VALLEY VASCULAR ASSOCIATES LLC (NPI# 1851643654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851643654 |
| Entity Type | Organization |
| Organization Name | VALLEY VASCULAR ASSOCIATES LLC |
| Practice Address |
91 East Ave Norwalk CT 06851-5020 |
| Practice Telephone | 2038559806 |
| Practice Fax Number | 2038551135 |
| Mailing Telephone | 2038559806 |
| Mailing Fax Number | 2038551135 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |
| Authorized Official Name | DR. CHUNG K SHIN (MANAGING OFFICER) |
| Authorized Official Telephone | 2038559806 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
037720 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM -NORWALK | 010037720CT03 | 01 |
| CT | WELLCARE | 178311 | 01 |
| CT | ANTHEM - BPT | 010037720CT04 | 01 |
| CT | MEDICARE RAILROAD | 770002444 | 01 |
| CT | 001377200 | 05 | |
| CT | ANTHEM - DERBY | 010037720CT02 | 01 |
| CT | CIGNA | 3324246-004 | 01 |
| CT | CONNECTICARE | 037720 | 01 |
| CT | AETNA/US HEALTHCARE | 2322912 | 01 |
| CT | OXFORD | P2061278 | 01 |
| Street Address |
91 EAST AVE |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872225 | Frances Becker | Social Worker | 91 East Ave, Norwalk, CT 06851-5020 | 2005-06-28 |
| 1871191858 | Three Little Birds, LLC | Social Worker | 91 East Ave, Norwalk, CT 06851-5020 | 2020-10-13 |
| 1124648910 | Phianh Waldon | Dentist | 91 East Ave, Norwalk, CT 06851-5020 | 2020-04-21 |
| 1568096477 | Alexander Loeb | Dentist | 91 East Ave, Norwalk, CT 06851-5020 | 2020-02-29 |
| 1548733181 | Mbs Counseling, LLC | Social Worker | 91 East Ave, Norwalk, CT 06851-5020 | 2019-01-07 |
| 1972015907 | Theresa Maria Roth | Social Worker | 91 East Ave, Norwalk, CT 06851-5020 | 2017-10-31 |
| 1922535921 | Pimputkar LLC | Clinic/Center | 91 East Ave, Norwalk, CT 06851-5020 | 2017-05-22 |
| 1134581481 | Gentle Rock Therapy LLC | Community/Behavioral Health | 91 East Ave, Norwalk, CT 06851-5020 | 2016-03-25 |
| 1457713703 | Elizabeth Gentile | Social Worker | 91 East Ave, Norwalk, CT 06851-5020 | 2016-03-25 |
| 1285008177 | Jamie Ahn | Naturopath | 91 East Ave, Garden Suite, Norwalk, CT 06851-5020 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1336748953 | Usa Vascular Center of Connecticut Pllc | Surgery | 2284 Summer St, Stamford, CT 06905-4503 | 2020-10-23 |
| 1245839869 | Usa Vein Clinics of Connecticut Pllc | Surgery | 2284 Summer St Ste A, Stamford, CT 06905-4503 | 2020-10-23 |
| 1326385428 | Hossein L. Tehrani | Surgery | 49 East Hyerdale Drive, Goshen, CT 06756 | 2013-01-09 |
| 1922368810 | Megan Fritton Shue | Surgery | 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 | 2012-05-24 |
| 1932474053 | John E. Fenn | Surgery | 200 Leeder Hill Drive, #2603, Hamden, CT 06517 | 2012-03-22 |
| 1033366745 | Naiem Nassiri | Surgery | Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 | 2008-08-25 |
| 1407989569 | Christos G. Pappas | Surgery | 372 Danbury Rd Ste 220, Wilton, CT 06897-2523 | 2007-03-14 |
| 1477610913 | Stephen Marc Bauer | Surgery | 455 East Putnam Ave, Old Greenwich, CT 06870 | 2007-01-03 |
| 1114019098 | William Gething Crawford | Surgery | 21 Montauk Ave Ste 303, New London, CT 06320-4906 | 2006-09-29 |
| 1083713416 | Raul J. Guzman | Surgery | 330 Cedar St Bldg 204, New Haven, CT 06510 | 2006-09-22 |
| 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.