DR. JOHN F REILLY (NPI# 1053303818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053303818 |
| Entity Type | Individual |
| Full Name | DR. JOHN F REILLY |
| Credential | MD |
| Practice Address |
2 Ivy Brook Rd Suite 105 Shelton CT 06484-6416 |
| Practice Telephone | 2039242900 |
| Practice Fax Number | 2039241300 |
| Mailing Telephone | 2039242900 |
| Mailing Fax Number | 2039241300 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2015-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
040166 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659761476 | John Reilly IIi | Psychologist | 31 Kennedy Road Anx, Weaverville, NC 28787-9395 | 2015-02-01 |
| 1861770406 | John T Reilly | Physician Assistant | 8 Brander Parkway, Shelter Island, NY 11964-1980 | 2011-08-01 |
| 1689884322 | John F Reilly | Social Worker | 16 Spaulding Rd, Chelmsford, MA 01824-1022 | 2007-05-23 |
| 1700900891 | John Allen Reilly | Internal Medicine | 16722 Annandale Rd Ste D-1, Emmitsburg, MD 21727 | 2007-03-16 |
| 1417032954 | John Wesley Reilly | Psychologist | 12636 Se Stark, Portland, OR 97233 | 2006-10-25 |
| 1578661419 | John Reilly | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2006-09-21 |
| 1497850481 | John Francis Reilly Jr. | Internal Medicine | 53 Briar Hill Rd, Orchard Park, NY 14127-3546 | 2006-09-14 |
| 1659487080 | John Jennings Reilly | Dentist | 640 Bankview Dr, Suite #3, Frankfort, IL 60423-1383 | 2006-08-21 |
| 1932113941 | John Reilly | Physical Therapist | 121 Nantasket Ave, Suite 105, Hull, MA 02045-3106 | 2006-07-27 |
| 1124061510 | John Richard Reilly | Emergency Medicine | 4200 Wisconsin Ave Nw, #223, Washington, DC 20016-2143 | 2006-06-14 |
| Street Address |
2 IVY BROOK RD SUITE 105 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764826 | Hunter Prindle-nelson | Specialist/Technologist | 2 Ivy Brook Rd, Shelton, CT 06484-6416 | 2020-09-11 |
| 1467082966 | Neurosurgery, Orthopaedics & Spine Specialists, PC | Orthopaedic Surgery | 2 Ivy Brook Rd, Shelton, CT 06484-6416 | 2020-01-23 |
| 1114318656 | Emily Medina, Lcsw, LLC | Social Worker | 2 Ivy Brook Rd, Shelton, CT 06484-6416 | 2015-02-05 |
| 1982913455 | Diana Reichbind | Physician Assistant | 2 Ivy Brook Rd, Suite 213, Shelton, CT 06484-6416 | 2010-10-01 |
| 1184816761 | Ladan Hamdheydari | Psychiatry & Neurology | 2 Ivy Brook Rd, Ste120, Shelton, CT 06484-6416 | 2007-08-16 |
| 1013122977 | Brian Lee Sperling | Urology | 2 Ivy Brook Rd, Ste 115, Shelton, CT 06484-6416 | 2007-05-14 |
| 1538249842 | Plastic and Reconstructive Surgery Specialists LLC | Surgery | 2 Ivy Brook Rd, Suite 105, Shelton, CT 06484-6416 | 2006-10-17 |
| 1760413538 | Nami Bayan | Internal Medicine | 2 Ivy Brook Rd, Ste 120, Shelton, CT 06484-6416 | 2006-07-06 |
| 1114956380 | Mark Aferzon | Otolaryngology | 2 Ivy Brook Rd, Suite 110, Shelton, CT 06484-6416 | 2006-07-01 |
| 1043283302 | Stephen R Woodworth | Internal Medicine | 2 Ivy Brook Rd, Suite 205, Shelton, CT 06484-6416 | 2006-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982861860 | Mark Manuel Melendez | Surgery | 4 Corporate Dr Ste 288, Shelton, CT 06484-6240 | 2008-05-19 |
| 1538249842 | Plastic and Reconstructive Surgery Specialists LLC | Surgery | 2 Ivy Brook Rd, Suite 105, Shelton, CT 06484-6416 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255879748 | Northeast Breast Reconstruction LLC | Surgery | 21 Southport Terrace, Southport, CT 06890 | 2017-02-06 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1205168499 | Vinod V Pathy Md LLC | Surgery | 1525 Boston Post Rd, Westbrook, CT 06498-2044 | 2010-02-12 |
| 1568609121 | Stacey Lauren June | Surgery | 107 Newtown Road Suite 2c, Danbury, CT 06810 | 2009-01-19 |
| 1275602146 | Andrew Nelson Kornstein | Surgery | 539 Danbury Rd, Wilton, CT 06897-2216 | 2006-11-07 |
| 1831287275 | Sergio D. Francescon | Surgery | 540 S. Broad Street, Suite 3c, Meriden, CT 06450-6600 | 2006-10-11 |
| 1578583282 | Stephan Ariyan | Surgery | 60 Temple St Ste 7c, New Haven, CT 06510-2716 | 2006-07-19 |
| 1093795387 | Colleen J Jambor | Surgery | 33 Dale Road, Ste 1, Avon, CT 06001 | 2006-01-20 |
| 1922515006 | The Plastic and Reconstructive Surgery Group, PC | Surgery | 2 Greenwich Office Park Ste 210, Greenwich, CT 06831-5155 | 2018-01-10 |
| 1497290134 | Esana Plastic Surgery Center and Medspa LLC | Surgery | 1 Audubon St, Suite 201, New Haven, CT 06511-6433 | 2017-01-05 |
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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.