MRS. STEPHANIE SHANNON CHAWLA (NPI# 1497809743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497809743 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE SHANNON CHAWLA |
| Credential | PA-C |
| Practice Address |
761 Main Ave Ste 201 Norwalk CT 06851 |
| Mailing Address |
761 Main Ave Ste 201 Norwalk CT 06851-1176 |
| Practice Telephone | 2038384000 |
| Practice Fax Number | 2038459535 |
| Mailing Telephone | 2038384000 |
| Mailing Fax Number | 2038459535 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2642 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE | D400091239 | 01 |
| Street Address |
761 MAIN AVE STE 201 |
| City | NORWALK |
| State | CT |
| Zip Code | 06851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588632665 | Mary A Durand | Nurse Practitioner | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | 2006-03-14 |
| 1447819289 | Michael George Chase | Physician Assistant | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2019-06-06 |
| 1306311451 | Lloydacia A Stephens | Physician Assistant | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2018-10-04 |
| 1750860862 | Kimberly Ann Pearson | Nurse Practitioner | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2018-08-09 |
| 1346765559 | Kaitlin E Corbo | Nurse Practitioner | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2017-08-08 |
| 1619358124 | Paula Andrea Ortiz | Internal Medicine | 761 Main Ave Ste 201, Norwalk, CT 06851 | 2015-06-11 |
| 1396169181 | Manasvi Barai | Physician Assistant | 761 Main Ave Ste 201, Norwalk, CT 06851 | 2014-02-13 |
| 1255619011 | Sowmya Murthy Gadey | Internal Medicine | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | 2011-07-28 |
| 1003121674 | Wilmot Lambert | Registered Nurse | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | 2010-08-08 |
| 1831135227 | Samantha L Heller | Dietitian, Registered | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
| 1720405939 | Heidi Nicole Riviello | Physician Assistant | 677 Connecticut Ave, Norwalk, CT 06854-1614 | 2014-03-25 |
| 1134423619 | Frankie Miller | Physician Assistant | 14635 Carmenita Rd, Norwalk, CA 90650-5228 | 2010-12-27 |
| 1932143195 | Carlos Benjamin Garcia | Physician Assistant | 14359 Pioneer Blvd Ste A, Norwalk, CA 90650-4850 | 2006-06-16 |
| 1255320081 | Amy C Crane | Physician Assistant | 9421 Marketplace Dr, Norwalk, IA 50211-2338 | 2005-10-14 |
| 1033107842 | Alan James Alfonso | Physician Assistant | 520 West Avenue, Norwalk, CT 06850 | 2005-10-06 |
| 1447819289 | Michael George Chase | Physician Assistant | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2019-06-06 |
| 1306311451 | Lloydacia A Stephens | Physician Assistant | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2018-10-04 |
| 1356876403 | Monique Stewart | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3815 | 2017-04-26 |
| 1669889879 | Jenna Marie Strahan | Physician Assistant | 34 Maple St, Norwalk Hospital, Dept. of Surgery, Norwalk, CT 06850-3815 | 2014-07-20 |
| Find all providers in NORWALK | ||||
Please comment or provide details below to improve the information on MRS. STEPHANIE SHANNON CHAWLA.
| 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.