OPTIMUS HEALTH CARE INC (NPI# 1922378496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922378496 |
| Entity Type | Organization |
| Organization Name | OPTIMUS HEALTH CARE INC |
| Other Organization Name | STRATFORD COMMUNITY HEALTH CENTER |
| Practice Address |
727 Honeyspot Rd Stratford CT 06615-7172 |
| Mailing Address |
982 E Main St Bridgeport CT 06608-1913 |
| Practice Telephone | 2033757252 |
| Practice Fax Number | 2033320376 |
| Mailing Telephone | 2036963260 |
| Mailing Fax Number | 2033320376 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |
| Authorized Official Name | LUDWIG SPINELLI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2036963260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0234 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE PART B | C00383 | 01 |
| CT | 004234788 | 05 |
| Other Name | Type Code |
|---|---|
| Stratford Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235485236 | Optimus Health Care Inc | Clinic/Center | 3180 Main St Ste G1, Bridgeport, CT 06606-4237 | 2012-07-27 |
| 1780944736 | Optimus Health Care Inc | Clinic/Center | 597 Pacific St, Stamford, CT 06902-5814 | 2012-05-24 |
| 1164798138 | Optimus Health Care Inc | Clinic/Center | 8 Woodland Pl, Stamford, CT 06902-6939 | 2012-03-23 |
| 1346516317 | Optimus Health Care Inc | Clinic/Center | 1071 E Main St, Bridgeport, CT 06608-1618 | 2012-03-23 |
| 1609142678 | Optimus Health Care Inc | Clinic/Center | 138 Stillwater Ave, Stamford, CT 06902-4843 | 2012-03-23 |
| 1073992764 | Optimus Health Care Inc | Clinic/Center | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2015-05-27 |
| 1659641363 | Optimus Health Care Inc | Clinic/Center | 982 E Main St, Bridgeport, CT 06608-1913 | 2012-01-11 |
| 1932479409 | Optimus Health Care Inc | Clinic/Center | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2011-12-30 |
| 1215207782 | Optimus Health Care Inc | Clinic/Center | 82 George St, Bridgeport, CT 06604-3315 | 2011-12-30 |
| 1174893648 | Optimus Health Care Inc | Clinic/Center | 790 Central Ave, Bridgeport, CT 06607-1705 | 2011-12-30 |
| Street Address |
727 HONEYSPOT RD |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-7172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794848 | Raymond Stewart | Family Medicine | 727 Honeyspot Rd, Stratford, CT 06615-7172 | 2005-07-20 |
| 1235660267 | Kettly Cassamajor | Nurse Practitioner | 727 Honeyspot Rd, Stratford, CT 06615-7172 | 2017-03-22 |
| 1427327071 | Vonetta Elaine Threat | Nurse Practitioner | 727 Honeyspot Rd, Stratford, CT 06615-7172 | 2011-12-27 |
| 1982837233 | Patricia V Blanc | Nurse Practitioner | 727 Honeyspot Rd, Stratford, CT 06615-7172 | 2009-09-02 |
| 1073727988 | Passionate Care Services | Homemaker | 727 Honeyspot Rd, Suite 200, Stratford, CT 06615-7172 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.