YONG-SON BASTA (NPI# 1619015690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619015690 |
| Entity Type | Individual |
| Full Name | YONG-SON BASTA |
| Credential | MD |
| Practice Address |
Stamford Hospital, 30 Shelburne Rd Department of Pediatrics Stamford CT 06904-9317 |
| Mailing Address |
57 Hickok Rd New Canaan CT 06840-3304 |
| Practice Telephone | 2032767051 |
| Practice Fax Number | 2032767363 |
| Mailing Telephone | 2039723357 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 1273 | VI | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 036501 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001365015 | 05 |
| Street Address |
STAMFORD HOSPITAL, 30 SHELBURNE RD DEPARTMENT OF PEDIATRICS |
| City | STAMFORD |
| State | CT |
| Zip Code | 06904-9317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669512570 | Dorothy M Turnbull | Emergency Medicine | 30 Shelburne Rd At West Broad Street, Stamford, CT 06904 | 2007-02-08 |
| 1992857072 | Daniel Jew | Physician Assistant | 30 Shelburne Rd., Stamford Hospital, Dept. of Cardiac Surgery, Stamford, CT 06904 | 2007-01-17 |
| 1508809161 | Maria Brea | Emergency Medicine | 30 Shelburne Road, Stamford, CT 06904 | 2006-06-13 |
| 1629079116 | Girija Narayanaswamy | Internal Medicine | One Hospital Plaza, Stamford, CT 06904 | 2005-08-09 |
| 1013421015 | Arlene Elizabeth Butler | Nurse Practitioner | 1 Hospital Plaza, 3rd Floor - Center Building, Stamford, CT 06904 | 2017-11-29 |
| 1205362324 | Meaghan Broderick | Student in an Organized Health Care Education/Training Program | One Hospital Plaza, Stamford, CT 06904 | 2017-05-10 |
| 1144756271 | Nicolle Burgwardt | Student in an Organized Health Care Education/Training Program | One Hospital Plaza, Stamford, CT 06904 | 2017-05-10 |
| 1265968382 | Brittany Davis | Student in an Organized Health Care Education/Training Program | One Hospital Plaza, Stamford, CT 06904 | 2017-05-10 |
| 1194171447 | Jessica Li | Student in an Organized Health Care Education/Training Program | One Hospital Plaza, Whittingham Pavilion, Stamford, CT 06904 | 2016-05-05 |
| 1255786620 | Laura Gilroy | General Practice | One Hospital Plaza, Whittingham Pavilion, Stamford, CT 06904 | 2016-05-04 |
| Find all providers in zip 06904 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1114328796 | Michal A Manaster | Pediatrics | 1515 Summer St., Suite 101, Stamford, CT 06905-5150 | 2014-09-15 |
| 1275819922 | Lynn Nayona Cunado | Pediatrics | 1515 Summer St Unit 101, Stamford, CT 06905-5150 | 2011-10-26 |
| 1457651283 | Lukas A Konandreas | Pediatrics | 660 Bedford St, Stamford, CT 06901 | 2010-10-27 |
| 1104133859 | Sarah Kirsten Bohrer | Pediatrics | 151 Rolling Wood Dr, Stamford, CT 06905-2329 | 2010-09-01 |
| 1346326410 | Andrew Stuart Hart | Pediatrics | 1275 Summer St Ste 301, Stamford, CT 06905-5315 | 2006-10-31 |
| 1881788198 | Haydee Liliana Bujman De Lancman | Pediatrics | 1515 Summer St, Ste 101, Stamford, CT 06905 | 2006-10-03 |
| 1235142100 | Madhu Mathur | Pediatrics | 2777 Summer St, Ste 604, Stamford, CT 06905-4318 | 2006-08-14 |
| 1134182710 | Abby L Siegel | Pediatrics | 1011 High Ridge Rd, #207, Stamford, CT 06905-1610 | 2006-04-06 |
| 1740275866 | Katherine Kelly Noble | Pediatrics | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2005-09-14 |
| 1063413854 | Timothy H Kenefick | Pediatrics | 126 Morgan St, Stamford, CT 06905-5431 | 2005-08-03 |
| Find all providers in STAMFORD | ||||
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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.