DR. LEIF O NORDBERG (NPI# 1881667392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881667392 |
| Entity Type | Individual |
| Full Name | DR. LEIF O NORDBERG |
| Credential | M.D. |
| Practice Address |
2001 W Main St Suite 150 Stamford CT 06902 |
| Mailing Address |
2001 W Main St Suite 150 Stamford CT 06902-4501 |
| Practice Telephone | 2033244700 |
| Practice Fax Number | 2033245691 |
| Mailing Telephone | 2033244700 |
| Mailing Fax Number | 2033245691 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 042356 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001423566 | 05 |
| Street Address |
2001 W MAIN ST SUITE 150 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275866 | Katherine Kelly Noble | Pediatrics | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2005-09-14 |
| 1073011870 | Matthew Mason | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2018-01-26 |
| 1255844197 | Philease J Martin | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2017-11-14 |
| 1548625569 | Sound Beach Pediatrics, LLC | Clinic/Center | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2015-12-17 |
| 1760856306 | Clinic 21 of Connecticut LLC | Emergency Medicine | 2001 W Main St, #100, Stamford, CT 06902-4501 | 2015-11-19 |
| 1619346418 | Celebrating Children | Occupational Therapist | 2001 W Main St, Suite #135, Stamford, CT 06902-4501 | 2015-09-22 |
| 1316386428 | Munroetherapies & Consultation, P.C. | Community/Behavioral Health | 2001 W Main St, Stamford, CT 06902-4501 | 2013-06-21 |
| 1801231659 | Nordberg Plastic Surgery Center, LLC | Clinic/Center | 2001 W Main St, Suite 150, Stamford, CT 06902 | 2013-05-07 |
| 1285975417 | Beth O'donnell, Ph.d. LLC | Psychologist | 2001 W Main St, Suite 106g, Stamford, CT 06902-4501 | 2013-03-13 |
| 1598931057 | Louise Marie Anselmo | Physical Therapist | 2001 W Main St, Suite 132, Stamford, CT 06902-4501 | 2008-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669550851 | Harold S Gewirtz | Plastic Surgery | 70 Mill River Street, Stamford, CT 06902 | 2006-11-02 |
| 1366741217 | Julie Vasile, M.d. LLC | Plastic Surgery | 1290 Summer St, Suite 3200, Stamford, CT 06905-5360 | 2011-03-17 |
| 1568770428 | Gold Coast Plastic Surgery and Laser Center, LLC | Plastic Surgery | 999 Summer St, Suite 401, Stamford, CT 06905-5546 | 2010-09-14 |
| 1225135643 | Arthur R Rosenstock Md PC | Plastic Surgery | 1290 Summer St, Suite 3100, Stamford, CT 06905 | 2006-09-20 |
| 1043317464 | Estheriane Aesthetics Inc | Plastic Surgery | 1290 Summer St, Suite 3100, Stamford, CT 06905 | 2006-09-20 |
| 1891719860 | Chang Soo Kim | Plastic Surgery | 999 Summer St, Stamford, CT 06905-5546 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720642762 | Riverview Emergency Services LLC | Plastic Surgery | 148 East Ave Ste 3h, Norwalk, CT 06851-5726 | 2019-04-25 |
| 1073177184 | Laurel Chandler Md Pllc | Plastic Surgery | 195 Danbury Rd Ste 203, Wilton, CT 06897-4075 | 2019-04-24 |
| 1285080416 | Plastic Surgery Practice of Connecticut | Plastic Surgery | 44 Amogerone Crossway # 8151, Greenwich, CT 06830-9993 | 2016-05-06 |
| 1275997975 | Peau | Plastic Surgery | 1472 Boston Post Rd, Darien, CT 06820-5909 | 2016-04-08 |
| 1356684112 | Joseph Lopez | Plastic Surgery | 330 Cedar St Ste 330, New Haven, CT 06510-3218 | 2013-03-30 |
| 1881956514 | Mid State Md, LLC | Plastic Surgery | 85 Church St Ste 500, Middletown, CT 06457-3647 | 2012-06-08 |
| 1134356959 | Yuen-jong Liu | Plastic Surgery | 722 Post Rd Ste 200, Darien, CT 06820 | 2009-06-18 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1376704353 | Christopher David Hughes | Plastic Surgery | 399 Farmington Ave Ste 210, Farmington, CT 06032-1944 | 2008-06-22 |
| 1659546323 | Richard Restifo, Md PC | Plastic Surgery | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2008-04-24 |
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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.