HARRY MA (NPI# 1174763957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174763957 |
| Entity Type | Individual |
| Full Name | HARRY MA |
| Credential | M.D./PHD |
| Practice Address |
495 Hawley Lane Suite 2a Stratford CT 06614 |
| Mailing Address |
495 Hawley Ln Suite 2a Stratford CT 06614-1514 |
| Practice Telephone | 2033752861 |
| Practice Fax Number | 2033755615 |
| Mailing Telephone | 2033752861 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 55618 | CT | Other Service Providers |
| N | 208600000X | Surgery | 241896 | MA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 248565-1 | NY | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD15597 | RI | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
55618 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
495 HAWLEY LANE SUITE 2A |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294772 | Paul Gagne | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2005-09-08 |
| 1184867723 | Michael A Sergi | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2009-04-13 |
| 1033318175 | Southern Connecticut Vascular Center, LLC | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2007-07-17 |
| 1164579181 | Lee J Goldstein | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2007-01-04 |
| 1205846243 | Marsel Huribal | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2006-08-09 |
| 1831160985 | Rowansom Vascular Lab | Surgery | 42 E Laurel Rd, Udp, Suite 2500, Stratford, NJ 08084-1354 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748953 | Usa Vascular Center of Connecticut Pllc | Surgery | 2284 Summer St, Stamford, CT 06905-4503 | 2020-10-23 |
| 1245839869 | Usa Vein Clinics of Connecticut Pllc | Surgery | 2284 Summer St Ste A, Stamford, CT 06905-4503 | 2020-10-23 |
| 1326385428 | Hossein L. Tehrani | Surgery | 49 East Hyerdale Drive, Goshen, CT 06756 | 2013-01-09 |
| 1922368810 | Megan Fritton Shue | Surgery | 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 | 2012-05-24 |
| 1932474053 | John E. Fenn | Surgery | 200 Leeder Hill Drive, #2603, Hamden, CT 06517 | 2012-03-22 |
| 1033366745 | Naiem Nassiri | Surgery | Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 | 2008-08-25 |
| 1407989569 | Christos G. Pappas | Surgery | 372 Danbury Rd Ste 220, Wilton, CT 06897-2523 | 2007-03-14 |
| 1477610913 | Stephen Marc Bauer | Surgery | 455 East Putnam Ave, Old Greenwich, CT 06870 | 2007-01-03 |
| 1114019098 | William Gething Crawford | Surgery | 21 Montauk Ave Ste 303, New London, CT 06320-4906 | 2006-09-29 |
| 1083713416 | Raul J. Guzman | Surgery | 330 Cedar St Bldg 204, New Haven, CT 06510 | 2006-09-22 |
| 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.