MS. STEPHANIE MARIE DECESARE (NPI# 1962890681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962890681 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE MARIE DECESARE |
| Credential | PA-C |
| Practice Address |
110 Commerce Dr Shelton CT 06484-6244 |
| Mailing Address |
67 Maple Ave Derby CT 06418-1328 |
| Practice Telephone | 2039297331 |
| Practice Fax Number | 2039250330 |
| Mailing Telephone | 2037321330 |
| Mailing Fax Number | 2037321332 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003196 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 COMMERCE DR |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871669978 | Elliot K Mathias | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-11-28 |
| 1568824589 | Shaun Michael Najarian | Internal Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2016-03-29 |
| 1689058695 | Jennifer Chovitch | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2015-07-20 |
| 1205258605 | Stephanie Pettingle | Nurse Practitioner | 110 Commerce Dr, Shelton, CT 06484-6244 | 2014-01-20 |
| 1225329238 | Elizabeth Arbia | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2011-04-25 |
| 1205074945 | Abraham Fridman | Surgery | 110 Commerce Dr, Shelton, CT 06484-6244 | 2009-02-03 |
| 1821219080 | Patsy Gerckens | Physician Assistant | 110 Commerce Dr, Shelton, CT 06484-6244 | 2007-05-02 |
| 1386700201 | Kenneth Ward | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-12-28 |
| 1952467672 | Samuel Streit | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-12-28 |
| 1770642100 | Frank Peter Swanson Jr. | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578128484 | Chloe Michelle Wilson | Physician Assistant | 3202 Avalon Dr, Shelton, CT 06484-7609 | 2019-05-06 |
| 1134496136 | Aisha K Khan | Physician Assistant | 2 Trap Falls Rd Ste 405, Shelton, CT 06484-4665 | 2011-11-19 |
| 1063657633 | Julie Marissa Frascatore | Physician Assistant | 43 Quaker Ridge Rd, Shelton, CT 06484-2624 | 2008-12-10 |
| 1982667333 | Phoumy Bobby Bounkeua | Physician Assistant | 2321 W Dayton Airport Rd, Shelton, WA 98584-6319 | 2006-04-07 |
| 1508477001 | Alyssa Rosso | Physician Assistant | 4 Corporate Dr, Shelton, CT 06484-6211 | 2020-08-10 |
| 1679117865 | Faye Steiner | Physician Assistant | 224 Leavenworth Rd, Shelton, CT 06484-1881 | 2019-10-31 |
| 1912439431 | Glenn Sons Jr. | Physician Assistant | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2017-04-03 |
| 1528439312 | Ariana Acquarulo | Physician Assistant | 25 Constitution Blvd S, Shelton, CT 06484-4351 | 2015-10-19 |
| 1205219417 | James Stauffer | Physician Assistant | 939 Mountain View Dr, Shelton, WA 98584-4410 | 2015-07-07 |
| 1467857532 | Kc Graham | Physician Assistant | 237 Professional Way, Shelton, WA 98584-4404 | 2014-10-30 |
| Find all providers in SHELTON | ||||
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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.