GREENWICH PEDIATRIC SERVICES PC (NPI# 1528108008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528108008 |
| Entity Type | Organization |
| Organization Name | GREENWICH PEDIATRIC SERVICES PC |
| Practice Address |
5 Perryridge Rd Greenwich CT 06830-4608 |
| Practice Telephone | 2038633970 |
| Practice Fax Number | 2038634520 |
| Mailing Telephone | 2038633970 |
| Mailing Fax Number | 2038634520 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENNETH D SCHLECHTER (MANAGER) |
| Authorized Official Telephone | 2038633916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
5 PERRYRIDGE RD |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280411 | Joseph Francis Andrews Jr. | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2005-07-26 |
| 1942825799 | Greenwich Hospital | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-06-08 |
| 1013536218 | June Evelyn Jeon | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2020-04-09 |
| 1972122166 | Daniel Robert Dickstein | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2020-04-08 |
| 1417586611 | Tushaar Vishal Shrimanker | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-04-08 |
| 1629607817 | Kasandra Erazo | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-04-08 |
| 1578192126 | Umar Nasser Hasan | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-04-06 |
| 1326676883 | Zachary Paul Retalis | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2020-03-31 |
| 1013545565 | Fatema Shabbir Esaa | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-03-31 |
| 1952939670 | Caroline Pham | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2020-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912259508 | John Irving Larkin | Pediatrics | 1 Intervale Pl, Greenwich, CT 06830-6325 | 2012-10-08 |
| 1285709063 | The Children's Medical Group of Greenwich, PC | Pediatrics | 42 Sherwood Place, The Children's Medical Group, Greenwich, CT 06830-5638 | 2006-11-21 |
| 1912926908 | Stylianos Nicholas Theofanidis | Pediatrics | 5 Perryridge Road, Greenwich Hospital, Greenwich, CT 06830-4697 | 2006-07-19 |
| 1861465387 | Erik Louis Cohen | Pediatrics | 57 Old Post Rd No 2, Greenwich, CT 06830-6786 | 2006-02-08 |
| 1902876626 | Jeffrey Bobrowitz | Pediatrics | 42 Sherwood Pl, Greenwich, CT 06830-5638 | 2006-01-25 |
| 1073926747 | Courtney Elizabeth Raker | Pediatrics | 25 Valley Dr, #4, Greenwich, CT 06831-5203 | 2014-06-10 |
| 1609000595 | Lauren Paige Mendelsohn-levin | Pediatrics | 25 Valley Dr, Greenwich, CT 06831-5203 | 2009-05-07 |
| 1306040860 | Sara Buchdahl Levine | Pediatrics | 239 Glenville Rd, Greenwich Adolescent Medicine, LLC, Greenwich, CT 06831-4172 | 2007-06-11 |
| 1568486975 | Modestus Lee | Pediatrics | 5 Perryridge Road, Greenwich Hospital Nicu, Greenwich, CT 06830-4697 | 2006-07-27 |
| 1629049119 | David A Hedrick | Pediatrics | 42 Sherwood Pl, Greenwich, CT 06830-5638 | 2006-02-01 |
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| 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.