DR. NICHOLAS ALFRED BLONDIN (NPI# 1699940551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699940551 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS ALFRED BLONDIN |
| Credential | M.D. |
| Practice Address |
75 Kings Highway Cutoff Fairfield CT 06824-5340 |
| Practice Telephone | 2033331133 |
| Practice Fax Number | 2033333937 |
| Mailing Telephone | 2033331133 |
| Mailing Fax Number | 2033333937 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2013-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
050680 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
75 KINGS HIGHWAY CUTOFF |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924693 | Robert D. Russo | Radiology | 75 Kings Highway Cutoff, Suite 1a, Fairfield, CT 06824-5340 | 2005-06-30 |
| 1629506092 | Amanda Mckenzie | Physician Assistant | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2017-05-30 |
| 1821546607 | Danielle Marie Centone | Physician Assistant | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2016-09-21 |
| 1881958213 | Mona Hayat Marrash | Specialist/Technologist | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2012-06-29 |
| 1952671950 | Michelle Elena Stack | Clinical Neuropsychologist | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2012-01-06 |
| 1124346481 | Andrew Raymond Baxter | Surgery | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2010-05-12 |
| 1417191503 | Karen Lynn Brown | Physician Assistant | 75 Kings Highway Cutoff, Fairfield, CT 06824 | 2009-04-21 |
| 1134368475 | Caitlin F. Patry | Physical Therapist | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2009-02-10 |
| 1720232952 | Christine Mccarthy | Psychologist | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2008-11-14 |
| 1477705382 | Thomas Barton Toothaker | Psychiatry & Neurology | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2008-10-22 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205945094 | Michael Leon Pogel | Psychiatry & Neurology | 2000 S Main St, Fairfield, IA 52556-9572 | 2006-08-29 |
| 1730144734 | Srinath Kadimi | Psychiatry & Neurology | 75 Kings Highway Cutoff Fl 5, Fairfield, CT 06824-5340 | 2006-04-20 |
| 1316256167 | Neurophysiologic Interpretive Medicine Pllc | Psychiatry & Neurology | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2010-09-28 |
| 1780827162 | Neurophysiologic Interpretive Specialists LLC | Psychiatry & Neurology | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2009-04-14 |
| 1245473131 | Ameer Almullahassani | Psychiatry & Neurology | 1860 Pennsylvania Ave, Suite 210, Fairfield, CA 94533-3590 | 2009-04-08 |
| 1477705382 | Thomas Barton Toothaker | Psychiatry & Neurology | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2008-10-22 |
| 1104084458 | Shahid Ur Rehman | Psychiatry & Neurology | 1860 Pennsylvania Ave, Suite 210, Fairfield, CA 94533-3590 | 2008-05-22 |
| 1093990426 | Ruby Saliha Ali | Psychiatry & Neurology | 1860 Pennsylvania Avenue, Suite 210, Fairfield, CA 94533-3550 | 2008-01-03 |
| 1841402146 | Alexander J Menze | Psychiatry & Neurology | 101 Bodin Cir, Neurology Clinic, Fairfield, CA 94535-1809 | 2007-05-07 |
| 1003925926 | Albert M Mitchell | Psychiatry & Neurology | 1261 Travis Blvd, Suite 170, Fairfield, CA 94533-4897 | 2006-08-30 |
| Find all providers in FAIRFIELD | ||||
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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.