DR. MICHAEL E IVY (NPI# 1780693630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780693630 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL E IVY |
| Credential | MD |
| Practice Address |
267 Grant St Bridgeport Hospital Dept of Surgery Bridgeport CT 06610-2805 |
| Mailing Address |
267 Grant St Bridgeport CT 06610-2805 |
| Practice Telephone | 2033843000 |
| Mailing Telephone | 2033843000 |
| Mailing Fax Number | 2033843829 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2008-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
035224 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447551551 | Michael Warren Abbott Ivy | Obstetrics & Gynecology | 2909 N Lexington St, Arlington, VA 22207-1438 | 2010-11-04 |
| 1265802698 | Michael B. Ivy | Social Worker | 40 Main St, Biddeford, ME 04005-5178 | 2015-09-28 |
| 1841638020 | Michael Ray Ivy | Registered Nurse | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-06-10 |
| Street Address |
267 GRANT ST BRIDGEPORT HOSPITAL DEPT OF SURGERY |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818376 | Anthony Peluso | Anesthesiology | 267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805 | 2005-08-16 |
| 1992306138 | Anna Maria Clabby | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-11-04 |
| 1336756519 | Jane Silva | Physical Medicine & Rehabilitation | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-30 |
| 1407461890 | Mary Antonette Evangelista Cordon | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-11 |
| 1467064022 | Courtney Alexandra Irving | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-08-17 |
| 1528677416 | Britnia St. Pierre | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-07-27 |
| 1881203040 | Adrianna Janelle Sutfin | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-23 |
| 1750990081 | Allison Jamie Stark | Nurse Anesthetist, Certified Registered | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-22 |
| 1164030565 | Alyssa Garza | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-21 |
| 1730797549 | Laura Bienashski | Student in an Organized Health Care Education/Training Program | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942438445 | Kristen Glasgow | Surgery | 267 Grant St, Bridgeport, CT 06610-2805 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285657825 | Robert T. Brautigam | Surgery | 85 Seymour St Ste 415, Hartford, CT 06106-5523 | 2006-07-25 |
| 1285611178 | Jeffrey M. Nicastro | Surgery | 111 Osborne St Ste 209, Danbury, CT 06810-6000 | 2005-12-30 |
| 1740727940 | Mamadi Keita | Surgery | 263 Farmington Ave, Farmington, CT 06030-3765 | 2017-01-25 |
| 1922411693 | Daniel Ricaurte | Surgery | 160 Robbins St, Waterbury, CT 06708-2652 | 2014-06-10 |
| 1972914737 | Tyler Jeremiah Jones | Surgery | 20 York St, New Haven, CT 06510 | 2014-05-14 |
| 1932429479 | Aditi M Kapil | Surgery | 800 Howard Ave, New Haven, CT 06519 | 2010-06-07 |
| 1669790622 | Melanie Kay Sion | Surgery | 330 Cedar St # Bb310, New Haven, CT 06510 | 2010-05-13 |
| 1083931166 | Heath Walden | Surgery | 111 Osborne St, Danbury, CT 06810-6000 | 2010-04-28 |
| 1851480800 | D'andrea K Joseph | Surgery | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-5037 | 2006-10-11 |
| 1669564399 | Neil S Yeston | Surgery | 80 Seymour Street, Hartford Hospital Critical Care Medicine, Hartford, CT 06102 | 2006-09-29 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.