GREATER BRIDGEPORT UROLOGY CENTER PC (NPI# 1437353505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437353505 |
| Entity Type | Organization |
| Organization Name | GREATER BRIDGEPORT UROLOGY CENTER PC |
| Practice Address |
425 Post Rd 2nd Floor Fairfield CT 06824 |
| Practice Telephone | 2032541576 |
| Practice Fax Number | 2032541809 |
| Mailing Telephone | 2032541576 |
| Mailing Fax Number | 2032541809 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2010-01-07 |
| Authorized Official Name | DR. LAWRENCE D. MULDOON (PRESIDENT GREATER BRIDGEPORT UROLOG) |
| Authorized Official Telephone | 2032541576 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 4067815 | 05 |
| Street Address |
425 POST RD 2ND FLOOR |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146802 | Gioia Jo Riccio | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2005-06-30 |
| 1730669920 | Angelina Angeli | Nurse Practitioner | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-08-16 |
| 1649778614 | Rdr Radiology LLC | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-01-25 |
| 1023528270 | Skylar Krystina Robinson | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-10-02 |
| 1083151898 | Brian Clancy | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-01-31 |
| 1962885368 | Deepthi Naik | Family Medicine | 425 Post Rd, Fairfield, CT 06824 | 2015-07-02 |
| 1225370901 | Eric Louis Alter | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2013-03-20 |
| 1356668669 | Steven V Kardos | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824-6232 | 2010-04-26 |
| 1144482308 | Nicholas Lillo | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2008-06-30 |
| 1619134269 | Matthew S Wosnitzer | Urology | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 | 2008-05-21 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235435637 | John David Anderson | Urology | 4469 Green Valley Road, Fairfield, CA 94534-1365 | 2011-02-02 |
| 1073691564 | Herkanwal S. Khaira | Urology | 1860 Pennsylvania Ave Ste 200, 200, Fairfield, CA 94533-3550 | 2006-11-01 |
| 1659316487 | Mark R Howard | Urology | 7921 Jessies Way, Fairfield, OH 45011-8077 | 2006-06-17 |
| 1700820776 | Kevin G Campbell | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2006-06-16 |
| 1942643820 | Matthew Love | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2013-04-10 |
| 1356600969 | Stephen Frederick Kappa | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2012-05-16 |
| 1356668669 | Steven V Kardos | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824-6232 | 2010-04-26 |
| 1073746459 | Tri State Urologic Services Psc Inc | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2009-09-01 |
| 1881856482 | Daniel Francis Robertshaw | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2008-06-26 |
| 1619134269 | Matthew S Wosnitzer | Urology | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 | 2008-05-21 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on GREATER BRIDGEPORT UROLOGY CENTER PC.
| 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.