SOUTH SOUND INPATIENT PHYSICIANS, PLLC (NPI# 1053735977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053735977 |
Entity Type | Organization |
Organization Name | SOUTH SOUND INPATIENT PHYSICIANS, PLLC |
Practice Address |
31 Union St Vernon CT 06066-3126 |
Mailing Address |
1123 Pacific Ave Tacoma WA 98402-4303 |
Practice Telephone | 8608720501 |
Mailing Telephone | 2536821710 |
Enumeration Date | 2014-02-12 |
Last Update Date | 2014-02-12 |
Authorized Official Name | JAMES KODJABABIAN (CRO) |
Authorized Official Telephone | 2536821710 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134686025 | South Sound Inpatient Physicians, Pllc | Internal Medicine | 2801 Debarr Rd, Anchorage, AK 99508-2932 | 2019-02-27 |
1962806174 | South Sound Inpatient Physicians, Pllc | Family Medicine | 1123 Pacific Ave, Tacoma, WA 98402-4303 | 2014-10-17 |
1093116675 | South Sound Inpatient Physicians, Pllc | Family Medicine | 929 N St Francis, Wichita, KS 67214-3821 | 2014-09-15 |
1114343258 | South Sound Inpatient Physicians, Pllc | Family Medicine | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2014-03-13 |
1225459514 | South Sound Inpatient Physicians, Pllc | Family Medicine | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2014-01-03 |
1982035754 | South Sound Inpatient Physicians, Pllc | Family Medicine | 101 N Main St, Coupeville, WA 98239-3413 | 2013-12-04 |
1063854859 | South Sound Inpatient Physicians, Pllc | Family Medicine | 1800 Nw Myhre Rd, Silverdale, WA 98383-7663 | 2013-07-23 |
1992144067 | South Sound Inpatient Physicians, Pllc | Family Medicine | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2013-06-21 |
1144577024 | South Sound Inpatient Physicians, Pllc | Family Medicine | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2012-08-09 |
1033408638 | South Sound Inpatient Physicians, Pllc | Family Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2011-04-04 |
Street Address |
31 UNION ST |
City | VERNON |
State | CT |
Zip Code | 06066-3126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013483007 | Rose Mary Ashner | Social Worker | 31 Union St, Vernon, CT 06066-3126 | 2018-10-17 |
1518476647 | Sequilla Carter | Registered Nurse | 31 Union St, Vernon, CT 06066-3126 | 2017-09-20 |
1740706027 | Aleksandra Belonick | Nurse Practitioner | 31 Union St, Vernon, CT 06066-3126 | 2017-08-17 |
1225487838 | Karen Mcgowan-cottle | Nurse Practitioner | 31 Union St, Vernon, CT 06066 | 2016-06-06 |
1205283538 | Prospect Rockville Hospital, Inc. | Clinic/Center | 31 Union St, Vernon, CT 06066-3126 | 2016-05-17 |
1780038620 | Shweta Kumar | Internal Medicine | 31 Union St, Vernon, CT 06066 | 2016-04-18 |
1699134445 | Amer Nabil | Nurse Practitioner | 31 Union St, Vernon, CT 06066-3126 | 2016-02-22 |
1144633546 | Manpreet Kaur | Psychiatry & Neurology | 31 Union St, Vernon, CT 06066-3126 | 2014-06-04 |
1770886400 | Sarah Ann Von Duntz | Social Worker | 31 Union St, Vernon, CT 06066-3126 | 2010-12-20 |
1023201589 | Mariela Podolski | Psychiatry & Neurology | 31 Union St, Vernon, CT 06066-3126 | 2007-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
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Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104267079 | Naveen Gnanabakthan | Hospitalist | 31 Union Street, Rockville General Hospital, Vernon, CT 06066 | 2013-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407338882 | Liming Zeng | Hospitalist | 38 Dundee Dr, Cheshire, CT 06410-1574 | 2018-09-03 |
1598171944 | Rabia Rizwan | Hospitalist | 224 Indian Ave, Bridgeport, CT 06606-4843 | 2014-07-07 |
1316273485 | Jennifer Brook | Hospitalist | 20 York Street (cb-2041), New Haven, CT 06510 | 2009-10-26 |
1124181904 | Keith Swan | Hospitalist | 20 York St # 2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2006-12-19 |
1558306340 | Anna Rodonski | Hospitalist | 20 York Steet, Cb-2041, New Haven, CT 06510 | 2006-06-17 |
1528016755 | Linda M. Hricz-borges | Hospitalist | 20 York Stree, Cb-2041, New Haven, CT 06510 | 2006-05-04 |
1346233079 | Wilton Medical Associates PC | Hospitalist | 20 Old Ridgefield Rd, Wilton, CT 06897-3012 | 2005-08-29 |
1295218733 | Alexis Laurie Volpe | Hospitalist | 24 Hospital Ave, Danbury, CT 06810 | 2018-09-11 |
1992287932 | Nicholas Horvath | Hospitalist | 24 Hospital Ave, Danbury, CT 06810 | 2018-09-06 |
1457833907 | Zoe Krause | Hospitalist | 24 Hospital Ave, Danbury, CT 06810-6077 | 2018-08-31 |
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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.