DIGESTIVE DISEASE ASSOCIATES, LLC (NPI# 1356480578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356480578 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE DISEASE ASSOCIATES, LLC |
| Practice Address |
229 Montowese St Branford CT 06405-3828 |
| Practice Telephone | 2034810315 |
| Practice Fax Number | 2034886945 |
| Mailing Telephone | 2034810315 |
| Mailing Fax Number | 2034886945 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2017-11-02 |
| Authorized Official Name | CHRISTOPHER DUNBAR ILLICK (PARTNER) |
| Authorized Official Telephone | 2034810315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004070314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400955 | Digestive Disease Associates, LLC | Anesthesiology | 700 Geipe Road Ste 230, Baltimore, MD 21228-4176 | 2019-08-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DIGESTIVE DISEASE ASSOCIATES, LLC | 229 Montowese Street, Branford, CT 06405 |
| Street Address |
229 MONTOWESE ST |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346209046 | Joseph Yu | Internal Medicine | 229 Montowese St, Branford, CT 06405-2821 | 2006-03-21 |
| 1164658555 | Michael Phillip Dorfman | Internal Medicine | 229 Montowese St, Branford, CT 06405-3828 | 2009-05-31 |
| 1427292614 | Keri Alissa Herzog | Internal Medicine | 229 Montowese St, Branford, CT 06405-3828 | 2009-05-01 |
| 1972758183 | Digestive Disease Associates Endoscopy Suite, LLC | Clinic/Center | 229 Montowese St, Branford, CT 06405-3828 | 2008-12-02 |
| 1609836998 | Christopher Dunbar Illick | Internal Medicine | 229 Montowese St, Branford, CT 06405-3828 | 2006-03-23 |
| 1477513760 | Jack Chuong | Internal Medicine | 229 Montowese St, Branford, CT 06405-2821 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119596 | Katarzyna Pavelko | Physical Therapist | Branford Hills, 189 Alps Rd, Branford, CT 06405 | 2020-03-13 |
| 1174027213 | C & M Health Services Branford LLC | Home Health | 625 East Main Street, Branford, CT 06405 | 2018-03-22 |
| 1689181554 | Erin H Mccarthy | Social Worker | 513 Leetes Island Rd, Branford, CT 06405 | 2018-01-02 |
| 1255860516 | Sylcom Angelscare LLC | In Home Supportive Care | 1204 Main Street #241, Branford, CT 06405 | 2017-06-08 |
| 1093266439 | Emmanuel Chery | Physical Therapy Assistant | 153 Austin Ryer Lane, Branford, CT 06405 | 2016-10-20 |
| 1114389681 | Suraj Patel | Pharmacist | 2-6 Short Beach Rd, Branford, CT 06405 | 2016-03-24 |
| 1558753897 | Donald Ray Sirry | Social Worker | 9 Business Park Drive, Unit 1, Branford, CT 06405 | 2015-02-24 |
| 1952679110 | Maria Rivera Heath Lmft, LLC | Marriage & Family Therapist | 388 East Main Street, Suite 19, Branford, CT 06405 | 2011-12-02 |
| 1942587035 | Kathryn Lyn Delia | Pharmacist | 329 East Main St, Branford, CT 06405 | 2011-11-03 |
| 1447554068 | Elizabeth's Home Health Care Agency L.L.C. | Home Health | 127 Cedar Street, Bronford, CT 06405 | 2010-12-23 |
| Find all providers in zip 06405 | ||||
| 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 |
|---|---|---|---|---|
| 1659331940 | Robert Michael Aaronson | Internal Medicine | 229 Montouese Street, Branford, CT 06405-2821 | 2006-03-23 |
| 1346209046 | Joseph Yu | Internal Medicine | 229 Montowese St, Branford, CT 06405-2821 | 2006-03-21 |
| 1164658555 | Michael Phillip Dorfman | Internal Medicine | 229 Montowese St, Branford, CT 06405-3828 | 2009-05-31 |
| 1427292614 | Keri Alissa Herzog | Internal Medicine | 229 Montowese St, Branford, CT 06405-3828 | 2009-05-01 |
| 1609836998 | Christopher Dunbar Illick | Internal Medicine | 229 Montowese St, Branford, CT 06405-3828 | 2006-03-23 |
| 1477513760 | Jack Chuong | Internal Medicine | 229 Montowese St, Branford, CT 06405-2821 | 2006-03-23 |
| 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.