BRIDGEPORT HOSPITAL (NPI# 1871807446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871807446 |
| Entity Type | Organization |
| Organization Name | BRIDGEPORT HOSPITAL |
| Practice Address |
267 Grant St Bridgeport CT 06610-2805 |
| Mailing Address |
100 Stone Ridge Way Apt 1d Fairfield CT 06824-5392 |
| Practice Telephone | 2033843792 |
| Mailing Telephone | 9172254744 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | DR. CONSTANTINE MANTHOUS (PROGRAM DIRECTOR - INTERNAL MEDICIN) |
| Authorized Official Telephone | 2033843792 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | CT | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
| 1174147052 | Bridgeport Hospital | Internal Medicine | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-06-05 |
| 1205362423 | Bridgeport Hospital | General Acute Care Hospital | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2017-05-08 |
| 1275072985 | Bridgeport Hospital | Clinic/Center | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2017-02-14 |
| 1962952671 | Bridgeport Hospital | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-10-05 |
| 1568613040 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2008-10-02 |
| 1508038282 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2008-04-02 |
| 1992910152 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant Street, Bridgeport, CT 06610 | 2007-05-11 |
| 1790837227 | Bridgeport Hospital | Rehabilitation Unit | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-01-17 |
| 1609928134 | Bridgeport Hospital | Psychiatric Unit | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRIDGEPORT HOSPITAL | 267 Grant St, Bridgeport, CT 06610-2805 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL | 267 Grant Street, Bridgeport, CT 06610 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS, INC. | Jennifer Willcox, Esq., Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 |
| Street Address |
267 GRANT ST |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184606600 | United Hospital Center, Inc | General Acute Care Hospital | 327 Medical Park Drive, Bridgeport, WV 26330 | 2005-11-18 |
| 1770017287 | Bridgeport Hospital/yale New Haven Health | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-04-12 |
| 1891241840 | St. Vincents Medical Center | General Acute Care Hospital | 2800 Main St, Bridgeport, CT 06606-4201 | 2016-08-30 |
| 1164801650 | Amanda Pinto | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2015-05-29 |
| 1376979906 | Saint Vincent Hospital | General Acute Care Hospital | 2800 Main St, Bridgeport, CT 06606-4201 | 2013-09-14 |
| 1417202169 | St Vincent's Medical Center | General Acute Care Hospital | 2600 Park Ave, Unit 1m, Bridgeport, CT 06604-1303 | 2012-07-18 |
| 1134436694 | Bridgeport Hospttal | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2010-09-05 |
| 1598097735 | United Hospital Center, Inc | General Acute Care Hospital | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2010-02-12 |
| 1336478478 | Bridgport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2009-12-21 |
| 1790014983 | Christine Escalante | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2009-12-17 |
| Find all providers in BRIDGEPORT | ||||
| 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.