DR. CHRISTINA MARY SMILLIE (NPI# 1356404578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356404578 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA MARY SMILLIE |
| Credential | MD |
| Practice Address |
2505 Main St Suite 223 Stratford CT 06615-5839 |
| Practice Telephone | 2033755812 |
| Mailing Telephone | 2033755812 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 22205 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AS9402633 | 01 | |
| CT | CONTROLLED SUBSTANCE REG | 9598 | 01 |
| CT | MEDICAL LICENSE | 22205 | 01 |
| Street Address |
2505 MAIN ST SUITE 223 |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-5839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366414237 | Robert Joseph Hurley | Social Worker | 2505 Main St, Ste 208, Stratford, CT 06615-5813 | 2006-02-06 |
| 1033716378 | Andrew J Pesale | Chiropractor | 2505 Main St, Stratford, CT 06615-5839 | 2020-10-08 |
| 1881236941 | Kaelyn Mead | Chiropractor | 2505 Main St, Stratford, CT 06615-5839 | 2019-10-10 |
| 1730631979 | Ashley Frisina-deyo | Specialist/Technologist | 2505 Main St, Stationhouse Sq #207, Stratford, CT 06615-5839 | 2016-11-03 |
| 1609112143 | Susan Marie Iwinski | Lactation Consultant, Non-RN | 2505 Main St, Suite 223, Stratford, CT 06615-5839 | 2013-01-02 |
| 1306111018 | George Wassell Jr. | Counselor | 2505 Main St, Stratford, CT 06615-5839 | 2012-03-13 |
| 1275761918 | Grover Opticians | Technician/Technologist | 2505 Main St, Stratford, CT 06615-5839 | 2009-07-01 |
| 1760616478 | Brian William Grover | Technician/Technologist | 2505 Main St, Stratford, CT 06615-5839 | 2009-05-08 |
| 1942477161 | Pesale Chiropactic, LLC | Chiropractor | 2505 Main St, Stationhouse Square, Stratford, CT 06615-5839 | 2008-05-15 |
| 1891963146 | Dana Lynn Jusino | Specialist/Technologist | 2505 Main St, Stationhouse Square 207, Stratford, CT 06615-5839 | 2008-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336591635 | Lauren Deutsch | Pediatrics | 42 E Laurel Rd Ste 2500, Stratford, NJ 08084-1354 | 2016-07-11 |
| 1609989680 | Amanda Rodriguez-murphy | Pediatrics | 2876 Main St, Stratford, CT 06614-4936 | 2006-08-16 |
| 1881628436 | Gerda Augustin | Pediatrics | 321 Yale Ave Ste D, Stratford, NJ 08084-1247 | 2006-07-10 |
| 1508892829 | Laurie R. Bruner | Pediatrics | 42 E Laurel Rd Ste 3500, Stratford, NJ 08084-1354 | 2006-06-26 |
| 1205806957 | Tanya Kadrmas-iannuzzi | Pediatrics | 42 E Laurel Rd Suite 2500, Stratford, NJ 08084-1354 | 2006-01-25 |
| 1194727958 | Eduardo Figueroa | Pediatrics | 2499 Main St, Stratford, CT 06615-5843 | 2005-08-11 |
| 1902279607 | Primary Care Physicians of Stratford, LLC | Pediatrics | 2890 Main St, Suite 2a, Stratford, CT 06614-4980 | 2015-11-04 |
| 1063711729 | Rachel Isabel Silliman Cohen | Pediatrics | 42 E Laurel Rd Ste 1100, Stratford, NJ 08084-1354 | 2011-03-21 |
| 1376771337 | Stratford Pediatrics, Inc. | Pediatrics | 2499 Main St, Stratford, CT 06615-5843 | 2009-06-29 |
| 1285801894 | Stephanie Valentine Lanese | Pediatrics | 42 E Laurel Rd, Udp #1100, Stratford, NJ 08084-1354 | 2008-05-13 |
| Find all providers in STRATFORD | ||||
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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.