Mark S Grogan (NPI# 1306909379, PAC ID# 5092804369) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1306909379 |
PAC ID by PECOS | 5092804369 |
Professional Enrollment ID | I20111118000225 |
Full Name | Mark S Grogan |
Organization Legal Name | CARDIOLOGY ASSOCIATES OF DERBY PC |
Address |
22 Westfield Ave Ansonia CT 06401-1158 |
Phone Number | 2037327455 |
Gender | M |
Graduation Year | 1982 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 7719076066 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070031 | GRIFFIN HOSPITAL |
Address | Phone | Organization |
---|---|---|
22 Westfield Ave, Ansonia, CT 06401-1158 | 2037327455 | CARDIOLOGY ASSOCIATES OF DERBY PC |
130 Division St, Derby, CT 06418-1326 | 2037327360 | THE GRIFFIN HOSPITAL |
Organization Legal Name | CARDIOLOGY ASSOCIATES OF DERBY PC |
Physicians | 1 |
Street Address |
22 WESTFIELD AVE |
City | ANSONIA |
State | CT |
Zip | 06401-1158 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bruce T Brennan | Internal Medicine | 22 Westfield Ave, Ansonia, CT 06401-1158 | |
Jonathan T Simon | Gastroenterology | Griffin Faculty Physicians Inc | 22 Westfield Ave, Suite 2, Ansonia, CT 06401-1158 |
Madhu S Gowda | Internal Medicine | 22 Westfield Ave, Ansonia, CT 06401-1158 | |
Muhammad E Qadir | Internal Medicine | Northeast Medical Group Inc | 22 Westfield Ave, Suite 1, Ansonia, CT 06401-1158 |
Mary Ellie Stankus | Nurse Practitioner | Griffin Faculty Physicians Inc | 22 Westfield Ave, Suite 2, Ansonia, CT 06401-1158 |
Harold Mark Schwartz | Gastroenterology | Griffin Faculty Physicians Inc | 22 Westfield Ave, Suite 2, Ansonia, CT 06401-1158 |
Jeffrey T Dreznick | Gastroenterology | Griffin Faculty Physicians Inc | 22 Westfield Ave, Suite 2, Ansonia, CT 06401-1158 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel S Zaretzky | Internal Medicine | 199 Wakelee Ave, Ansonia, CT 06401-1145 | |
Kornelia Thomas | Family Medicine | Griffin Faculty Physicians Inc | 111 Wakelee Ave, Ansonia, CT 06401-1151 |
Daniel Sylvan Lavy | Colorectal Surgery (proctology) | Physicians Alliance of Connecticut LLC | 111 Wakelee Ave, Ansonia, CT 06401-1151 |
Jamee Patel | Optometry | Myeyedr Optometry of Connecticut, LLC | 145 Wakelee Ave, Ansonia, CT 06401-1176 |
Paige R Porrello | Qualified Audiologist | 149 Wakelee Ave, Ansonia, CT 06401-1176 | |
Johnny Sun | Optometry | Myeyedr Optometry of Connecticut, LLC | 145 Wakelee Ave, Ansonia, CT 06401-1176 |
Mark G Ryan | Optometry | Myeyedr Optometry of Connecticut, LLC | 145 Wakelee Ave, Ansonia, CT 06401-1176 |
Amanda A Khalil | Optometry | Myeyedr Optometry of Connecticut, LLC | 145 Wakelee Ave, Ansonia, CT 06401-1176 |
Mara S Capuano | Optometry | Myeyedr Optometry of Connecticut, LLC | 145 Wakelee Ave, Ansonia, CT 06401-1176 |
Sharon Martino | Optometry | Myeyedr Optometry of Connecticut, LLC | 145 Wakelee Ave, Ansonia, CT 06401-1176 |
Find all physicians in zip 06401 |
City | ANSONIA |
Zip Code | 06401 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | ANSONIA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Mark S Grogan.
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.