TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK (NPI# 1457531733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457531733 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK |
| Other Organization Name | STAMFORD HOSPITAL HEART AND VASCULAR INSTITUTE |
| Practice Address |
30 Shelburne Rd Box 9317 Stamford CT 06902-3628 |
| Mailing Address |
177 Fort Washington Ave Mh7 - Suite 435 New York NY 10032-3733 |
| Practice Telephone | 2032764400 |
| Mailing Telephone | 2123058312 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | DR. LEE GOLDMAN (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 2123052752 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Stamford Hospital Heart and Vascular Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568017317 | Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 693 White Plains Rd, Eastchester, NY 10709 | 2019-08-08 |
| 1982993184 | Trustees of Columbia University In The City of New York | Obstetrics & Gynecology | 400 Kelby St, 8th Floor Clinical Revenue Office, Fort Lee, NJ 07024-2943 | 2011-03-29 |
| 1164692489 | Trustees of Columbia University In The City of New York | Internal Medicine | 161 Fort Washington Ave, 8th Floor, Suite 853, New York, NY 10032-3729 | 2008-03-03 |
| 1992816011 | Trustees of Columbia University In The City of New York | Radiology | 51 West 51st Street Ste 301, New York, NY 10019 | 2006-08-31 |
| 1730297011 | Trustees of Columbia University In The City of New York | Radiology | 722 West 168th Street R1 Fl, New York, NY 10032-3733 | 2006-08-28 |
| 1720196090 | Trustees of Columbia University In The City of New York | Radiology | 622 West 168th Street, Mhb-8 So. Knuckle, New York, NY 10032 | 2006-08-28 |
| 1043328354 | Trustees of Columbia University In The City of New York | Radiology | 51 West 51st Street Ste 300, New York, NY 10019-1951 | 2006-08-27 |
| 1790732352 | Trustees of Columbia University In The City of New York | Ophthalmology | 635 W. 165th Street, New York, NY 10032 | 2006-05-28 |
| 1740899715 | Trustees of Columbia University In The City of New York | Early Intervention Provider Agency | 180 Fort Washington Ave Fl 8, New York, NY 10032-3722 | 2020-07-27 |
| 1992356521 | Trustees of Columbia University In The City of New York | Medical Genetics | 622 W 168th St, New York, NY 10032-3720 | 2019-09-25 |
| Street Address |
30 SHELBURNE RD BOX 9317 |
| 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 |
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| 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 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609806124 | David Yuh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 29 Hospital Plz Ste 501, Stamford, CT 06902-3602 | 2006-07-03 |
| 1366571424 | Michael Irwin Ebright | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 29 Hospital Plaza, Suite 505, Stamford, CT 06902-3602 | 2007-03-05 |
| 1942280151 | William C Feng | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740666312 | Mhs Primary Care Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 520 Saybrook Rd Ste 210, Middletown, CT 06457-4700 | 2015-08-06 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1124396767 | Lynn Walton Whelchel Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 273 Smith Hill Rd, Colebrook, CT 06021-7093 | 2011-12-11 |
| 1700033255 | Ferdinand J Montegut | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 289 Merry Cir, Orange, CT 06477-3417 | 2008-08-26 |
| 1538329578 | Stefan S Kachala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 183 N Mountain Rd Fl 2, New Britain, CT 06053 | 2008-06-12 |
| 1306010517 | David Warner Yaffee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | 2008-04-17 |
| 1205954393 | Vincent Joseph Mase Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 330 Cedar St # Bb205, New Haven, CT 06510 | 2007-03-27 |
| 1053409458 | Peter J Gruber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 330 Cedar St Fl Bb2, New Haven, CT 06510 | 2006-10-11 |
| 1265532634 | Hyman Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 1/2 Dearfield Drive, Greenwich, CT 06831 | 2006-09-25 |
| 1366450611 | Michael L Dewar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 330 Cedar St # Bb204, New Haven, CT 06510-3218 | 2006-08-03 |
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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.