KATHRYN J QUINN (NPI# 1174524151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174524151 |
| Entity Type | Individual |
| Full Name | KATHRYN J QUINN |
| Credential | MD |
| Practice Address |
3180 Main St Suite G-1 Bridgeport CT 06606-4237 |
| Mailing Address |
1817 Black Rock Tpke Fairfield CT 06825-3546 |
| Practice Telephone | 2033717111 |
| Practice Fax Number | 2033725636 |
| Mailing Telephone | 2033717111 |
| Mailing Fax Number | 2033725636 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 042121 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001421213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548682669 | Kathryn Quinn | Pharmacist | 103 Lost Creek Loop, Prattville, AL 36067-4232 | 2014-01-08 |
| 1922364223 | Kathryn Arlene Quinn | Physical Therapy Assistant | 11599 N Open Ct, Hollywood, FL 33026-1150 | 2012-04-11 |
| 1114248408 | Kathryn E Quinn | Nurse Practitioner | 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 | 2010-06-21 |
| 1275774119 | Kathryn Denise Quinn | Counselor | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2009-03-23 |
| 1487626503 | Kathryn M Quinn | Nurse Practitioner | 920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 | 2006-02-02 |
| Street Address |
3180 MAIN ST SUITE G-1 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659884690 | Nova Vita Medical PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-11-13 |
| 1023535135 | Nova Vita Health Services PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-08-29 |
| 1922547769 | Raj Medical Diagnostics PC | Internal Medicine | 3180 Main St, Bridgeport, CT 06606-4237 | 2017-02-13 |
| 1467808121 | Day Physical Therapy Management LLC | Physical Therapist | 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 | 2016-05-11 |
| 1982020475 | Susan Krissel | Advanced Practice Midwife | 3180 Main St, Suite 202, Bridgeport, CT 06606-4237 | 2014-03-09 |
| 1477828606 | New England Orthotic & Prosthetic Systems, LLC | Durable Medical Equipment & Medical Supplies | 3180 Main St, Unit G, Bridgeport, CT 06606-4237 | 2012-03-21 |
| 1477838951 | Jeimy Bueno Canosa | Physical Therapist | 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 | 2011-10-17 |
| 1609014893 | Core Physical Therapy & Sports Medicine PC | Clinic/Center | 3180 Main St, Ste 303, 304, Bridgeport, CT 06606-4237 | 2009-01-27 |
| 1255589271 | Eric P Schmitt | Physical Therapist | 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 | 2008-09-03 |
| 1306004163 | Taryn Baer-shalev | Pediatrics | 3180 Main St, Bridgeport, CT 06606-4237 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083872865 | Janear Rochelle Anderson | Pediatrics | 1903 Doctors Hospital Dr, Suite 36, Bridgeport, TX 76426-2269 | 2008-05-28 |
| 1720179765 | Bradley D. Mitchell | Pediatrics | 139 Conference Center Way Ste 113, Bridgeport, WV 26330-9147 | 2006-09-27 |
| 1811097546 | Janet E. Cogar | Pediatrics | 900 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2006-09-23 |
| 1023127818 | Jennifer Jill Momen | Pediatrics | 11 Chenoweth Drive, Suite A, Bridgeport, WV 26330 | 2006-08-29 |
| 1134232143 | Andrea B Hagani | Pediatrics | 2600 Main St, Suite 215, Bridgeport, CT 06606-5305 | 2006-08-16 |
| 1801806799 | Taralyn Cronin-weir | Pediatrics | 4637 Main St, Suite #4, Bridgeport, CT 06606-1838 | 2006-08-09 |
| 1538178850 | Mukesh H Shah | Pediatrics | 3180 Main Street, Room 104, Bridgeport, CT 06606 | 2006-08-05 |
| 1366459299 | Brian Christopher Policano | Pediatrics | 7 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1887 | 2006-08-02 |
| 1912987702 | Pedro J. Malave | Pediatrics | 2475 North Ave, Bridgeport, CT 06604-2337 | 2006-01-18 |
| 1760936678 | Parth Bhatt | Pediatrics | 900 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2016-08-09 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.