MEGAN ARTHUR MASK (NPI# 1255660247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255660247 |
| Entity Type | Individual |
| Full Name | MEGAN ARTHUR MASK |
| Credential | PA-C |
| Practice Address |
30 Buxton Farm Rd Stamford CT 06905-1224 |
| Practice Telephone | 2033227070 |
| Practice Fax Number | 2033222389 |
| Mailing Telephone | 2033227070 |
| Mailing Fax Number | 2033222389 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2015-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3077 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085004279 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
005657 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 2234308 | 01 |
| IL | IL LICENSE | 085004279 | 01 |
| GA | GA LICENSE | 005657 | 01 |
| CT | CT LICENSE | 3077 | 01 |
| Street Address |
30 BUXTON FARM RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982769600 | Soohyun Nam | Nurse Practitioner | 30 Buxton Farm Rd, Stamford, CT 06905 | 2006-12-22 |
| 1043874076 | Alexandra Van Duyne | Behavioral Analyst | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2019-04-25 |
| 1457823916 | Evangelina Baez | Behavioral Analyst | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2018-12-21 |
| 1144725656 | Kempton Brisport | Social Worker | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2018-03-27 |
| 1205331618 | Christy Jean Lanieri | Occupational Therapist | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2018-03-27 |
| 1760986079 | Tajhma Dashawn Burroughs | Occupational Therapist | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905 | 2018-03-21 |
| 1437659646 | Diane Zettergren | Occupational Therapist | 30 Buxton Farm Rd, Suite #230, Stamford, CT 06905 | 2018-02-14 |
| 1831606615 | Megan Micola | Physical Therapist | 30 Buxton Farm Rd, Suite #230, Stamford, CT 06905 | 2018-01-03 |
| 1457877417 | Kelly Pombo | Physical Therapist | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905 | 2017-08-21 |
| 1770009722 | Juana Torres | Occupational Therapy Assistant | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905 | 2017-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280065 | Carly Wachtel | Physician Assistant | 28650 State Highway 23, Stamford, NY 12167-1712 | 2019-08-16 |
| 1255844197 | Philease J Martin | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2017-11-14 |
| 1366999856 | Brianna Faust | Physician Assistant | 1 Hospital Plaza, Stamford Hospital - Emergency Department, Stamford, CT 06902 | 2016-09-01 |
| 1396154233 | Sarah Spring | Physician Assistant | 1 Blachley Rd, Stamford, CT 06902-0002 | 2014-08-05 |
| 1821389040 | Betty Exume | Physician Assistant | One Hospital Plaza, Stamford, CT 06904 | 2011-04-21 |
| 1134445760 | Michael Adam Bergman | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2010-04-07 |
| 1205159290 | Christopher Joseph Palkimas | Physician Assistant | 945 Summer St Fl 3, Stamford, CT 06905-5557 | 2010-03-05 |
| 1982746707 | Kathleen Anne O'connor | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2007-02-12 |
| 1649351602 | Shilpa Desai | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2006-10-18 |
| 1427142058 | Albert Anthony Luongo | Physician Assistant | 32 Strawberry Hill Ct, Suite 41052, Stamford, CT 06902-2594 | 2006-10-03 |
| Find all providers in STAMFORD | ||||
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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.