Stephanie G Pettingle (NPI# 1205258605, PAC ID# 4587882949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205258605 |
| PAC ID by PECOS | 4587882949 |
| Professional Enrollment ID | I20151016000343 |
| Full Name | Stephanie G Pettingle |
| Organization Legal Name | GRIFFIN FACULTY PHYSICIANS INC |
| Address |
330 Bridgeport Ave Shelton CT 06484-3861 |
| Phone Number | 2039297331 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618871997 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070031 | GRIFFIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Ivy Brook Rd, Suite 115, Shelton, CT 06484-6416 | 2039245540 | GRIFFIN FACULTY PHYSICIANS INC |
| 330 Bridgeport Ave, Shelton, CT 06484-3861 | 2039297331 | GRIFFIN FACULTY PHYSICIANS INC |
| Organization Legal Name | GRIFFIN FACULTY PHYSICIANS INC |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chi Tang | Endocrinology | Griffin Faculty Physicians Inc | 131 Bridge St, Naugatuck, CT 06770-2929 |
| Kornelia Thomas | Family Medicine | Griffin Faculty Physicians Inc | 111 Wakelee Ave, Ansonia, CT 06401-1151 |
| Sayena Azarbar | Cardiovascular Disease (cardiology) | Griffin Faculty Physicians Inc | 110 Commerce Dr, Shelton, CT 06484-6244 |
| Judith Heller | Nurse Practitioner | Griffin Faculty Physicians Inc | 135 Division St, Ansonia, CT 06401-2135 |
| Richard P Salzano | Thoracic Surgery | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Gerald G Fette | Internal Medicine | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Andrea H Lynch | Physician Assistant | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Jonathan T Simon | Gastroenterology | Griffin Faculty Physicians Inc | 22 Westfield Ave, Suite 2, Ansonia, CT 06401-1158 |
| Michelle L Young | Nurse Practitioner | Griffin Faculty Physicians Inc | 131 Bridge St, Naugatuck, CT 06770-2929 |
| Kenneth J Garcia | Psychiatry | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Street Address |
330 BRIDGEPORT AVE |
| City | SHELTON |
| State | CT |
| Zip | 06484-3861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John G Strugar | Neurosurgery | Neurosurgery Orthopaedics and Spine Specialists PC | 330 Bridgeport Ave, Shelton, CT 06484-3861 |
| Christina Gugliotti | Physician Assistant | Neurosurgery Orthopaedics and Spine Specialists PC | 330 Bridgeport Ave, Shelton, CT 06484-3861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph A Saracco | Podiatry | Northeast Medical Group Inc | 175 Sherman Ave, Shelton, CT 06484 |
| Ernest D Moritz | Hospice/palliative Care | Northeast Medical Group Inc | 175 Sherman Ave, Shelton, CT 06484 |
| Suzanne B Guerrucci | Clinical Social Worker | 163 Leavenworth Rd, Shelton, CT 06484-2112 | |
| Donna A Nickdow | Clinical Social Worker | 476 Howe Ave, Suite 4, Shelton, CT 06484-3153 | |
| Anthony G Infantino | Physical Medicine and Rehabilitation | National Health Rehabilitation LLC | 45 Maltby St, Shelton, CT 06484-3328 |
| Joseph S Madrak | Optometry | Dr Joseph S Madrak Od LLC | 190 Coram Ave, Shelton, CT 06484-3347 |
| Howard R Cohen | Optometry | Dr Joseph S Madrak Od LLC | 190 Coram Ave, Shelton, CT 06484-3347 |
| Ballard Glenn Blair | Podiatry | 375 Bridgeport Ave, Shelton, CT 06484-3844 | |
| James R Pinke | Ophthalmology | 9 Cots St, Shelton, CT 06484-3866 | |
| David Sharnoff | Podiatry | Foot and Ankle Specialists of Ct, P.C. | 9 Cots St, 2b, Shelton, CT 06484-3866 |
| Find all physicians in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHELTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephanie G Pettingle.
| 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.