MEAGHAN BRODERICK (NPI# 1205362324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205362324 |
| Entity Type | Individual |
| Full Name | MEAGHAN BRODERICK |
| Credential | M.D. |
| Practice Address |
One Hospital Plaza Stamford CT 06904 |
| Practice Telephone | 2032767464 |
| Practice Fax Number | 2032767020 |
| Mailing Telephone | 2032767464 |
| Mailing Fax Number | 2032767020 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
ONE HOSPITAL PLAZA |
| City | STAMFORD |
| State | CT |
| Zip Code | 06904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079116 | Girija Narayanaswamy | Internal Medicine | One Hospital Plaza, Stamford, CT 06904 | 2005-08-09 |
| 1134741598 | William J Phelan IIi | Respiratory Therapist, Registered | One Hospital Plaza, Respiratory Therapy Dept, Stamford, CT 06902 | 2020-05-08 |
| 1144756271 | Nicolle Burgwardt | Student in an Organized Health Care Education/Training Program | One Hospital Plaza, Stamford, CT 06904 | 2017-05-10 |
| 1265968382 | Brittany Davis | Student in an Organized Health Care Education/Training Program | One Hospital Plaza, Stamford, CT 06904 | 2017-05-10 |
| 1194171447 | Jessica Li | Student in an Organized Health Care Education/Training Program | One Hospital Plaza, Whittingham Pavilion, Stamford, CT 06904 | 2016-05-05 |
| 1255786620 | Laura Gilroy | General Practice | One Hospital Plaza, Whittingham Pavilion, Stamford, CT 06904 | 2016-05-04 |
| 1235514464 | Nicole Sabena Feagin | Physician Assistant | One Hospital Plaza, Stamford, CT 06904-9317 | 2015-07-29 |
| 1013326867 | Jennifer Lynn Teichman | Nurse Practitioner | One Hospital Plaza, Stamford, CT 06904-9317 | 2014-08-06 |
| 1790101269 | Donna Elizabeth O'hara | Nurse Practitioner | One Hospital Plaza, Stamford, CT 06904 | 2014-03-08 |
| 1528401288 | Sherry Ng | Family Medicine | One Hospital Plaza, Stamford, CT 06904-9317 | 2013-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669512570 | Dorothy M Turnbull | Emergency Medicine | 30 Shelburne Rd At West Broad Street, Stamford, CT 06904 | 2007-02-08 |
| 1992857072 | Daniel Jew | Physician Assistant | 30 Shelburne Rd., Stamford Hospital, Dept. of Cardiac Surgery, Stamford, CT 06904 | 2007-01-17 |
| 1508809161 | Maria Brea | Emergency Medicine | 30 Shelburne Road, Stamford, CT 06904 | 2006-06-13 |
| 1013421015 | Arlene Elizabeth Butler | Nurse Practitioner | 1 Hospital Plaza, 3rd Floor - Center Building, Stamford, CT 06904 | 2017-11-29 |
| 1003289471 | Caitlin Talbot | Physician Assistant | 1 Hospital Plaza, Stamford, CT 06904 | 2015-11-07 |
| 1235525650 | Marissa Novack | Student in an Organized Health Care Education/Training Program | 30 Shelburne Road, Stamford, CT 06904 | 2015-04-13 |
| 1003202425 | Kristin Mccoy | Student in an Organized Health Care Education/Training Program | 30 Shelburne Road, Stamford, CT 06904 | 2015-04-13 |
| 1528369907 | Michele L. Nelson-wilkins | Nurse Practitioner | 30 Shelburne Road, Stamford, CT 06904 | 2010-11-16 |
| 1699006783 | Maria Rivera | Nurse Practitioner | 30 Shelburne Rd, Stamford, CT 06904 | 2010-01-29 |
| 1336479898 | Joseph Elassal | Internal Medicine | 30 Shelburne Road, Stamford, CT 06904 | 2010-01-06 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116978 | Avery Iudice | Student in an Organized Health Care Education/Training Program | 116 Morgan St Apt 238a, Stamford, CT 06905-5441 | 2020-08-28 |
| 1548899966 | Jeffry Michael Velky | Student in an Organized Health Care Education/Training Program | 1201 Washington Blvd Apt 314, Stamford, CT 06902-2490 | 2020-04-07 |
| 1356801898 | Michelle Paige Greenman | Student in an Organized Health Care Education/Training Program | 147 Dogwood Ct, Stamford, CT 06903-4500 | 2019-03-21 |
| 1699197822 | Stephanie Joss Serpa | Student in an Organized Health Care Education/Training Program | 247 Soundview Ave, Stamford, CT 06902-7016 | 2014-01-07 |
| 1043646789 | Caroline S Blair | Student in an Organized Health Care Education/Training Program | 32 Strawberry Hill Ct., Suite 4, Stamford, CT 06902 | 2013-09-25 |
| 1568787760 | Adaobi Nnenna Kurylov | Student in an Organized Health Care Education/Training Program | 824 Hope St # A, Stamford, CT 06907-2527 | 2010-03-30 |
| 1619128469 | Alexander Luke Buls | Student in an Organized Health Care Education/Training Program | 120 Strawberry Hill Ave Apt 214, Stamford, CT 06902-2768 | 2008-10-09 |
| 1891950382 | Gerald Fung | Student in an Organized Health Care Education/Training Program | 1351 Washington Boulevard, 4th Floor, Stamford Hospital Family Medicine Residency Program, Stamford, CT 06902 | 2008-07-23 |
| 1730708587 | Lauren Page | Student in an Organized Health Care Education/Training Program | 1 Hospital Plz, Stamford, CT 06902-3602 | 2020-04-13 |
| 1437788692 | Marie Sullivan | Student in an Organized Health Care Education/Training Program | 1 Hospital Plz, Stamford, CT 06902-3602 | 2020-04-08 |
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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.