Andrew Baxter (NPI# 1124346481, PAC ID# 1456620624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
Nation Provider ID (NPI) | 1124346481 |
PAC ID by PECOS | 1456620624 |
Professional Enrollment ID | I20170630001542 |
Full Name | Andrew Baxter |
Organization Legal Name | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
Address |
495 Hawley Ln 2a Stratford CT 06614-1514 |
Phone Number | 2032106340 |
Gender | M |
Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2010 |
Primary Specialty | VASCULAR SURGERY |
Group Practice PAC ID | 8527951532 |
Number of Group Practice Members | 31 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070031 | GRIFFIN HOSPITAL |
070010 | BRIDGEPORT HOSPITAL |
070028 | ST. VINCENT'S MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
75 Kings Hwy Cutoff, Fairfield, CT 06824-5340 | 2032906011 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
495 Hawley Ln, 2a, Stratford, CT 06614-1514 | 2032106340 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
Organization Legal Name | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
Physicians | 32 |
Name | Specialty | Organization | Address |
---|---|---|---|
Harry Ma | Vascular Surgery | Southern Connecticut Vascular Center LLC | 2 Shaws Cv, New London, CT 06320-4975 |
Jonathan N Bowman | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Richard Martin Margules | General Surgery | Southern Connecticut Vascular Center LLC | 7 Germantown Rd, Suite 2b, Danbury, CT 06810-5000 |
Ben Marsan | Vascular Surgery | Southern Connecticut Vascular Center LLC | 599 Middlesex Tpke, Old Saybrook, CT 06475-1201 |
Ann Marie Williams | Physician Assistant | Southern Connecticut Vascular Center LLC | 236 Boston Post Rd, Orange, CT 06477-3236 |
Jaime S Strachan | Vascular Surgery | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
Trisha Erdman | Physician Assistant | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
Lee J Goldstein | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Jeffrey M Ranaudo | Vascular Surgery | Southern Connecticut Vascular Center LLC | 360 Tolland Tpke, Suite 1a, Manchester, CT 06042-1759 |
Michael A Sergi | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Street Address |
495 HAWLEY LN 2A |
City | STRATFORD |
State | CT |
Zip | 06614-1514 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jonathan N Bowman | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Lee J Goldstein | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Michael A Sergi | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Stephen M Bauer | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Timothy Stewart | Physician Assistant | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Janine A Tedesco | Physician Assistant | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Timothy M Manoni | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Elizabeth Lynn Evans | Nurse Practitioner | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Taras Kucher | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Paul J Gagne | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary Mcguigan | Certified Registered Nurse Anesthetist | Bridgeport Anesthesia Associates, P.C. | 267 Grant St, Bridgeport, CT 06614 |
Karren Agyekum | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 1 Hawley Ln, Stratford, CT 06614-1200 |
Erin E Rossettie | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 1 Hawley Ln, Stratford, CT 06614-1200 |
Shari G Weisenfeld | Internal Medicine | St. Vincents Urgent Care LLC | 7365 Main St, Suite 7, Stratford, CT 06614-1300 |
Cama Patel | Family Medicine | St. Vincents Urgent Care LLC | 7365 Main St, Suite 7, Stratford, CT 06614-1300 |
Peter J Braglia | Chiropractic | 7365 Main St, Suite 13, Stratford, CT 06614-1300 | |
William B Sacks | Emergency Medicine | St Vincents Urgent Care LLC | 7365 Main St, Suite 7, Stratford, CT 06614-1300 |
Mark L Friedman | Emergency Medicine | St Vincents Urgent Care LLC | 7365 Main St, Suite 7, Stratford, CT 06614-1300 |
Robert M Milstein | Psychiatry | 999 Oronoque Lane, Stratford, CT 06614-1379 | |
Emily Bietsch | Physical Therapy | 999 Oronoque Ln, Suite 1, Stratford, CT 06614-1379 | |
Find all physicians in zip 06614 |
City | STRATFORD |
Zip Code | 06614 |
Specialty | VASCULAR SURGERY |
City + Specialty | STRATFORD + VASCULAR SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.