DR. ROBIN B FORMAN ROSE (NPI# 1336287515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336287515 |
| Entity Type | Individual |
| Full Name | DR. ROBIN B FORMAN ROSE |
| Credential | D.O. |
| Practice Address |
195 Danbury Rd Wilton CT 06897-4075 |
| Practice Telephone | 2032768490 |
| Practice Fax Number | 2032768491 |
| Mailing Telephone | 2032768490 |
| Mailing Fax Number | 2032768491 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
45319 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
195 DANBURY RD |
| City | WILTON |
| State | CT |
| Zip Code | 06897-4075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151731 | Daniela M Walsh | Physical Therapist | 195 Danbury Rd, Building B, 2nd Floor, Wilton, CT 06897-4003 | 2005-11-16 |
| 1275717225 | Annie M Dino | Physical Therapist | 195 Danbury Rd, Suite 200, Wilton, CT 06897-4075 | 2007-12-27 |
| 1386719995 | Richard Sheinbaum | Internal Medicine | 195 Danbury Rd, Wilton, CT 06897-4075 | 2006-11-21 |
| 1023199940 | Bridgeport Anesthesia Associates, P.C. | Anesthesiology | 195 Danbury Rd, Wilton Surgery Center, Wilton, CT 06897-4003 | 2006-10-18 |
| 1013946656 | Craig David Serin | Internal Medicine | 195 Danbury Rd, Davenport Building, Suite 140, Wilton, CT 06897-4075 | 2006-07-03 |
| 1386607265 | Maria Clara Restrepo | Internal Medicine | 195 Danbury Rd, Wilton, CT 06897 | 2006-04-10 |
| 1609858414 | Alan Mervyn Radin | Internal Medicine | 195 Danbury Rd, Whitlock Building Suite 210, Wilton, CT 06897-4003 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191878 | Cefaly Us, Inc | Durable Medical Equipment & Medical Supplies | 187 Danbury Rd, 3rd Fl Riverside, Wilton, CT 06897 | 2018-07-24 |
| 1154747798 | Llonel Laxamana De Dios | Physical Therapist | 44 Old Ridgefield, Road Suite 213 Fox Rehab Connecticut Regional Office, Wilton, CT 06897 | 2014-03-06 |
| 1679911937 | Colleen Nee | Social Worker | 29 School St (route 107/redding Rd), Wilton, CT 06897 | 2013-06-10 |
| 1104123397 | Xin Wen Shi | Physical Therapist | 64 Danbury Road, Wilton, CT 06897 | 2011-02-24 |
| 1942434428 | Wilton Retirement Housing, LLC | Assisted Living Facility | 435 Danbury Rd., Wilton, CT 06897 | 2009-05-12 |
| 1891965257 | Ronald E. Ponchak, Pt, PC | Clinic/Center | 1 Danbury Road, Wilton, CT 06897 | 2008-03-01 |
| 1649478199 | Mary Steinowitz | Physical Therapist | 345 Belden Hill Road, Wilton, CT 06897 | 2007-07-06 |
| 1871708503 | Robin H Canter | Social Worker | 237 Danbury Road, Stillpoint Counseling, LLC, Wilton, CT 06897 | 2007-05-14 |
| 1073727541 | Elizabeth Rene Sirois | Occupational Therapy Assistant | 63 Danbury Road, Wilton, CT 06897 | 2007-05-10 |
| 1013132877 | Moore Center for Rehabilitation of Wilton, LLC | Physical Therapist | 37 Danbury Road, Wilton, CT 06897 | 2007-04-16 |
| Find all providers in zip 06897 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1386719995 | Richard Sheinbaum | Internal Medicine | 195 Danbury Rd, Wilton, CT 06897-4075 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730525734 | Benjamin Barbash | Internal Medicine | 888 White Plains Rd Ste 110, Trumbull, CT 06611-4552 | 2013-05-16 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1598109753 | Radhika Naga Ayyagari | Internal Medicine | Prime Healthcare PC, 44 Dale Rd, Avon, CT 06001-4320 | 2013-04-18 |
| 1205279247 | Jared Macklin | Internal Medicine | 800 Boston Post Rd Ste 201, Guilford, CT 06437 | 2013-04-09 |
| 1316209141 | Jenna Koliani-pace | Internal Medicine | 300 Western Blvd Ste A, Glastonbury, CT 06033-4305 | 2012-06-07 |
| 1891055323 | Martin H. Floch,m.d.pc | Internal Medicine | 32 Woody Ln, Westport, CT 06880-2259 | 2012-05-17 |
| 1720396567 | Breiter Tech Corp | Internal Medicine | 2842 Main St, Ste 309, Glastonbury, CT 06033-1077 | 2010-09-14 |
| 1275775058 | Donald E. Gullickson IIi | Internal Medicine | Uconn Health Center 263 Farmington Ave, Farmington, CT 06030-0001 | 2009-03-25 |
| 1356582571 | Miechelle L. O'brien | Internal Medicine | 111 Osborne Street- Ste 121, Danbury, CT 06810-6019 | 2009-03-18 |
| 1962656314 | Jefrey Salek | Internal Medicine | 79 Wawecus St., Suite 101, Norwich, CT 06360-2173 | 2008-11-12 |
| Find all providers with the same taxonomy | ||||
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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.