DR. EDWARD THOMAS CARRERAS (NPI# 1003100223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003100223 |
| Entity Type | Individual |
| Full Name | DR. EDWARD THOMAS CARRERAS |
| Credential | M.D. |
| Practice Address |
3272 Main St Stratford CT 06614-4819 |
| Practice Telephone | 2036835100 |
| Mailing Telephone | 2036835100 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 247595 | MA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
62383 | CT | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
256118 | MA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
16163 | RI | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
62383 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 Main St, Bridgeport, CT 066064201 | 2035766000 | |
| 425 Post Rd, Fairfield, CT 068246232 | 2032542452 | |
| 75 Francis St, Boston, MA 021156110 | 6177325500 |
| Street Address |
3272 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417122946 | Charles Bruce-tagoe | Internal Medicine | 3272 Main St, Stratford, CT 06614-4819 | 2008-04-25 |
| 1003470170 | St. Vincents Urgent Care LLC | Nurse Practitioner | 3272 Main St, Stratford, CT 06614-4819 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619178258 | Dragos Victor Balf | Internal Medicine | 1450 Chapel St Yale New Haven Hospital, New Haven, CT 06511 | 2007-05-30 |
| 1497818462 | Kenneth S Spector | Internal Medicine | 130 Division Street, Derby, CT 06418 | 2006-12-19 |
| 1316408545 | Cct Care of Ct, LLC | Internal Medicine | 2389 Main St, Glastonbury, CT 06033-4617 | 2019-03-29 |
| 1962763722 | Cardiology Physicians of Fairfield County LLC | Internal Medicine | 1177 Summer St, Stamford, CT 06905-5572 | 2012-06-07 |
| 1477832806 | Salman Khalid | Internal Medicine | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-08-16 |
| 1174813208 | Chirag A. Shah | Internal Medicine | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2011-04-11 |
| 1679734800 | Arzhang Fallahi | Internal Medicine | 29 Hospital Plz, Suite 502, Stamford, CT 06902-3602 | 2008-06-20 |
| 1942407853 | Talhat Azemi | Internal Medicine | 85 Seymour St, 821, Hartford, CT 06106-5527 | 2007-07-03 |
| 1629270616 | Robert Ramak Attaran | Internal Medicine | 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 | 2007-06-03 |
| 1437293453 | Michael Chrissoheris | Internal Medicine | 1450 Chapel St, Hsr Section of Cardiology Private 207, New Haven, CT 06511-4405 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
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| 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.