MR. ROSS ELLIOT DICKSTEIN (NPI# 1801877915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801877915 |
| Entity Type | Individual |
| Full Name | MR. ROSS ELLIOT DICKSTEIN |
| Credential | M.D. |
| Practice Address |
67 Sand Pit Rd Ste 308 Danbury CT 06810-4032 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley MD 21031-1358 |
| Practice Telephone | 2037437264 |
| Practice Fax Number | 2037923920 |
| Mailing Telephone | 4103291071 |
| Mailing Fax Number | 4103291054 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
64671 | CT | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
242644 | NY | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
37335 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008093211 | 05 | |
| CO | RAILROAD MEDICARE | P00421147 | 01 |
| CO | 01373554 | 05 | |
| NY | 04197499 | 05 |
| Street Address |
67 SAND PIT RD STE 308 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197671 | Spine Center of Ct, Pllc | Pain Medicine | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2019-10-30 |
| 1891262481 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2018-11-01 |
| 1083663058 | Deloretta Theresa Eckenrode | Nurse Practitioner | 67 Sand Pit Rd Ste 308, Danbury, CT 06810 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628957 | Pain Management Partners LLC | Anesthesiology | 67 Sand Pit Rd Ste 200, Danbury, CT 06810-4032 | 2020-04-20 |
| 1609142694 | Jesse Thomas Hochkeppel | Anesthesiology | 2 Riverview Drive, Danbury, CT 06810 | 2012-03-24 |
| 1427326024 | New England Medical Associates, P.C. | Anesthesiology | 22 Hospital Ave, Danbury, CT 06810-5945 | 2011-12-09 |
| 1124305156 | David Kloth Md PC | Anesthesiology | 109 Newtown Rd, Danbury, CT 06810-4120 | 2011-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556317 | New England Advanced Spine & Pain Center LLC | Anesthesiology | 137 Hollow Tree Ridge Rd Apt 223, Darien, CT 06820-4056 | 2020-10-21 |
| 1669007076 | Pain Management Partners LLC | Anesthesiology | 7 Elm St Ste 202, Enfield, CT 06082-3670 | 2020-03-05 |
| 1164057568 | Pain Management Partners LLC | Anesthesiology | 10 Birdseye Rd Ste 260, Farmington, CT 06032-2489 | 2020-03-05 |
| 1174155642 | Pain Management Partners LLC | Anesthesiology | 131 Kent Rd Ste 201, New Milford, CT 06776-3489 | 2020-02-12 |
| 1306485925 | Pain Management Partners LLC | Anesthesiology | 1320 W Main St Ste 5, Waterbury, CT 06708-3119 | 2019-12-30 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1063679165 | James David Haddox | Anesthesiology | 23 Chadwick Ct, Monroe, CT 06468-4208 | 2008-05-18 |
| 1043494883 | Joseph C. Hung | Anesthesiology | Hospital for Special Surgery - Stamford, 1 Blachley Road, Stamford, CT 06902 | 2007-12-27 |
| 1861529018 | Jeffrey Carruth | Anesthesiology | 2080 Bridgeport Ave Ste C, Milford, CT 06460 | 2007-02-27 |
| 1417069543 | Mindi Steinhardt | Anesthesiology | 1 Long Wharf Dr Ste 212, Advanced Diagnostic Pain Treatment Centers, PC, New Haven, CT 06511-5593 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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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.