GASTON JEREMIAH


Address: 40 Prospect Ave, Building 2 - Apartment 4a, Norwalk, CT 06850-3737
Phone: 6462992402

GASTON JEREMIAH (NPI# 1518310333) 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) 1518310333
Entity Type Individual
Full Name GASTON JEREMIAH
Credential PHYSICIAN ASSISTANT
Practice Address 40 Prospect Ave
Building 2 - Apartment 4a
Norwalk
CT 06850-3737
Mailing Address 34 Maple Street
Norwalk
CT 06856
Practice Telephone 6462992402
Mailing Telephone 2038522188
Enumeration Date 2016-07-16
Last Update Date 2017-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 3746 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3746 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 40 PROSPECT AVE
BUILDING 2 - APARTMENT 4A
City NORWALK
State CT
Zip Code 06850-3737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477735181 Timothy Compton Stewart Physician Assistant 40 Prospect Ave, Bldg. 2, Apt. #3h, Norwalk, CT 06850-3737 2007-12-04
1821535170 Flushot LLC Preventive Medicine 40 Prospect Ave, Building 2-2f, Norwalk, CT 06850-3737 2017-01-25
1417324344 Kylie Tanabe Physician Assistant 40 Prospect Ave, Building 2, 4c, Norwalk, CT 06850-3737 2015-08-26
1538325303 Norwalk Hospital General Acute Care Hospital 40 Prospect Ave, Building # 2, Apt # 2 E, Norwalk, CT 06850-3737 2008-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497105092 Brightview Norwalk, LLC Alzheimer Center (Dementia Center) 162 New Canaan Ave., Norwalk, CT 06850 2016-06-15
1518321306 Megan Yee Social Worker 54 W. Norwalk Road, Norwalk, CT 06850 2016-04-08
1992129886 Alicia Collen Zeidan Nurse Practitioner 10 Mott Ave Ste 2a, Norwalk, CT 06850 2014-02-12
1306194642 Diane Beth Weiss Specialist 12 Rae Lane, Norwalk, CT 06850 2012-08-16
1538491170 Thomas C. Santaniello Dentist 16 River Street, Norwalk, CT 06850 2010-02-08
1720226988 Kathleen F Dayton Counselor 4 Berkeley Street, Super Kids, Norwalk, CT 06850 2009-01-27
1578716783 Helen B. Mccue Social Worker 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 2008-10-31
1609900497 James Schumacher Physician Assistant Maple Avenue, Norwalk, CT 06850 2007-03-15
1134270002 Neelam Narula Nurse Practitioner 34 Maple St Ste J, Norwalk, CT 06850 2007-01-16
1669559951 Patricia Jorquera Pediatrics 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 2006-11-01
Find all providers in zip 06850

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831798362 Brandon H Kusako Physician Assistant 34 Maple St Dept Of, Norwalk, CT 06850-3815 2020-10-26
1962920561 Eugenie Cho Physician Assistant 34 Maple St., Norwalk, CT 06856 2017-09-03
1902238207 Katherine Anne Swan Physician Assistant 148 East Ave Ste 3d, Norwalk, CT 06851-5733 2013-08-08
1407186190 Damien M Chicarilli Physician Assistant 23 Richmond Hill Rd, Norwalk, CT 06854-2515 2010-01-04
1477735181 Timothy Compton Stewart Physician Assistant 40 Prospect Ave, Bldg. 2, Apt. #3h, Norwalk, CT 06850-3737 2007-12-04
1609900497 James Schumacher Physician Assistant Maple Avenue, Norwalk, CT 06850 2007-03-15
1245294198 Becky D Mcandrews Physician Assistant 30 Stevens St, Suite D, Norwalk, CT 06850-3859 2006-04-15
1235740960 Taylor Lin Nedurian Physician Assistant 34 Maple St, Norwalk, CT 06850-3894 2020-08-14
1710596754 Lauren Matla Physician Assistant 34 Maple St, Norwalk, CT 06850-3894 2020-07-27
1417575457 Anne Patricia Murphy Physician Assistant 34 Maple St, Norwalk, CT 06850-3894 2020-07-07
Find all providers in NORWALK

Competitor

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City NORWALK
Zip Code 06850

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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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