FAIRFIELD COUNTY SURGICAL ASSOCIATES PC (NPI# 1316135130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316135130 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD COUNTY SURGICAL ASSOCIATES PC |
| Practice Address |
2900 Main St Suite 1f Stratford CT 06614-4946 |
| Practice Telephone | 2033784500 |
| Practice Fax Number | 2033788220 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | DR. SEAN DUERR (PRESIDENT) |
| Authorized Official Telephone | 2033784500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2900 MAIN ST SUITE 1F |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586057 | Sean Duerr | Surgery | 2900 Main St, Stratford, CT 06614-4946 | 2005-08-24 |
| 1932631074 | Amy Durinick | Speech-Language Pathologist | 2900 Main St, Stratford, CT 06614-4946 | 2017-03-29 |
| 1275065294 | Elizabeth Benz | Speech-Language Pathologist | 2900 Main St, Suite 1d, Stratford, CT 06614 | 2017-03-29 |
| 1497119317 | Sarah Blasius | Speech-Language Pathologist | 2900 Main St, Stratford, CT 06614-4946 | 2016-04-06 |
| 1700282209 | Stephanie Madonna Doyle | Occupational Therapist | 2900 Main St, Suite 1 D, Stratford, CT 06614-4946 | 2014-11-10 |
| 1174928535 | Alexander Degann | Occupational Therapist | 2900 Main St, Suite 1 D, Stratford, CT 06614-4946 | 2014-10-28 |
| 1427467919 | Donald Johnson | Physical Therapist | 2900 Main St, Suite 1d, Stratford, CT 06614-4946 | 2014-08-08 |
| 1073863932 | Whitney Russo | Physical Therapist | 2900 Main St, Suite 1d, Stratford, CT 06614-4946 | 2012-09-18 |
| 1730457128 | Maria Socci Mercado | Social Worker | 2900 Main St, Suite 1d, Stratford, CT 06614-4946 | 2011-12-13 |
| 1497050330 | David M. Pagar, D.d.s., P.C. | Clinic/Center | 2900 Main St, Suite 2e, Stratford, CT 06614-4946 | 2011-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586057 | Sean Duerr | Surgery | 2900 Main St, Stratford, CT 06614-4946 | 2005-08-24 |
| 1659754232 | Rahul Kumar Sharma | Surgery | 42 E Laurel Rd Ste 2600, Stratford, NJ 08084-1354 | 2015-07-01 |
| 1093153728 | Eve Solange Bruneau | Surgery | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2013-06-04 |
| 1235316597 | Thomas M Domanick Dpm | Surgery | 1825 Barnum Ave, Stratford, CT 06614-5333 | 2008-01-29 |
| 1487845301 | Umdnj-som | Surgery | 1 Medical Center Dr, Suite 162, Stratford, NJ 08084-1500 | 2007-08-06 |
| 1811967995 | Richard F Liszewski | Surgery | 42 Laurel Rd E, Udp #2500, Stratford, NJ 08084-1354 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168177 | Rebecca Pritchard | Surgery | 23 Woodside Ter, Milford, CT 06460-4252 | 2019-05-03 |
| 1518319458 | Muhammad Umer Afzaal | Surgery | 267 Grant St Fl St4, Bridgeport, CT 06610-2805 | 2016-07-04 |
| 1093175085 | Nicholas Mario Passarelli | Surgery | 88 Notch Hill Rd. Apt 183s, North Branford, CT 06471-1861 | 2016-03-03 |
| 1275912818 | David Christopher Aughton | Surgery | 538 Litchfield St Ste 201, Torrington, CT 06790-6669 | 2015-05-28 |
| 1174931463 | Jennifer Berry Matthesen | Surgery | 118 Good Hill Rd, Weston, CT 06883-2809 | 2014-07-30 |
| 1316378615 | Artem Dyatlov | Surgery | 2660 Main St Ste 110, Bridgeport, CT 06606-5301 | 2013-12-11 |
| 1669805974 | Robert John Mulcare | Surgery | 9 Cedarwood Dr, Greenwich, CT 06830-3904 | 2013-08-11 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1164764510 | William Stubenbord | Surgery | 25 Sunset Rd, Old Saybrook, CT 06475-2000 | 2013-03-25 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
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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.