DR. LESLIE MARK KUTCHER (NPI# 1396790960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396790960 |
| Entity Type | Individual |
| Full Name | DR. LESLIE MARK KUTCHER |
| Credential | M.D. |
| Practice Address |
52 Beach Rd Suite 207 Fairfield CT 06824-6017 |
| Mailing Address |
255 Bayview Blvd Stratford CT 06615-7921 |
| Practice Telephone | 2032552003 |
| Practice Fax Number | 2033197583 |
| Mailing Telephone | 2033457109 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
021151 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BLUE CROSS | 010021151CT01 | 01 |
| CT | HEALTH NET | 0V5161 | 01 |
| CT | CONNECTICARE | 521151 | 01 |
| CT | OXFORD | ZS220 | 01 |
| Street Address |
52 BEACH RD SUITE 207 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346207727 | Edward Pinto | Specialist | 52 Beach Rd, Fairfield, CT 06824-6017 | 2006-04-28 |
| 1285085886 | Marina Mathew | Physician Assistant | 52 Beach Rd, Fairfield, CT 06824-6017 | 2016-06-24 |
| 1417324229 | Contemporary Tms of Fairfield LLC | Psychiatry & Neurology | 52 Beach Rd, Suite 204 B, Fairfield, CT 06824-6017 | 2015-08-27 |
| 1871861625 | Ryan John Dillon | Nurse Practitioner | 52 Beach Rd, Fairfield, CT 06824-6641 | 2011-12-08 |
| 1417194671 | Nirmala L Monteiro Md LLC | Internal Medicine | 52 Beach Rd, Suite 107, Fairfield, CT 06824-6017 | 2009-01-09 |
| 1265694707 | Kristan Ann Sikorski | Internal Medicine | 52 Beach Rd, Suite 102, Fairfield, CT 06824-6017 | 2008-06-26 |
| 1063671881 | Laura M Bishop | Physical Therapist | 52 Beach Rd, Suite 207, Fairfield, CT 06824-6017 | 2008-06-06 |
| 1497914626 | Mary Kisseberth Bedson | Physical Therapist | 52 Beach Rd, Suite 207, Fairfield, CT 06824-6017 | 2008-06-03 |
| 1003082009 | Dr Leslie R Miller PC | Family Medicine | 52 Beach Rd, Fairfield, CT 06824-6017 | 2008-04-30 |
| 1548432164 | Mark Waynik Md LLC | Psychiatry & Neurology | 52 Beach Rd, Suite 104, Fairfield, CT 06824 | 2008-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1841807161 | New Jersey Vascular LLC | Surgery | 410 Us Highway 46, Fairfield, NJ 07004-1972 | 2020-09-30 |
| 1457625055 | North Bay Cardiac Thoracic and Vascular Surgery Inc | Surgery | 1860 Pennsylvania Ave, Suite 110, Fairfield, CA 94533-3590 | 2012-02-28 |
| 1124346481 | Andrew Raymond Baxter | Surgery | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2010-05-12 |
| 1841493913 | Brian N King | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2007-06-07 |
| 1700825593 | James V Lettera | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2006-06-06 |
| 1063451201 | Paul Dean Demartini | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2006-06-05 |
| 1477508778 | Seth Barak Blattman | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748953 | Usa Vascular Center of Connecticut Pllc | Surgery | 2284 Summer St, Stamford, CT 06905-4503 | 2020-10-23 |
| 1245839869 | Usa Vein Clinics of Connecticut Pllc | Surgery | 2284 Summer St Ste A, Stamford, CT 06905-4503 | 2020-10-23 |
| 1326385428 | Hossein L. Tehrani | Surgery | 49 East Hyerdale Drive, Goshen, CT 06756 | 2013-01-09 |
| 1922368810 | Megan Fritton Shue | Surgery | 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 | 2012-05-24 |
| 1932474053 | John E. Fenn | Surgery | 200 Leeder Hill Drive, #2603, Hamden, CT 06517 | 2012-03-22 |
| 1033366745 | Naiem Nassiri | Surgery | Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 | 2008-08-25 |
| 1407989569 | Christos G. Pappas | Surgery | 372 Danbury Rd Ste 220, Wilton, CT 06897-2523 | 2007-03-14 |
| 1477610913 | Stephen Marc Bauer | Surgery | 455 East Putnam Ave, Old Greenwich, CT 06870 | 2007-01-03 |
| 1114019098 | William Gething Crawford | Surgery | 21 Montauk Ave Ste 303, New London, CT 06320-4906 | 2006-09-29 |
| 1083713416 | Raul J. Guzman | Surgery | 330 Cedar St Bldg 204, New Haven, CT 06510 | 2006-09-22 |
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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.