STAMFORD HEALTH MEDICAL GROUP, INC. (NPI# 1154633980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154633980 |
| Entity Type | Organization |
| Organization Name | STAMFORD HEALTH MEDICAL GROUP, INC. |
| Practice Address |
One Omega Drive Building 3, 2nd Floor Stamford CT 06907 |
| Mailing Address |
One Omega Drive Building 3, 2nd Floor Stamford CT 06907-2336 |
| Practice Telephone | 2032767447 |
| Practice Fax Number | 2032764350 |
| Mailing Telephone | 2032767447 |
| Mailing Fax Number | 2032764350 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | DR. RODRIGO ACOSTA (PRESIDENT) |
| Authorized Official Telephone | 2039772566 |
| Authorized Official Credential | MD |
| 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 | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 Summer St, 3rd Floor, Stamford, CT 06905 | 2032767447 | 2032764350 |
| Street Address |
ONE OMEGA DRIVE BUILDING 3, 2ND FLOOR |
| City | STAMFORD |
| State | CT |
| Zip Code | 06907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831272459 | Marietta Soulog Vergara | Internal Medicine | 743 Hope St, Stamford, CT 06907 | 2006-10-24 |
| 1073637724 | Greenwich Hospital | General Acute Care Hospital | 2015 West Main Street, Stanford, CT 06907 | 2007-03-19 |
| 1427092618 | Francis H. Kors | Anesthesiology | 34 Friars Ln, Stamford, CT 06907-1017 | 2006-06-16 |
| 1437532975 | Julie Costello | Pharmacist | 134 Prudence Dr, Stamford, CT 06907-1219 | 2015-07-01 |
| 1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
| 1154504736 | Tracey Ann Trecartin Reed | Nurse Practitioner | 28 Sterling Pl, Stamford, CT 06907-1335 | 2007-12-06 |
| 1942436381 | Erika Laverick | Speech-Language Pathologist | 78 Hidden Brook Dr, Stamford, CT 06907-1415 | 2009-05-29 |
| 1265876064 | Christina A Rowe | Registered Nurse | 14 River Pl, Apt 3, Stamford, CT 06907-1426 | 2013-04-23 |
| 1912113440 | Elissa H Stein | Counselor | 666 Glenbrook Rd, Stamford, CT 06907-1439 | 2007-05-14 |
| 1700010071 | Anne Bartelmo | Speech-Language Pathologist | 1307 Hope St, Apt A1, Stamford, CT 06907-1454 | 2009-05-14 |
| Find all providers in zip 06907 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578831525 | Alan Jule Ranhosky | General Practice | 2874 Long Ridge Rd, Stamford, CT 06903-1119 | 2011-12-06 |
| 1417262783 | Starlight Management Services Plus Corp | General Practice | 6 Landmark Sq, Stamford, CT 06901-2704 | 2010-08-11 |
| 1144422072 | Edward S Breakell | General Practice | 456 Woodbine Rd, Stamford, CT 06903-1901 | 2007-06-04 |
| 1730393307 | Stamford Primary Care, P.C. | General Practice | 1275 Summer St 107, Doctor's Private Office, Stamford, CT 06905 | 2007-05-10 |
| 1255786620 | Laura Gilroy | General Practice | One Hospital Plaza, Whittingham Pavilion, Stamford, CT 06904 | 2016-05-04 |
| 1255636635 | General Prize One Corp | General Practice | 1177 High Ridge Rd, Stamford, CT 06905-1221 | 2011-01-17 |
| 1881895324 | Stamford Primary Care, P.C. | General Practice | 1275 Summer Street, #107, Stamford, CT 06906 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029773 | Medexpress Primary Care Texas, P.a. | General Practice | 185 Asylum Street, City Place 1, Hartford, CT 06103-3408 | 2019-08-22 |
| 1225510571 | David Warren Boxwell | General Practice | 67 Church St., Suite 300, Norwich, CT 06360-0636 | 2018-09-04 |
| 1407234685 | Adrian Kenneth Wyllie | General Practice | 4 Research Pkwy, Wallingford, CT 06492-1929 | 2015-05-08 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| 1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
| 1811237142 | Jose Buhain | General Practice | 19 Judson Ave Apt 5d, Woodbury, CT 06798-2844 | 2013-02-23 |
| 1548520661 | Cynthia Zywocinski | General Practice | 92 Everit St, New Haven, CT 06511-1321 | 2012-05-23 |
| 1093071631 | Roger Joseph Branson | General Practice | 12 Woodcreek Rd, Bethlehem, CT 06751-1705 | 2012-04-09 |
| 1427323401 | Kevin David Wolter | General Practice | 43 Oxford Ct, Mystic, CT 06355-1705 | 2012-03-09 |
| 1144590191 | Richard John Annulli | General Practice | 1037 Valley Rd, New Canaan, CT 06840-2818 | 2012-01-09 |
| 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.