Stefanie M Parks (NPI# 1750775847, PAC ID# 5496066185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1750775847 |
| PAC ID by PECOS | 5496066185 |
| Professional Enrollment ID | I20190710001038 |
| Full Name | Stefanie M Parks |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
3 Shaws Cv New London CT 06320-4952 |
| Phone Number | 8604434148 |
| Gender | F |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3 Shaws Cv, New London, CT 06320-4952 | 8604434148 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
3 SHAWS CV |
| City | NEW LONDON |
| State | CT |
| Zip | 06320-4952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Lisa Licare | Obstetrics/gynecology | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marileni Brisita | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Michelle A Gallerani | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Kathryn Rymsza | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Rachel Beckmann | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Jeffrey D Daley | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Kevin J O'reilly | Psychologist, Clinical | 400 Bayonet St, Suite 202, New London, CT 06320-2600 | |
| Kimberly A Kurey | Nurse Practitioner | 400 Bayonet St, New London, CT 06320-2600 | |
| Diane Joan Schrage | Clinical Social Worker | 400 Bayonet St, Suite 400, New London, CT 06320-2600 | |
| Patricia A Medling | Clinical Social Worker | 400 Bayonet St, Suite 202, New London, CT 06320-2600 | |
| George A Sprecace | Allergy/immunology | 400 Bayonet St, Ll2, New London, CT 06320-2600 | |
| Find all physicians in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | NEW LONDON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Stefanie M Parks.
| 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.