SURGERY CENTER OF FAIRFIELD COUNTY LLC (NPI# 1487610390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487610390 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER OF FAIRFIELD COUNTY LLC |
| Other Organization Name | HEALTHSOUTH SURGERY CENTER OF BRIDGEPORT, LLC |
| Practice Address |
4920 Main St Bridgeport CT 06606-1300 |
| Practice Telephone | 2033741515 |
| Mailing Telephone | 2033741515 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2009-06-01 |
| Authorized Official Name | RICHARD L SHARFF JR. (VP/SECRETARY) |
| Authorized Official Telephone | 2055452572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0283 | CT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HEALTHSOUTH SURGERY CENTER OF BRIDGEPORT, LLC | Former Legal Business Name - Organization |
| Street Address |
4920 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194119982 | Northeast Ambulatory Anesthesia LLC | Anesthesiology | 4920 Main St, Bridgeport, CT 06606-1300 | 2015-03-19 |
| 1023113701 | Surgical Center of Connecticut LLC | Clinic/Center | 4920 Main St, Bridgeport, CT 06606-1300 | 2006-09-14 |
| 1124033949 | Patrick A Tennant | Anesthesiology | 4920 Main St, 200, Bridgeport, CT 06606 | 2006-07-30 |
| 1710927561 | Phillis Beberman-jennes | Anesthesiology | 4920 Main St, Suite 202, Bridgeport, CT 06606 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154664332 | Compassionate Care Center for Surgical Excellence | Clinic/Center | 68 State Route 7, Bridgeport, OH 43912-1642 | 2013-04-05 |
| 1639105356 | Bridgeport Ambulatory Surgery Center | Clinic/Center | 806 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2006-06-24 |
| 1093287302 | Wheeling Hospital Ambulatory Surgery Center LLC | Clinic/Center | 68 State Route 7, Bridgeport, OH 43912-1642 | 2018-12-27 |
| 1407106735 | Sne Asc II LLC | Clinic/Center | 4695 Main St, Bridgeport, CT 06606-1802 | 2012-09-13 |
| 1023113701 | Surgical Center of Connecticut LLC | Clinic/Center | 4920 Main St, Bridgeport, CT 06606-1300 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017648 | Connecticut Orthopaedic Surgery Center, LLC | Clinic/Center | 205 Sub Way Drive, Milford, CT 06461 | 2019-01-22 |
| 1083188478 | Rocky Hill Surgery Center, LLC | Clinic/Center | 1111 Cromwell Ave Ste 100, Rocky Hill, CT 06067-3449 | 2019-01-18 |
| 1922576818 | Greater New Haven Asc, LLC | Clinic/Center | 2080 Whitney Ave Ste 100, Hamden, CT 06518-3603 | 2018-11-08 |
| 1396120168 | Stamford Asc LLC | Clinic/Center | 200 First Stamford Pl, Stamford, CT 06902-6753 | 2015-07-22 |
| 1821332370 | River Valley Asc LLC | Clinic/Center | 45 Salem Tpke, Norwich, CT 06360-6533 | 2012-11-22 |
| 1164732426 | Norwalk Surgery Center, LLC | Clinic/Center | 40 Cross St Ste 120, Norwalk, CT 06851-4698 | 2010-10-20 |
| 1326356320 | Orthopaedic & Neurosurgery Center of Greenwich, LLC | Clinic/Center | 55 Holly Hill Lane, Greenwich, CT 06830 | 2010-09-24 |
| 1053628883 | Plastic Surgery of So Ct | Clinic/Center | 208 Post Rd W, Westport, CT 06880-4604 | 2010-08-31 |
| 1932438553 | Middlesex Center for Advanced Orthopedic Surgery, LLC | Clinic/Center | 510 Saybrook Road, Middletown, CT 06457-4711 | 2009-12-10 |
| 1497904296 | International Cosmetic Surgery | Clinic/Center | 2 Mercia Ln, Greenwich, CT 06830-7068 | 2008-09-17 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on SURGERY CENTER OF FAIRFIELD COUNTY LLC.
| 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.