MRS. MARIETTA SOULOG VERGARA (NPI# 1831272459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831272459 |
| Entity Type | Individual |
| Full Name | MRS. MARIETTA SOULOG VERGARA |
| Credential | MD |
| Practice Address |
743 Hope St Stamford CT 06907 |
| Practice Telephone | 2039641212 |
| Practice Fax Number | 2033481585 |
| Mailing Telephone | 2039641212 |
| Mailing Fax Number | 2033481585 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 017464 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
743 HOPE ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154633980 | Stamford Health Medical Group, Inc. | Family Medicine | One Omega Drive, Building 3, 2nd Floor, Stamford, CT 06907 | 2010-07-09 |
| 1073637724 | Greenwich Hospital | General Acute Care Hospital | 2015 West Main Street, Stanford, CT 06907 | 2007-03-19 |
| 1427092618 | Francis H. Kors | Anesthesiology | 34 Friars Ln, Stamford, CT 06907-1017 | 2006-06-16 |
| 1437532975 | Julie Costello | Pharmacist | 134 Prudence Dr, Stamford, CT 06907-1219 | 2015-07-01 |
| 1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
| 1154504736 | Tracey Ann Trecartin Reed | Nurse Practitioner | 28 Sterling Pl, Stamford, CT 06907-1335 | 2007-12-06 |
| 1942436381 | Erika Laverick | Speech-Language Pathologist | 78 Hidden Brook Dr, Stamford, CT 06907-1415 | 2009-05-29 |
| 1265876064 | Christina A Rowe | Registered Nurse | 14 River Pl, Apt 3, Stamford, CT 06907-1426 | 2013-04-23 |
| 1912113440 | Elissa H Stein | Counselor | 666 Glenbrook Rd, Stamford, CT 06907-1439 | 2007-05-14 |
| 1700010071 | Anne Bartelmo | Speech-Language Pathologist | 1307 Hope St, Apt A1, Stamford, CT 06907-1454 | 2009-05-14 |
| Find all providers in zip 06907 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451869 | Falcon Medical LLC | Internal Medicine | 101 Washington Blvd Unit 1208, Stamford, CT 06902-7060 | 2020-09-11 |
| 1114413341 | New Ct Medical Group LLC | Internal Medicine | 90 Morgan St Ste 304, Stamford, CT 06905-5436 | 2018-07-11 |
| 1720590706 | Fernando Barahona Md PC | Internal Medicine | 1435 Bedford St Ste 1n, Stamford, CT 06905-5225 | 2017-10-30 |
| 1962874859 | North Stamford Medical Associate | Internal Medicine | 816 High Ridge Rd, Stamford, CT 06905-1903 | 2015-10-30 |
| 1508286576 | Ilya Fatakhov | Internal Medicine | 1 Hospital Plz Dept Of, Stamford, CT 06902-3602 | 2014-04-17 |
| 1740613421 | Deryck Duncalf | Internal Medicine | 77 Havemeyer Ln Unit 61, Stamford, CT 06902-2159 | 2013-08-16 |
| 1407292980 | Justine S Lee | Internal Medicine | 120 Long Ridge Rd, Stamford, CT 06902-1839 | 2013-05-10 |
| 1952659039 | Fernando Barahona | Internal Medicine | 38 Bungalow Park, Stamford, CT 06902-6244 | 2012-08-21 |
| 1376812966 | John A Nagle | Internal Medicine | 16 Bouton St. #30, Stamford, CT 06907-1678 | 2011-12-28 |
| 1033440367 | Bruce R. Baron, M.d., PC | Internal Medicine | 583 High Ridge Rd., Stamford, CT 06905-2602 | 2010-01-27 |
| Find all providers in STAMFORD | ||||
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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.