STAMFORD GYNECOLOGY PC (NPI# 1275626673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275626673 |
Entity Type | Organization |
Organization Name | STAMFORD GYNECOLOGY PC |
Practice Address |
70 Mill River St Stamford CT 06902 |
Practice Telephone | 2033593340 |
Practice Fax Number | 2033594515 |
Mailing Telephone | 2033593340 |
Mailing Fax Number | 2033594515 |
Enumeration Date | 2006-09-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. PETER A GOODHUE (MD PRESIDENT) |
Authorized Official Telephone | 2033593340 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
9645 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM | 010009645CT01 | 01 | |
HEALTHNET | 022258 | 01 | |
CONNECTICARE | 774778 | 01 | |
OXFORD | ZP286 | 01 | |
SELECT PRO | CT0000025 | 01 | |
AETNA | 2152738 | 01 |
Street Address |
70 MILL RIVER ST |
City | STAMFORD |
State | CT |
Zip Code | 06902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730110107 | James M Mcclane | Surgery | 70 Mill River St, Stamford, CT 06902-3725 | 2006-07-05 |
1386976819 | Carl Dila Md LLC | Neurological Surgery | 70 Mill River St, Suite Ll3, Stamford, CT 06902-3725 | 2010-02-09 |
1073752531 | Jonathan N Lazare M.d, P.c | Preferred Provider Organization | 70 Mill River St, Stamford, CT 06902-3725 | 2009-02-06 |
1770730889 | Colon and Rectal Surgeons of Southern Connecticut LLC | Colon & Rectal Surgery | 70 Mill River St, Stamford, CT 06902-3725 | 2008-08-20 |
1518144211 | Peter Laforte M D P C | Ophthalmology | 70 Mill River St, Stamford, CT 06902-3725 | 2008-01-24 |
1477733798 | Peter Goodhue | Obstetrics & Gynecology | 70 Mill River St, Stamford, CT 06902-3725 | 2007-11-05 |
1114112737 | Retina Associates of Ct | Specialist | 70 Mill River St, Stamford, CT 06902-3725 | 2007-09-06 |
1720283492 | Neurological Surgeons of Stamford, P.C. | Specialist | 70 Mill River St, Ll3, Stamford, CT 06902-3725 | 2007-06-20 |
1780708826 | Philip A Piro | Specialist | 70 Mill River St, Stamford, CT 06902-3725 | 2007-03-16 |
1043369135 | Mr Optical, LLC | Technician/Technologist | 70 Mill River St, Stamford, CT 06902-3725 | 2007-01-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
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Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780021550 | Harold Jaime Sherrington | Obstetrics & Gynecology | 27 Iron Gate Rd, Stamford, CT 06903-3820 | 2013-06-03 |
1073847851 | Norwalk Gynecology Center LLC | Obstetrics & Gynecology | 107 Glenbrook Rd, Stamford, CT 06902-3001 | 2009-09-25 |
1902081011 | Silvio A Mandara Md | Obstetrics & Gynecology | 27 Oak St, Stamford, CT 06905-5342 | 2008-01-08 |
1477733798 | Peter Goodhue | Obstetrics & Gynecology | 70 Mill River St, Stamford, CT 06902-3725 | 2007-11-05 |
1467645754 | Rita Soledad Castillo | Obstetrics & Gynecology | 107 Glenbrook Rd, Stamford, CT 06902-3001 | 2007-08-21 |
1134292881 | Silvio Alexander Mandara | Obstetrics & Gynecology | 27 Oak St, Stamford, CT 06905-5342 | 2006-11-17 |
1457431934 | Scott G Chudnoff | Obstetrics & Gynecology | One Hospital Plaza, Stamford, CT 06904-9317 | 2006-10-17 |
1174534150 | John F Rodis | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2006-08-11 |
1992717938 | Tracy Shevell | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568870665 | Bruce Michael Kaplan | Obstetrics & Gynecology | 750 Hopmeadow St, Simsbury, CT 06070-2212 | 2014-08-01 |
1629492699 | David M. Satlof | Obstetrics & Gynecology | 22 Forest Hills Ln, West Hartford, CT 06117-1114 | 2014-02-12 |
1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
1285921189 | Stephanie Hammerich-hille | Obstetrics & Gynecology | 25 Newell Rd Ste E35, Bristol, CT 06010-5132 | 2011-06-30 |
1740576016 | Loredana Christine Cuccia | Obstetrics & Gynecology | 179 E Rocks Rd, House A, Norwalk, CT 06851-1726 | 2011-06-24 |
1801108253 | Roberta L. Kline, M.d., LLC | Obstetrics & Gynecology | 464 Stanley Dr, Glastonbury, CT 06033-2624 | 2010-07-13 |
1265669063 | Joseph A Welna | Obstetrics & Gynecology | 3 Rockridge Rd, New Britain, CT 06052-1848 | 2009-06-18 |
1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
1871785766 | Thames Gynecologic Group PC | Obstetrics & Gynecology | 425 Montauk Avenue, New London, CT 06320-4642 | 2007-08-14 |
1164643508 | Advanced Obgyn Care | Obstetrics & Gynecology | 35 Nod Rd Ste 201b, Avon, CT 06001-3826 | 2007-05-02 |
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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.