ANNETTE RODRIGUEZ MERTURI (NPI# 1649364878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649364878 |
| Entity Type | Individual |
| Full Name | ANNETTE RODRIGUEZ MERTURI |
| Credential | PA |
| Practice Address |
471 Barnum Ave Bridgeport CT 06608-2409 |
| Practice Telephone | 2033333030 |
| Mailing Telephone | 2033333030 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001094 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004234788 | 05 |
| Street Address |
471 BARNUM AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194042 | Karana Marie Pierre | Podiatrist | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2005-06-15 |
| 1447898861 | Gustavo David Herrera-brito | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2019-12-16 |
| 1154889764 | Jennifer Elovich Kolakowski | Social Worker | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2019-03-04 |
| 1629593744 | Jennifer Nichol Gilbert | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2017-08-09 |
| 1043695588 | Kirithika Mohanathaas | Internal Medicine | 471 Barnum Ave, Bridgeport, CT 06608 | 2015-07-27 |
| 1023397510 | Esther M Mervil | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2011-08-15 |
| 1659585313 | Norman J Weinberger | Pediatrics | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2007-05-10 |
| 1417079286 | Eileen Crutchlow | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2007-04-04 |
| 1376608364 | Katherine A Golar | Family Medicine | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2006-12-27 |
| 1669548376 | Optimus Health Care | Clinic/Center | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1285092346 | Heavenly Providers, LLC | Home Health | 1071 William St, Bridgeport, CT 06608 | 2016-02-04 |
| 1659590131 | Annette Tirado | Social Worker | 982 East Main St, Bridgeport, CT 06608 | 2007-04-24 |
| 1629023536 | Brenda I Kulikowski | Midwife | 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 | 2006-05-23 |
| 1871749937 | Michele J Feinberg | Psychiatry & Neurology | 982 E Main St, Bridgeport, CT 06608 | 2008-08-08 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1295013910 | Lorraine Dionne Brooks-williams | Registered Nurse | 100 Putnam St, Ph, Bridgeport, CT 06608-1045 | 2011-07-29 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| 1568795094 | Kelly M Bucci-didomenico | Nurse Practitioner | 479 Helen St, Bridgeport, CT 06608-1321 | 2009-09-16 |
| Find all providers in zip 06608 | ||||
| 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 |
|---|---|---|---|---|
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1114583291 | Steven K Struthers | Physician Assistant | 93 Lance Cir, Bridgeport, CT 06606-1046 | 2019-05-14 |
| 1588229645 | Alexander Daniel Ohlson | Physician Assistant | 46 Newton St, Bridgeport, CT 06605-3306 | 2019-05-04 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1861821209 | Andrea Megan Deloera | Physician Assistant | 808 Ww Ray Cir, Bridgeport, TX 76426-2061 | 2013-11-06 |
| 1093023681 | Robert Joseph Scherl | Physician Assistant | Bldg #3005 S.r. 108, Naval Hospital Branch Clinic, Bridgeport, Bridgeport, CA 93517 | 2010-09-17 |
| 1457480022 | James D Stalnaker | Physician Assistant | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2007-03-02 |
| 1740331024 | Brandi Linette Hicks | Physician Assistant | 47053 Al Highway 277, Suite C, Bridgeport, AL 35740-7205 | 2007-01-15 |
| 1114033867 | William Douglas Todd | Physician Assistant | 221 Twin Lakes Road, Bridgeport, CA 93517-0535 | 2006-08-22 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06608 |
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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.