STEPHANIE JANE OERTEL (NPI# 1164933750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164933750 |
| Entity Type | Individual |
| Full Name | STEPHANIE JANE OERTEL |
| Credential | PA |
| Practice Address |
1285 E Putnam Ave Riverside CT 06878 |
| Mailing Address |
1285 E Putnam Ave Riverside CT 06878-1528 |
| Practice Telephone | 2036370662 |
| Mailing Telephone | 2036370662 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 023090 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 03992 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 131 Kings Hwy N, Westport, CT 068802439 | 2032210102 | 2032211121 |
| Street Address |
1285 E PUTNAM AVE |
| City | RIVERSIDE |
| State | CT |
| Zip Code | 06878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669757050 | Bozena Valencic | Pharmacist | 1333 East Putnam Avenue, Riverside, CT 06878 | 2011-10-17 |
| 1245520485 | Sonya N Joseph | Psychiatry & Neurology | 7 Meyer Place, River Side, CT 06878 | 2011-04-08 |
| 1487964037 | Alex E Lash | Special Hospital | 23 Westview Place, Riverside, CT 06878 | 2010-10-18 |
| 1578780516 | Angelo Milazzo | Dentist | 1212 East Putnam Ave, Greenwich, CT 06878 | 2007-04-19 |
| 1720168347 | Neil N Boside | Internal Medicine | 1200 East Putnam Ave, 2nd Floor, Riverside, CT 06878 | 2006-10-17 |
| 1447534094 | Elam H. Joseph | Anesthesiology | 7 Meyer Place, Riverside, CT 06878 | 2011-09-30 |
| 1508186651 | Prabaakar Reddy | Internal Medicine | 1200 East Putnam Ave, Greewich Walk In Medical Ctr, Riverside, CT 06878 | 2010-06-10 |
| 1295275808 | Eastern Comprehensive Medical Services | Specialist | 106 Sheephill Rd, Riverside, CT 06878-1120 | 2017-03-01 |
| 1871961649 | Diane Chiappetta Fox | Speech-Language Pathologist | 40 Bonwit Rd, Riverside, CT 06878-1215 | 2015-09-09 |
| 1639110588 | Triumph Marketing Group, LLC | Durable Medical Equipment & Medical Supplies | 1117 E Putnam Ave, No. 191, Riverside, CT 06878-1333 | 2006-06-10 |
| Find all providers in zip 06878 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307274 | Adriana Romo | Physician Assistant | 4100 Central Ave Ste 102, Riverside, CA 92506-2930 | 2019-10-14 |
| 1861059784 | Sean Jackson | Physician Assistant | 16851 Tava Ln, Riverside, CA 92504-5809 | 2019-05-27 |
| 1518449503 | Morgan Pilar Goodson | Physician Assistant | 7278 Westport St, Riverside, CA 92506-6163 | 2018-09-05 |
| 1194230334 | Helen Zhu | Physician Assistant | 7158 Foxcroft St, Riverside, CA 92506-6125 | 2017-12-11 |
| 1467800649 | Ann Gielyn Konzem | Physician Assistant | 17301 Palm Rd, Riverside, CA 92503-7501 | 2016-05-29 |
| 1396108189 | Chelsea Hardesty | Physician Assistant | 4646 Brockton Ave Ste 302, Riverside, CA 92506-0172 | 2016-03-30 |
| 1093191504 | Brian Montgomery | Physician Assistant | 5976 Omega St, Riverside, CA 92506-4744 | 2015-08-06 |
| 1851770721 | Safarini Njambi Nyaggah | Physician Assistant | 8439 Manuel Rd, Riverside, CA 92508-2928 | 2015-05-26 |
| 1124457015 | Tiffany Peraino | Physician Assistant | 5225 Canyon Crest Dr # 71-221, Riverside, CA 92507-6301 | 2013-11-01 |
| 1902175623 | Lisa Antoinette Asfahani | Physician Assistant | 21832 Cactus Ave., Riverside, CA 92518 | 2011-12-27 |
| Find all providers in RIVERSIDE | ||||
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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.