DR. PAUL DEMETRIUS BOBBY (NPI# 1659427946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659427946 |
| Entity Type | Individual |
| Full Name | DR. PAUL DEMETRIUS BOBBY |
| Credential | M.D. |
| Practice Address |
30 Shelburne Rd Stamford CT 06902-3628 |
| Mailing Address |
30 Shelbune Road Stamford CT 06902-1651 |
| Practice Telephone | 2032767060 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
045786 | CT | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
187827 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
30 SHELBURNE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351759 | Bo Xu | Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2005-10-27 |
| 1518311984 | Pankil Desai | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-04-21 |
| 1033571229 | Rami Al-aref | Surgery | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-25 |
| 1508228198 | Borna Dabiri | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-23 |
| 1073971735 | Tyler Ferraro | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-09 |
| 1376901256 | Vanie Mangal | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-05 |
| 1487023115 | Cynthia Degracia | Spec/Tech, Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-09-23 |
| 1154708873 | Kelly Fellows | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-05-01 |
| 1932595360 | Somera Chaudhry | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 | 2015-04-13 |
| 1043606486 | Chao Guo | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902 | 2015-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
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| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043235567 | Richard Roger Viscarello Jr. | Obstetrics & Gynecology | 1275 Summer Street, Suite 306, Stamford, CT 06905-5315 | 2006-07-13 |
| 1629399290 | Frances F Hsieh | Obstetrics & Gynecology | 1 Hospital Plz, Stamford, CT 06902-3602 | 2010-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356509996 | Katherine Shister Kohari | Obstetrics & Gynecology | 1 Long Wharf Dr Fl 2, New Haven, CT 06511-5991 | 2008-05-30 |
| 1356478408 | David Jacob Nochimson | Obstetrics & Gynecology | 15 Donahue Rd, North Granby, CT 06060-1404 | 2007-02-27 |
| 1801826680 | Physicians for Women's Health LLC | Obstetrics & Gynecology | 22 Waterville Road, Avon, CT 06001-1380 | 2006-07-04 |
| 1275801771 | Physician Services of Northeast | Obstetrics & Gynecology | 320 Pomfret St, Suite Csb2, Putnam, CT 06260-1836 | 2011-12-12 |
| 1326349887 | Juliet Mushi | Obstetrics & Gynecology | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2010-11-15 |
| 1902114747 | Arch Med Group Inc | Obstetrics & Gynecology | 41 Crossroads Plz, Ste 102, West Hartford, CT 06117-2402 | 2010-09-14 |
| 1477873131 | Audrey Anne Merriam | Obstetrics & Gynecology | 1 Long Wharf Dr Fl 2, New Haven, CT 06511-5991 | 2010-06-04 |
| 1346474202 | Jennifer Lee Wong | Obstetrics & Gynecology | 800 Howard Ave, New Haven, CT 06519-1369 | 2009-05-06 |
| 1811155849 | State of Connecticut Health Center | Obstetrics & Gynecology | 263 Farmington Ave, Ob/gyn Hbp Group, Farmington, CT 06030-0001 | 2008-05-27 |
| 1972774784 | Katherine H Campbell | Obstetrics & Gynecology | 330 Cedar St, New Haven, CT 06510-3218 | 2008-03-19 |
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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.