MS. THERESA INTEGRAL DY DJAMA (NPI# 1265828818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265828818 |
Entity Type | Individual |
Full Name | MS. THERESA INTEGRAL DY DJAMA |
Credential | DPM |
Practice Address |
64 Black Rock Ave Bridgeport CT 06605-1200 |
Practice Telephone | 2032783210 |
Mailing Telephone | 2035795000 |
Enumeration Date | 2015-04-10 |
Last Update Date | 2019-07-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1073 | CT | Podiatric Medicine & Surgery Service Providers |
Street Address |
64 BLACK ROCK AVE |
City | BRIDGEPORT |
State | CT |
Zip Code | 06605-1200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649269705 | Kris Kotsay | Dentist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2005-10-20 |
1063942555 | Keitra Thompson | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2017-06-15 |
1497283295 | Jenifer Schmitz | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605 | 2017-05-24 |
1093256091 | Miriam Feinstein | Physician Assistant | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2017-03-10 |
1154722403 | Marlene St Juste | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2014-09-05 |
1245647486 | Lissette I Cruz | Physician Assistant | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2014-07-21 |
1891123220 | Nicole Callagy | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2013-10-22 |
1063853638 | Aswani Daraboina | Internal Medicine | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2013-07-11 |
1932479409 | Optimus Health Care Inc | Clinic/Center | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2011-12-30 |
1912141136 | Luz Evelyn Omondi | Internal Medicine | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2009-05-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
Find all providers in zip 06605 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730367558 | Eric A. Levine, Dpm | Podiatrist | 325 Jewett Ave, Bridgeport, CT 06606-2827 | 2008-02-04 |
1750507141 | Howard Wayne Harinstein | Podiatrist | 4695 Main Street, Bridgeport, CT 06606-1802 | 2007-04-17 |
1396856548 | Mark Alan Schickler | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2006-08-31 |
1053326488 | Tina Marie Chieco-schwartz | Podiatrist | 2320 Main St, Bridgeport, CT 06606-5373 | 2006-07-31 |
1427304146 | Bevan Kurthy Hollingsworth | Podiatrist | 267 Grant St, Bridgeport, CT 06610-2805 | 2012-07-31 |
1649566092 | Kristen Mcginness | Podiatrist | 267 Grant St, Bridgeport, CT 06610-2805 | 2011-06-23 |
1750680153 | Naomie Legagneur | Podiatrist | 46 Albion St, Bridgeport, CT 06605-2602 | 2011-03-24 |
1457526980 | R Daniel Davis & Mark Schickler Family Podiatry Center | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2008-04-25 |
1043498009 | Howard W Harinstein | Podiatrist | 4695 Main St, Suite 15, Bridgeport, CT 06606-1802 | 2008-02-01 |
1861682122 | Sahani C Howie | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2007-08-01 |
Find all providers in BRIDGEPORT |
City | BRIDGEPORT |
Zip Code | 06605 |
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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.