ANDREA F DOUGLAS (NPI# 1184656779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184656779 |
| Entity Type | Individual |
| Full Name | ANDREA F DOUGLAS |
| Credential | M.D. |
| Practice Address |
25 Valley Dr Greenwich CT 06831-5203 |
| Practice Telephone | 2036613333 |
| Practice Fax Number | 2036615610 |
| Mailing Telephone | 2036613333 |
| Mailing Fax Number | 2036615610 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 047780 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972267 | Andrea Douglas | Nurse Practitioner | 775 S Main St, Chelsea, MI 48118-1383 | 2020-05-04 |
| 1689188591 | Andrea Gabrielle Douglas | Pharmacist | 3350 Peachtree Rd Ne, Atlanta, GA 30326-1039 | 2017-11-30 |
| 1033510375 | Andrea Douglas | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2014-09-05 |
| 1609095199 | Andrea M Douglas | Physical Therapist | 251 Landis Ave, Suite 201, Chula Vista, CA 91910-2628 | 2007-04-24 |
| 1376585497 | Andrea Jean Douglas | Physician Assistant | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-06-12 |
| Street Address |
25 VALLEY DR |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073926747 | Courtney Elizabeth Raker | Pediatrics | 25 Valley Dr, #4, Greenwich, CT 06831-5203 | 2014-06-10 |
| 1740595792 | Tammy Wen-chun Lo | Nurse Practitioner | 25 Valley Dr, Greenwich, CT 06831-5203 | 2010-08-15 |
| 1407086762 | Connecticut Spine Institute LLC | Specialist | 25 Valley Dr, Greenwich, CT 06831-5203 | 2009-07-21 |
| 1609000595 | Lauren Paige Mendelsohn-levin | Pediatrics | 25 Valley Dr, Greenwich, CT 06831-5203 | 2009-05-07 |
| 1700022654 | Valley Pediatrics of Greenwich, LLC | Health Maintenance Organization | 25 Valley Dr, Greenwich, CT 06831-5203 | 2008-12-24 |
| 1467504993 | Anthony Wong | Physician Assistant | 25 Valley Dr, Greenwich, CT 06831-5203 | 2007-01-17 |
| 1215044672 | Jesus Santiago | Physician Assistant | 25 Valley Dr, Greenwich, CT 06831-5203 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396906418 | Ervin Eugene Hanson | Neurological Surgery | 7 Deer Park Ct, Greenwich, CT 06830-3803 | 2008-06-20 |
| 1801438031 | Mohamed Akli Zetchi | Neurological Surgery | 15 Valley Dr, Greenwich, CT 06831-5205 | 2019-10-09 |
| 1033318720 | Orthopaedic & Neurosurgery Specialists, Pllc | Neurological Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2007-07-13 |
| 1982719191 | Katrina Firlik | Neurological Surgery | 75 Holly Hill Ln, Greenwich, CT 06830-6098 | 2006-08-20 |
| 1073628293 | Greenwich Neurosurgery, P.C. | Neurological Surgery | 75 Holly Hill Ln, Greenwich, CT 06830-6098 | 2006-08-20 |
| 1386617892 | Scott L Simon | Neurological Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2006-02-08 |
| 1396717195 | Amory J Fiore | Neurological Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2006-02-06 |
| 1295706737 | Mark H Camel | Neurological Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2006-02-01 |
| 1265403927 | Paul Jon Apostolides | Neurological Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578801437 | David Silverstein | Neurological Surgery | 44 Dillon Rd, Woodbridge, CT 06525-1219 | 2013-01-27 |
| 1558627232 | Ali Reza Nourizadeh | Neurological Surgery | 50 Birch Hill Dr, New Britain, CT 06052-1804 | 2012-04-06 |
| 1295005643 | John A Calogero | Neurological Surgery | 148 Lawler Rd, West Hartford, CT 06117-2621 | 2012-01-03 |
| 1215255278 | Matthew John During | Neurological Surgery | 8 Nearwater Rd, Norwalk, CT 06853-1711 | 2010-05-13 |
| 1609010719 | Joshua Marcus | Neurological Surgery | 67 Sand Pit Rd Ste 208, Danbury, CT 06810-4032 | 2009-04-21 |
| 1851566228 | Arianne Jeaneve Boylan | Neurological Surgery | Yale Department of Neurosurgery, 333 Cedar Street, New Haven, CT 06520 | 2008-04-28 |
| 1235307125 | Orthopaedic Specialty Group | Neurological Surgery | 2 Enterprise Dr, Shelton, CT 06484-4600 | 2008-02-14 |
| 1245408137 | Orthopaedic Specialty Group | Neurological Surgery | 2909 Main Street, Stratford, CT 06614 | 2008-02-14 |
| 1477737328 | Patrick P Mastroianni Md PC | Neurological Surgery | 340 Capital Ave, Bridgeport, CT 06606 | 2007-12-27 |
| 1265621163 | Michael E Opalak Md PC | Neurological Surgery | 340 Capitol Avenue, Bridgeport, CT 06606 | 2007-10-17 |
| 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.