SKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC (NPI# 1770531832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770531832 |
| Entity Type | Organization |
| Organization Name | SKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC |
| Practice Address |
2890 Main St Suite C Stratford CT 06614 |
| Mailing Address |
2890 Main St Suite C Stratford CT 06614-4980 |
| Practice Telephone | 2033758200 |
| Practice Fax Number | 2033759424 |
| Mailing Telephone | 2033758200 |
| Mailing Fax Number | 2033759424 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | DR. GAIL B. WHITMAN (PARTNER) |
| Authorized Official Telephone | 2033758200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 037360 | CT | Other Service Providers |
| Street Address |
2890 MAIN ST SUITE C |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871564237 | Subasree Srinivasan | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-02-01 |
| 1588150643 | Sarah Knauf | Nurse Practitioner | 2890 Main St, Stratford, CT 06614 | 2018-07-02 |
| 1902279607 | Primary Care Physicians of Stratford, LLC | Pediatrics | 2890 Main St, Suite 2a, Stratford, CT 06614-4980 | 2015-11-04 |
| 1134502701 | Cynthia M Perez | Physician Assistant | 2890 Main St, Suite 2a, Stratford, CT 06614-4980 | 2015-07-01 |
| 1285956821 | Erin Flynn | Nurse Practitioner | 2890 Main St, Ste 2a, Stratford, CT 06614-4980 | 2010-02-24 |
| 1497970826 | Primary Care Associates,pc | Internal Medicine | 2890 Main St, Ste 2a, Stratford, CT 06614-4980 | 2007-04-13 |
| 1588607386 | Pietro G Andres | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-06-13 |
| 1649219221 | Gregory N. Soloway | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-06-06 |
| 1548209125 | Andrew Bedford | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-06-06 |
| 1811936461 | Howard L Taubin | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422591 | Connecticut Orthopaedic Specialists, PC | Specialist | 2499 Main St Ste 6, Stratford, CT 06615-5843 | 2017-12-06 |
| 1285985598 | Cheryl Sims | Specialist | 178 Larkin Ct, Stratford, CT 06615-7464 | 2012-09-26 |
| 1174763957 | Harry Ma | Specialist | 495 Hawley Lane, Suite 2a, Stratford, CT 06614 | 2009-03-06 |
| 1609092121 | Internal Medicine and Infectious Disease Associated P.C. | Specialist | 3241 Main Street, Suite B, Stratford, CT 06614 | 2007-04-17 |
| 1427142041 | Anita Marie Delucia-willette | Specialist | 6900 Main Street, M/s S515a, Stratford, CT 06615 | 2006-10-03 |
| 1225006208 | Monique Higginbotham | Specialist | 42 E Laurel Rd Ste 1100, Stratford, NJ 08084-1354 | 2006-03-08 |
| 1588058358 | Pauline Sims | Specialist | 178 Larkin Ct, Stratford, CT 06615-7464 | 2015-03-19 |
| 1972897569 | The Orthopaedic & Sports Medicine Center | Specialist | 2499 Main St, Stratford, CT 06615-5843 | 2011-06-01 |
| 1366621815 | Fairfield County Women's Health Associates, P.C. | Specialist | 2590 Main St, Stratford, CT 06615-5838 | 2007-11-01 |
| 1275657223 | Ninrong Xue Giebisch | Specialist | 200 Watson Blvd, Stratford, CT 06615-7127 | 2007-03-16 |
| Find all providers in STRATFORD | ||||
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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.