DR. KEVIN MICHAEL DWYER (NPI# 1417923210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417923210 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL DWYER |
| Credential | M.D. FACS |
| Practice Address |
30 Shelburne Rd Trauma Services Stamford CT 06902-3628 |
| Practice Telephone | 2032767467 |
| Practice Fax Number | 2032767020 |
| Mailing Telephone | 2032767467 |
| Mailing Fax Number | 2032767020 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2015-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 46891 | CT | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
46891 | CT | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
46891 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992274146 | Kevin Dwyer | Counselor | 2610 Greenbriar Ln, Annapolis, MD 21401-4424 | 2018-11-16 |
| 1063774859 | Kevin Thomas Dwyer | Emergency Medicine | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2012-06-08 |
| 1851511521 | Kevin William Dwyer | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-04-26 |
| 1063472892 | Kevin W. Dwyer | Radiology | 1507 W Main St, Gatesville, TX 76528-1024 | 2006-03-24 |
| Street Address |
30 SHELBURNE RD TRAUMA SERVICES |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351759 | Bo Xu | Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2005-10-27 |
| 1518311984 | Pankil Desai | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-04-21 |
| 1033571229 | Rami Al-aref | Surgery | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-25 |
| 1508228198 | Borna Dabiri | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-23 |
| 1073971735 | Tyler Ferraro | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-09 |
| 1376901256 | Vanie Mangal | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-05 |
| 1487023115 | Cynthia Degracia | Spec/Tech, Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-09-23 |
| 1154708873 | Kelly Fellows | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-05-01 |
| 1932595360 | Somera Chaudhry | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 | 2015-04-13 |
| 1043606486 | Chao Guo | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1285657825 | Robert T. Brautigam | Surgery | 85 Seymour St Ste 415, Hartford, CT 06106-5523 | 2006-07-25 |
| 1285611178 | Jeffrey M. Nicastro | Surgery | 111 Osborne St Ste 209, Danbury, CT 06810-6000 | 2005-12-30 |
| 1740727940 | Mamadi Keita | Surgery | 263 Farmington Ave, Farmington, CT 06030-3765 | 2017-01-25 |
| 1922411693 | Daniel Ricaurte | Surgery | 160 Robbins St, Waterbury, CT 06708-2652 | 2014-06-10 |
| 1972914737 | Tyler Jeremiah Jones | Surgery | 20 York St, New Haven, CT 06510 | 2014-05-14 |
| 1932429479 | Aditi M Kapil | Surgery | 800 Howard Ave, New Haven, CT 06519 | 2010-06-07 |
| 1669790622 | Melanie Kay Sion | Surgery | 330 Cedar St # Bb310, New Haven, CT 06510 | 2010-05-13 |
| 1083931166 | Heath Walden | Surgery | 111 Osborne St, Danbury, CT 06810-6000 | 2010-04-28 |
| 1942438445 | Kristen Glasgow | Surgery | 267 Grant St, Bridgeport, CT 06610-2805 | 2009-06-24 |
| 1851480800 | D'andrea K Joseph | Surgery | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-5037 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KEVIN MICHAEL DWYER.
| 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.