MRS. STEPHANIE SHANNON CHAWLA


Address: 761 Main Ave Ste 201, Norwalk, CT 06851
Phone: 2038384000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2642 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT MEDICARE D400091239 01

Office Location

Street Address 761 MAIN AVE STE 201
City NORWALK
State CT
Zip Code 06851

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City NORWALK
Zip Code 06851

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Dataset Information

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.

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