JOHN LEONARD MAIOCCO (NPI# 1154382968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154382968 |
| Entity Type | Individual |
| Full Name | JOHN LEONARD MAIOCCO |
| Credential | D.P.M. |
| Practice Address |
112 Quarry Rd Suite 420 Trumbull CT 06611-4848 |
| Practice Telephone | 2033743464 |
| Practice Fax Number | 2033721975 |
| Mailing Telephone | 2033743464 |
| Mailing Fax Number | 2033721975 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000462 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 40774621 | 05 |
| Street Address |
112 QUARRY RD SUITE 420 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277518 | Kristen M Broedlin | Nurse Practitioner | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2005-07-06 |
| 1386020238 | Kaitlyn O'brien | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-08-03 |
| 1427446970 | Lauren Marie Freer | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-01-07 |
| 1285067074 | Katherine M Masoud | Nurse Practitioner | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4816 | 2013-08-15 |
| 1588008007 | Donna Duris | Registered Nurse | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2013-04-26 |
| 1922347335 | Michelle Johnson | Nurse Practitioner | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4816 | 2013-02-05 |
| 1104189992 | Molain Saintilus | Internal Medicine | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4848 | 2012-06-18 |
| 1205069838 | Shubnum Singh | Nurse Practitioner | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2009-08-31 |
| 1033348255 | Hayley M Ball | Pharmacist | 112 Quarry Rd, Suite 280, Trumbull, CT 06611-4848 | 2009-07-09 |
| 1861647059 | Michael Patrick Pollock | Anesthesiology | 112 Quarry Rd, Trumbull, CT 06611-4848 | 2008-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159861 | Connecticut Orthopaedic Specialists, PC | Podiatrist | 888 White Plains Rd Ste 105&106, Trumbull, CT 06611-4552 | 2017-12-06 |
| 1992990196 | Foot Specialists of Trumbull LLC | Podiatrist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2007-09-11 |
| 1538272943 | Robert Anthony Eterno | Podiatrist | 112 Quarry Rd, Suite 420, Trumbull, CT 06611-4848 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686815 | Connecticut Podiatry Partners, Pllc | Podiatrist | 300 Church St Ste 203, Wallingford, CT 06492-2253 | 2020-03-31 |
| 1790293207 | New Canaan Podiatry LLC | Podiatrist | 107 Cherry St, New Canaan, CT 06840-5521 | 2018-01-18 |
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1497299408 | New England Foot Care LLC | Podiatrist | 351 Salmon Brook St, Granby, CT 06035-1804 | 2016-12-09 |
| 1588084362 | Stephen Lazaroff | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2014-04-21 |
| 1528493244 | Housatonic Valley Podiatric Center LLC | Podiatrist | 333 River Road, Shelton, CT 06484-5120 | 2013-09-12 |
| 1437494135 | Associated Podiatrists of Greenwich LLC | Podiatrist | 282 Railroad Avenue, Greenwich, CT 06830 | 2012-12-06 |
| 1689934739 | Advanced Footcare Center | Podiatrist | 189 Durham Rd, Guilford, CT 06437-2087 | 2012-05-23 |
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1285946426 | Manal Anz | Podiatrist | 333 River Rd, Shelton, CT 06484-4422 | 2010-07-03 |
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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.