VICTOR M. MEJIA (NPI# 1245228956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245228956 |
| Entity Type | Individual |
| Full Name | VICTOR M. MEJIA |
| Credential | M.D. |
| Practice Address |
112 Quarry Rd Suite 400 Trumbull CT 06611-4816 |
| Practice Telephone | 2033338800 |
| Practice Fax Number | 2033336054 |
| Mailing Telephone | 2033338800 |
| Mailing Fax Number | 2033336054 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2016-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0044597 | CT | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD419702 | PA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0044597 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578193231 | Victor N/a Mejia I | Non-emergency Medical Transport (VAN) | 648 N Meridian St, Hemet, CA 92544-1854 | 2020-01-22 |
| 1750383949 | Victor E Mejia | Internal Medicine | 1407 Avenue F, Bogalusa, LA 70427-4340 | 2005-06-01 |
| Street Address |
112 QUARRY RD SUITE 400 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277518 | Kristen M Broedlin | Nurse Practitioner | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2005-07-06 |
| 1386020238 | Kaitlyn O'brien | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-08-03 |
| 1427446970 | Lauren Marie Freer | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-01-07 |
| 1285067074 | Katherine M Masoud | Nurse Practitioner | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4816 | 2013-08-15 |
| 1588008007 | Donna Duris | Registered Nurse | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2013-04-26 |
| 1922347335 | Michelle Johnson | Nurse Practitioner | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4816 | 2013-02-05 |
| 1104189992 | Molain Saintilus | Internal Medicine | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4848 | 2012-06-18 |
| 1205069838 | Shubnum Singh | Nurse Practitioner | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2009-08-31 |
| 1033348255 | Hayley M Ball | Pharmacist | 112 Quarry Rd, Suite 280, Trumbull, CT 06611-4848 | 2009-07-09 |
| 1861647059 | Michael Patrick Pollock | Anesthesiology | 112 Quarry Rd, Trumbull, CT 06611-4848 | 2008-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467710657 | Andrew Beck | Internal Medicine | 112 Quarry Rd Ste 400, Trumbull, CT 06611-4877 | 2012-04-25 |
| 1801855721 | Jeffrey Berman | Internal Medicine | 115 Technology Dr Unit C300, Trumbull, CT 06611-6347 | 2006-03-20 |
| 1437293867 | Sik Hur | Internal Medicine | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2007-02-18 |
| 1316088248 | Gregory S Bloom | Internal Medicine | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2007-02-12 |
| 1629173133 | David Lorenz | Internal Medicine | 115 Technology Dr, Trumbull, CT 06611-6337 | 2006-09-13 |
| 1689778144 | Karl Alcan | Internal Medicine | 115 Technology Dr, Trumbull, CT 06611-6337 | 2006-09-12 |
| 1689781825 | Robert Jumper | Internal Medicine | 115 Technology Dr, Trumbull, CT 06611-6337 | 2006-08-24 |
| 1457315376 | Jared G Selter | Internal Medicine | 115 Technology Dr Unit C300, Trumbull, CT 06611-6347 | 2006-04-17 |
| 1427057991 | Craig S Werner | Internal Medicine | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2005-07-18 |
| 1417956012 | Kevin K Lenhart | Internal Medicine | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2005-07-18 |
| Find all providers in TRUMBULL | ||||
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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.