DR. JASON CARL MCBEAN (NPI# 1649492752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649492752 |
| Entity Type | Individual |
| Full Name | DR. JASON CARL MCBEAN |
| Credential | M.D. |
| Practice Address |
1305 Post Rd Suite 310 Fairfield CT 06824-6016 |
| Practice Telephone | 2032597709 |
| Practice Fax Number | 2032553585 |
| Mailing Telephone | 2032597709 |
| Mailing Fax Number | 2032553585 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 046529 | CT | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
046529 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1305 POST RD SUITE 310 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417095 | Cardiac Specialists, P.C. | Specialist | 1305 Post Rd, Fairfield, CT 06824-6016 | 2005-06-16 |
| 1447626734 | Elizabeth Murray | Physician Assistant | 1305 Post Rd, Suite 310, Fairfield, CT 06824-6016 | 2015-08-20 |
| 1346625381 | Michelle Goncalves | Nurse Practitioner | 1305 Post Rd, Suite 310, Fairfield, CT 06824-6016 | 2015-07-20 |
| 1073925186 | Global Pediatrics LLC | Pediatrics | 1305 Post Rd, Suite 103, Fairfield, CT 06824-6016 | 2014-05-22 |
| 1003248311 | Fairfield County Lifestyle Consultants, LLC | Dietitian, Registered | 1305 Post Rd, Suite 307, Fairfield, CT 06824-6016 | 2013-08-09 |
| 1548602113 | Elizabeth Ann Cerny | Counselor | 1305 Post Rd, Suite 100, Fairfield, CT 06824-6016 | 2013-07-24 |
| 1720329469 | Dana J Power-lewis | Nurse Practitioner | 1305 Post Rd, Fairfield, CT 06824-6016 | 2013-03-05 |
| 1770822033 | Cardiac Specialists | Nurse Practitioner | 1305 Post Rd, Fairfield, CT 06824-6016 | 2013-02-06 |
| 1154674174 | Rebecca Tvardzik | Nurse Practitioner | 1305 Post Rd, 102, Fairfield, CT 06824-6016 | 2012-10-16 |
| 1518217231 | Danielle Tashakori | Physician Assistant | 1305 Post Rd, Suite 310, Fairfield, CT 06824-6016 | 2012-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053554667 | Brittany Craiglow | Dermatology | 140 Sherman St Fl 3, Fairfield, CT 06824-5849 | 2009-04-13 |
| 1699713107 | Scott Charles Grevey | Dermatology | 1213 Nilles Rd, Fairfield, OH 45014-2911 | 2006-06-04 |
| 1649217936 | Karl Reinhard Beutner | Dermatology | 480 Chadbourne Rd, Suite 201, Fairfield, CA 94534-9647 | 2006-06-02 |
| 1063822237 | Dorota Zuzanna Korta | Dermatology | 2720 Low Ct, Fairfield, CA 94534-9771 | 2014-04-28 |
| 1073937835 | Robert Sorensen | Dermatology | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2014-02-13 |
| 1851699532 | Bien-aimee Vu Lau | Dermatology | 2720 Low Ct, Fairfield, CA 94534-9771 | 2011-03-04 |
| 1346488699 | Solano Dermatology Associates Inc | Dermatology | 480 Chadbourne Rd, Ste 201, Fairfield, CA 94534-9647 | 2009-01-25 |
| 1750545620 | Ingrid C. Freeny | Dermatology | 2720 Low Court, Fairfield, CA 94534 | 2008-07-10 |
| 1528226750 | Elizabeth Corr Anderson Smith | Dermatology | 1305 Post Rd, Suite 310, Fairfield, CT 06824-6016 | 2008-05-23 |
| 1851488191 | Ivan S Cohen | Dermatology | 1305 Post Road, Suite 310, Fairfield, CT 06824-6018 | 2006-10-06 |
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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.