STEPHEN J SIEGEL (NPI# 1376570168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376570168 |
| Entity Type | Individual |
| Full Name | STEPHEN J SIEGEL |
| Credential | MD |
| Practice Address |
80 Shunpike Rd Suite 301 Cromwell CT 06416-4401 |
| Mailing Address |
28 Crescent St Middletown CT 06457-3654 |
| Practice Telephone | 8606325570 |
| Practice Fax Number | 8603588650 |
| Mailing Telephone | 8603584820 |
| Mailing Fax Number | 8603588661 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2017-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 039774 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1397745 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588637391 | Stephen A Siegel | Internal Medicine | 245 E 35th St, New York, NY 10016 | 2006-02-10 |
| 1740290105 | Stephen David Siegel | Internal Medicine | 3 E 71st St, 1b, New York, NY 10021-4154 | 2006-08-09 |
| 1457391013 | Stephen M Siegel | Internal Medicine | 750 Main St, Suite 205, Reisterstown, MD 21136-2515 | 2006-06-08 |
| 1902860091 | Stephen B Siegel | Urology | 2750 Broadway St, Boulder, CO 80304-3573 | 2006-04-14 |
| 1871591560 | Stephen Robert Siegel | Internal Medicine | 310 E Shore Rd, 206, Great Neck, NY 11023-2432 | 2005-07-07 |
| Street Address |
80 SHUNPIKE RD SUITE 301 |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216787 | Linda J Weiss | Family Medicine | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2005-12-16 |
| 1740812965 | Patrick J Teevan | Physical Therapist | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2020-02-05 |
| 1356905590 | Daniela Calle | Nurse Practitioner | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2019-04-23 |
| 1649747379 | Nicole Lussier | Physical Therapist | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2018-10-31 |
| 1003359449 | Ania Mitchell | Dietitian, Registered | 80 Shunpike Rd, Unit 101a, Cromwell, CT 06416-4402 | 2016-12-01 |
| 1336697200 | Jaime Bliss Guilmette, Lcsw, LLC | Social Worker | 80 Shunpike Rd, Suite 207, Cromwell, CT 06416-4401 | 2016-09-20 |
| 1114303021 | Elizabeth Prager | Physical Therapist | 80 Shunpike Rd, Suite 202, Cromwell, CT 06416-4401 | 2015-08-03 |
| 1114326261 | Marguerite Lamb | Nurse Practitioner | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2014-08-14 |
| 1568704757 | Dynamic Therapies | Counselor | 80 Shunpike Rd, Suite 206, Cromwell, CT 06416-4401 | 2013-03-26 |
| 1174888390 | Kristen Donato | Family Medicine | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2012-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216787 | Linda J Weiss | Family Medicine | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2005-12-16 |
| 1144223629 | Susan W. Benzie | Family Medicine | 5565 Hwy. 210, Cromwell, MN 55726-0116 | 2005-05-27 |
| 1992708564 | Kelly J. Goeb | Family Medicine | 5565 Highway 210, Cromwell, MN 55726-8171 | 2005-05-27 |
| 1154324820 | Shawn F Bode | Family Medicine | 5565 Hwy 210, Cromwell Medical Clinic, Cromwell, MN 55726-0116 | 2005-05-24 |
| 1174888390 | Kristen Donato | Family Medicine | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2012-07-13 |
| 1851554349 | Nikolaos Vassiliou | Family Medicine | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2008-07-07 |
| 1679736169 | Cristina M Tellechea | Family Medicine | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2008-07-07 |
| 1346371465 | Malisa Lynn Lahtinen | Family Medicine | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2007-03-08 |
| 1508800806 | Marta J Kroo | Family Medicine | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638299 | Alyssa Mary Brown | Family Medicine | 82 Welles Dr, Newington, CT 06111-2625 | 2020-10-29 |
| 1598370389 | Korinne Fern Croce X | Family Medicine | 52 Meadowood Dr, New Milford, CT 06776-5732 | 2020-09-09 |
| 1619580263 | Chelsea Nicole Alves | Family Medicine | 111 Connecticut Blvd, East Hartford, CT 06108-3015 | 2020-08-24 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1598397192 | Healthmed Family Care | Family Medicine | 1209 S Broad St, Wallingford, CT 06492-1714 | 2020-02-11 |
| 1457991333 | Diane Iannini | Family Medicine | 16 Bridge End Farm Ln, Sandy Hook, CT 06482-1055 | 2020-01-08 |
| 1396382685 | Optimum Regenerative Care LLC | Family Medicine | 46 Benson Dr, Danbury, CT 06810-7231 | 2019-12-05 |
| 1801455761 | Steven John Rigatti | Family Medicine | 157 Uconn Ave, Glastonbury, CT 06033-1348 | 2019-06-13 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1336703586 | Shazia Josephine Joseph | Family Medicine | 12 Village St Ste 5, North Haven, CT 06473-3828 | 2019-04-23 |
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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.