PAUL THOMAS FIDRYCH


Address: 1 Towne Park Plz, Norwich, CT 06360-2247
Phone: 8608861433

PAUL THOMAS FIDRYCH (NPI# 1972121630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972121630
Entity Type Individual
Full Name PAUL THOMAS FIDRYCH
Credential DNP
Practice Address 1 Towne Park Plz
Norwich
CT 06360-2247
Practice Telephone 8608861433
Mailing Telephone 8608861433
Mailing Fax Number 8608864644
Enumeration Date 2020-07-09
Last Update Date 2020-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 8948 CT Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1 TOWNE PARK PLZ
City NORWICH
State CT
Zip Code 06360-2247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598714701 Hanna Kackielo Internal Medicine 1 Towne Park Plz, Norwich, CT 06360-2247 2006-05-08
1154922375 Kathryn Tirrell Physical Therapist 1 Towne Park Plz, Norwich, CT 06360-2247 2020-11-04
1558986174 Ryan Mansi Nurse Practitioner 1 Towne Park Plz, Norwich, CT 06360-2247 2020-06-09
1346873940 Jason Prior Therapy LLC Counselor 1 Towne Park Plz, Norwich, CT 06360-2247 2020-02-21
1467927467 Cook Counseling Pllc Counselor 1 Towne Park Plz, Norwich, CT 06360-2247 2018-10-05
1831676881 Renee Pawluk Physical Therapist 1 Towne Park Plz, Norwich, CT 06360-2247 2018-07-23
1801325626 Life In Progress Counselor 1 Towne Park Plz, Norwich, CT 06360-2247 2017-06-06
1518316033 Emily Conine Physical Therapist 1 Towne Park Plz, Norwich, CT 06360-2247 2016-06-06
1215356399 Sandhya Mehla Psychiatry & Neurology 1 Towne Park Plz, Norwich, CT 06360-2247 2014-04-15
1134553704 Laura Rydelek Fitzgerald Nurse Practitioner 1 Towne Park Plz, Norwich, CT 06360-2247 2013-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003417452 Mafe Duyan Rato Nurse Practitioner 624 W West Main St, St 140, Norwich, CT 06360 2020-11-03
1255961561 Holly M. Renstrom Driver 17 Annadell Rd, Norwich, CT 06360 2020-01-26
1609335397 Chanel Justice Social Worker 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 2019-03-13
1457700189 Michelle Pressler Pharmacist 634 West Main St, Norwich, CT 06360 2016-06-03
1265895726 Katie Johnson Social Worker 18 Oneco Street, Norwich, CT 06360 2016-04-01
1871956623 Lori Deslandes-paz Pharmacist 372 West Main Street, Norwich, CT 06360 2016-03-30
1336526193 Keep An Open Mind, LLC Marriage & Family Therapist 12 Cass Street, Suite 202, Norwich, DC 06360 2015-04-30
1588084446 Kinneri Kothari Ophthalmology 79 Wawecus St Ste 105, Norwich, CT 06360 2014-04-18
1962746537 Robin B Smith Social Worker 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-20
1063766400 Colleen Ellen Phillips-white Social Worker 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-07
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598074924 Morag Elizabeth Paget Macdonald Nurse Practitioner 401 W. Thames St. Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2010-10-04
1831230119 Donna M Civardi Nurse Practitioner 223 W Town St, Norwich, CT 06360-2130 2007-02-09
1942394408 Sandra S Kress Nurse Practitioner 17 Case Street, Norwich, CT 06360 2006-10-02
1235245838 Mary Jane Drewa Tower Nurse Practitioner 111 Salem Turnpike, Backus Outpatient Care Center, Norwich, CT 06360 2006-08-23
1851368393 Elizabeth Lynn Evans Nurse Practitioner 113 Salem Tpke Ste 1, Norwich, CT 06360-6484 2006-03-03
1922651264 Lauren Ashley Maxeiner Nurse Practitioner 27 Lafayette St, Norwich, CT 06360-3407 2019-07-16
1295121135 Dawn E. Lee Nurse Practitioner 401 W Thames St, Building 301, Norwich, CT 06360-7151 2015-04-07
1952700197 Maura Theresa Forte Nurse Practitioner 330 Washington St, Suite 510, Norwich, CT 06360-2700 2014-08-13
1396151858 Kristen Farrell Nurse Practitioner 79 Wawecus St, Ste. 101, Norwich, CT 06360-2173 2014-07-05
1316299704 Julie Martin Nurse Practitioner 1 Towne Park Plz, Norwich, CT 06360-2247 2012-10-09
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City NORWICH
Zip Code 06360

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Dataset Information

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.

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