THE PEDIATRIC CENTER (NPI# 1477822690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477822690 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC CENTER |
| Practice Address |
126 Morgan Street Stamford CT 09605 |
| Practice Telephone | 2033271055 |
| Practice Fax Number | 2033236177 |
| Mailing Telephone | 2033271055 |
| Mailing Fax Number | 2033236177 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |
| Authorized Official Name | MS. JILL BEAUDRY (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2033271055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
001903 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
001946 | CT | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004129781 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356431274 | The Pediatric Center | Pediatrics | 2050 Mariner Dr, Suite #150, Las Vegas, NV 89128-6656 | 2006-10-13 |
| 1528003365 | The Pediatric Center | Pediatrics | 1447 Medical Park Blvd., Suite 402, Wellington, FL 33414 | 2006-06-17 |
| 1902091572 | The Pediatric Center | Pediatrics | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2007-09-07 |
| 1558415844 | The Pediatric Center | Pediatrics | 111 Memorial Dr, Greer, SC 29650-1518 | 2007-01-23 |
| 1659485415 | The Pediatric Center | Clinic/Center | 1914 Glen Meade Rd, Wilmington, NC 28403-6025 | 2006-08-18 |
| Street Address |
126 MORGAN STREET |
| City | STAMFORD |
| State | CT |
| Zip Code | 09605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265474 | Kerb Home Care Services LLC | Home Health | 1266 E Main St Ste 706, Stamford, CT 06902-3546 | 2020-11-05 |
| 1841890456 | Abigail Marie Enright | Speech-Language Pathologist | 1455 Washington Blvd Apt 308, Stamford, CT 06902-8805 | 2020-11-01 |
| 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 |
| 1770182834 | Growth and Development LLC | Community/Behavioral Health | C/o Humanly, 1200 High Ridge Rd Ste 208, Stamford, CT 06905-1202 | 2020-10-20 |
| 1841898459 | Samantha Farber | Social Worker | 100 Commons Park N Apt 1503, Stamford, CT 06902-7169 | 2020-10-15 |
| 1548867823 | Marianne Cardillo LLC | Clinic/Center | 72 Cedar Heights Rd, Stamford, CT 06905-1105 | 2020-10-08 |
| 1528675972 | Kathryn Posillico | Dietitian, Registered | 29 Parker Ave, Stamford, CT 06906-1713 | 2020-09-29 |
| 1013524370 | Gerard Domond Vilsaint Jr. | Non-emergency Medical Transport (VAN) | 91 Southwood Dr, Stamford, CT 06902-6425 | 2020-09-29 |
| 1437766110 | Typhoon Enterprises LLC | Non-emergency Medical Transport (VAN) | 45 W North St, Stamford, CT 06902-2218 | 2020-09-28 |
| Find all providers in STAMFORD | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554845 | Shelby Komisar | Registered Nurse | 1813 Peck Ln, Cheshire, CT 06410-4411 | 2020-06-30 |
| 1639717127 | Clara Bowron | Registered Nurse | 106 Shore Dr, Guilford, CT 06437-1590 | 2019-12-15 |
| 1063977510 | Abbey Farrell | Registered Nurse | 35 Silent Grv, Westport, CT 06880-2228 | 2019-02-08 |
| 1346643079 | Ana Gurley | Registered Nurse | 37 Buena Vista Dr, Greenwich, CT 06831-4210 | 2014-10-08 |
| 1598194714 | Jeanne Nicole Farrell | Registered Nurse | 98 Lakewood Cir, South Glastonbury, CT 06073-2312 | 2013-11-07 |
| 1013158732 | Alicia V Casucci | Registered Nurse | 68 Oxbow Rd, Fairfield, CT 06824-7323 | 2009-03-09 |
| 1164498341 | Leslie Lapointe | Registered Nurse | 15 Teachers Dr, Norwich, CT 06360-4029 | 2006-02-27 |
| 1962029660 | Brittany Athena Molkenthin | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-06-29 |
| 1376164152 | Marie Alexis Del Mundo Ingco | Registered Nurse | 76 New Britain Ave, Hartford, CT 06106-3305 | 2020-05-02 |
| 1194378539 | Melissa Jenkins Lee | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE PEDIATRIC CENTER.
| 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.