STEWART CORY GROSS (NPI# 1740484187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740484187 |
| Entity Type | Individual |
| Full Name | STEWART CORY GROSS |
| Credential | M.D. |
| Practice Address |
2660 Main St Ste 311 Bridgeport CT 06606-5301 |
| Practice Telephone | 2033674008 |
| Practice Fax Number | 2033680292 |
| Mailing Telephone | 2033674008 |
| Mailing Fax Number | 2033680292 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
029910 | CT | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
29910 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS BLUE SHIELD | 010029910CT01 | 01 |
| CT | OXFORD | ZS224 | 01 |
| CT | AETNA US HEALTH CARE | 4351331 | 01 |
| CT | HEALTHNET | 001125 | 01 |
| CT | 001299107 | 05 |
| Street Address |
2660 MAIN ST STE 311 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-5301 |
| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912099185 | Thomas A Rago | Orthopaedic Surgery | 3101 Main Street, Bridgeport, CT 06606 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093292310 | Physicians Alliance of Connecticut, LLC | Orthopaedic Surgery | 350 Goose Ln Ste 203b, Guilford, CT 06437-2158 | 2018-07-20 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1790962140 | Michael Legeyt Md LLC | Orthopaedic Surgery | 255 North Main St, Bristol, CT 06010 | 2008-01-29 |
| 1104024728 | Coastal Orthopaedics, PC | Orthopaedic Surgery | 36 Old Kings Hwy South, Darien, CT 06880 | 2007-07-05 |
| 1306886163 | Terrence K Donahue | Orthopaedic Surgery | 40 Hart Street, Bldg D, New Britain, CT 06052 | 2006-06-08 |
| 1659335297 | John J Mara | Orthopaedic Surgery | 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 | 2006-04-12 |
| 1053308361 | Andrew J Nelson | Orthopaedic Surgery | 500 Chase Parkway, Noss, Waterbury, CT 06708-3119 | 2005-10-03 |
| 1487649570 | Andrew G Gabow | Orthopaedic Surgery | 510 Cottage Grove Rd, Bloomfield, CT 06002-3123 | 2005-09-14 |
| 1396730487 | Michael Aron | Orthopaedic Surgery | 1000 Asylum Ave Ste 3220, Hartford, CT 06105-1702 | 2005-09-14 |
| 1881150720 | Physicians Alliance of Connecticut, LLC | Orthopaedic Surgery | 350 Goose Ln Ste 203b, Guilford, CT 06437-2158 | 2019-02-15 |
| 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.