DR. SETH BARAK BLATTMAN (NPI# 1477508778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477508778 |
Entity Type | Individual |
Full Name | DR. SETH BARAK BLATTMAN |
Credential | M.D. |
Practice Address |
501 Kings Hwy E Suite 112 Fairfield CT 06825-4867 |
Practice Telephone | 2033821900 |
Practice Fax Number | 2033820019 |
Mailing Telephone | 2033821900 |
Mailing Fax Number | 2033820019 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2010-11-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
219909 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 001443324 | 05 |
Street Address |
501 KINGS HWY E SUITE 112 |
City | FAIRFIELD |
State | CT |
Zip Code | 06825-4867 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548253990 | Fairfield Pediatrics Inc | Pediatrics | 501 Kings Hwy E, Ste 203, Fairfield, CT 06825 | 2005-08-31 |
1336653468 | Fairfield Public Schools | Local Education Agency (LEA) | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2017-11-28 |
1265757926 | Cathleen M Azarigian | Nurse Practitioner | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2010-04-06 |
1548421019 | Catherine Burdge | Nurse Practitioner | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2008-06-18 |
1871781047 | Primed, LLC | Durable Medical Equipment & Medical Supplies | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2007-10-12 |
1255525879 | Women's Quality Care Inc. | Specialist | 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 | 2007-08-28 |
1841493913 | Brian N King | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2007-06-07 |
1861514457 | Northeast Medical Group, Inc. | Clinic/Center | 501 Kings Hwy E, Suite 105, Fairfield, CT 06825-4867 | 2007-04-04 |
1871614826 | Luann Russo | Advanced Practice Midwife | 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 | 2007-04-03 |
1144301839 | David H Bushell | Internal Medicine | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2006-10-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
Find all providers in zip 06825 |
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 |
1396790960 | Leslie Mark Kutcher | Surgery | 52 Beach Rd, Suite 207, Fairfield, CT 06824-6017 | 2006-05-23 |
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.