MRS. JILL WASSERMAN GULLIFORD (NPI# 1215982624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215982624 |
| Entity Type | Individual |
| Full Name | MRS. JILL WASSERMAN GULLIFORD |
| Other Name | MS. JILL NICOLE WASSERMAN |
| Credential | PA-C |
| Practice Address |
501 Kings Hwy E Suite 112 Fairfield CT 06825-4867 |
| Practice Telephone | 2033821900 |
| Practice Fax Number | 2033820019 |
| Mailing Telephone | 2033821900 |
| Mailing Fax Number | 2033820019 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
000773 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BLUE CROSS | 290000773CT01 | 01 |
| CT | HEALTH NET | 2V3798 | 01 |
| Street Address |
501 KINGS HWY E SUITE 112 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253990 | Fairfield Pediatrics Inc | Pediatrics | 501 Kings Hwy E, Ste 203, Fairfield, CT 06825 | 2005-08-31 |
| 1336653468 | Fairfield Public Schools | Local Education Agency (LEA) | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2017-11-28 |
| 1265757926 | Cathleen M Azarigian | Nurse Practitioner | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2010-04-06 |
| 1548421019 | Catherine Burdge | Nurse Practitioner | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2008-06-18 |
| 1871781047 | Primed, LLC | Durable Medical Equipment & Medical Supplies | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2007-10-12 |
| 1255525879 | Women's Quality Care Inc. | Specialist | 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 | 2007-08-28 |
| 1841493913 | Brian N King | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2007-06-07 |
| 1861514457 | Northeast Medical Group, Inc. | Clinic/Center | 501 Kings Hwy E, Suite 105, Fairfield, CT 06825-4867 | 2007-04-04 |
| 1871614826 | Luann Russo | Advanced Practice Midwife | 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 | 2007-04-03 |
| 1144301839 | David H Bushell | Internal Medicine | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659523561 | Lara Beth Kokenos | Physician Assistant | 425 Post Rd Fl 2, Fairfield, CT 06824-6232 | 2008-10-22 |
| 1780607945 | Jennifer M Nori | Physician Assistant | 93 Nonopoge Rd, Fairfield, CT 06825-7219 | 2006-07-26 |
| 1073945267 | Kelly M. Pitzer | Physician Assistant | 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 | 2013-07-30 |
| 1962787986 | Sweta G Dalsania | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2011-10-21 |
| 1881981348 | Petko Petkov Mitev | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2011-07-06 |
| 1295978930 | Marjorie Claudine Francis | Physician Assistant | 695 Us Highway 46 Ste 400a, Fairfield, NJ 07004-1568 | 2009-04-10 |
| 1023281664 | Carlo Opont | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2008-04-03 |
| 1336188127 | Matthew Donald Barr | Physician Assistant | 52 Beach Rd, Suite 207, Fairfield, CT 06824-6017 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798362 | Brandon H Kusako | Physician Assistant | 34 Maple St Dept Of, Norwalk, CT 06850-3815 | 2020-10-26 |
| 1073137097 | Page Renee Burns | Physician Assistant | 40 Bertrose Ave, Milford, CT 06460-5906 | 2020-06-05 |
| 1043848575 | Caitlin Ann Kimberly | Physician Assistant | 40 Avalon Dr Unit 6331, Milford, CT 06460-8956 | 2020-03-30 |
| 1699307199 | Lindy Carelli | Physician Assistant | 330 Washington St Ste 410, Norwich, CT 06360-2700 | 2020-02-12 |
| 1174166722 | Jacqueline Clarizio | Physician Assistant | 5520 Park Ave Ste 300, Trumbull, CT 06611-3465 | 2019-10-25 |
| 1699260109 | Kristen Jean Mosher | Physician Assistant | 31 Cloverdale Ave, Shelton, CT 06484-2538 | 2018-06-27 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1477964344 | Samuel Silva | Physician Assistant | 226 White St., Danbury, CT 06810 | 2014-05-14 |
| 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.