Merritt Dental LLC | Dentist | 3715 Main St, 409, Bridgeport, CT 06606-3618 | 2012-03-09 |
| 1174844922 | Houa Vang | Chiropractor | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2010-06-16 |
| 1881910503 | Marianne Jensen | Behavioral Analyst | 3715 Main St, Suite 101, Bridgeport, CT 06606-3618 | 2010-04-20 |
| 1821223272 | Tremane M Bartley | Dentist | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2009-05-28 |
| 1598941379 | Robert S. Smith | Durable Medical Equipment & Medical Supplies | 3715 Main St, #306, Bridgeport, CT 06606-3618 | 2008-01-11 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669669453 | Karyn Lynette Molinari-fryer | Pediatrics | 139 Conference Center Way, Suite 113, Bridgeport, WV 26330 | 2007-09-26 |
| 1629100086 | Mary L Garibaldi | Pediatrics | 64 Black Rock Ave, Bridgeport, CT 06605 | 2007-03-12 |
| 1194817460 | Modern Era Pediatric Practice | Pediatrics | 3715 Main St, Suite 403, Bridgeport, CT 06606-3618 | 2006-09-28 |
| 1366555716 | Peter Joseph Mcloughlin | Pediatrics | 762 Lindley St, Bridgeport, CT 06606-5046 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246306 | Pediatric Health Associates of Coneecticut, LLC | Pediatrics | 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 | 2019-07-03 |
| 1073943668 | Pediatric Walk In Care LLC | Pediatrics | 141 B Hazard Avenue, Enfield, CT 06082-5412 | 2013-11-18 |
| 1225319445 | Enfield Pediatric Associates,p.c. | Pediatrics | 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 | 2011-09-01 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
| 1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
| 1649314279 | Charles Ray Jones | Pediatrics | 111 Park St Ste F, New Haven, CT 06511-5412 | 2007-02-16 |
| 1427110469 | Radhika Malhotra | Pediatrics | 100 Bank St, Suite 307, Seymour, CT 06483-2806 | 2006-12-15 |
| 1386704682 | Andrews Adu Adade | Pediatrics | 18 Hillandale Ave, Stamford, CT 06902-2808 | 2006-12-11 |
| 1982706032 | John Gerald Pitegoff | Pediatrics | 1225 Silver St, Middletown, CT 06457-3920 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.