DR. POOIA FATTAHI (NPI# 1669625174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669625174 |
| Entity Type | Individual |
| Full Name | DR. POOIA FATTAHI |
| Credential | MD |
| Practice Address |
1625 Straits Tpke Suite 307 - Waterbury Neurology LLC Middlebury CT 06762-1836 |
| Practice Telephone | 2037582635 |
| Practice Fax Number | 2037582571 |
| Mailing Telephone | 2037582635 |
| Mailing Fax Number | 2037582571 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 50832 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1625 STRAITS TPKE SUITE 307 - WATERBURY NEUROLOGY LLC |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357451 | Scott Kurtzman | Surgery | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1805 | 2005-06-23 |
| 1245636877 | Stephanie Lauren Gunnoud | Nurse Practitioner | 1625 Straits Tpke, Suite 110, Middlebury, CT 06762-1836 | 2014-11-10 |
| 1942606835 | Stanley J Foster IIi Md PC | Plastic Surgery | 1625 Straits Tpke, Suite 108, Middlebury, CT 06762-1836 | 2014-11-05 |
| 1831590454 | Michael Tanguay | Physician Assistant | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 | 2014-09-15 |
| 1710316385 | Riddhi Shah | Internal Medicine | 1625 Straits Tpke, Suite 110, Middlebury, CT 06762-1836 | 2013-11-04 |
| 1093079683 | Elizabeth Marie Lucchesi | Dentist | 1625 Straits Tpke, Middlebury, CT 06762-1836 | 2012-06-27 |
| 1164650370 | Juan Diego Holguin | Surgery | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 | 2009-06-25 |
| 1679725816 | Zhongqiu John Zhang | Surgery | 1625 Straits Tpke, 200, Middlebury, CT 06762-1836 | 2008-10-21 |
| 1356501944 | O Joseph Bizzozero Jr. | Internal Medicine | 1625 Straits Tpke, 211, Middlebury, CT 06762-1836 | 2008-06-17 |
| 1942484142 | Jenny Hwang | Pediatrics | 1625 Straits Tpke, Middlebury, CT 06762-1836 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895314 | Naugatuck Valley Womens Health Specialists PC | Obstetrics & Gynecology | 686 Straits Turnpike, 2a, Middlebury, CT 06762 | 2015-11-10 |
| 1588047153 | Princess Corset & Lingerie Shop II, LLC | Durable Medical Equipment & Medical Supplies | 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 | 2015-07-01 |
| 1437423985 | Gretchen R. Cianciola | Dental Hygienist | 12 Nantucket Way, Middlebury, CT 06762 | 2012-03-01 |
| 1124395223 | Tlc Homecare LLC | Home Health | 900 Straits Tpke Ste 205, Middlebury, CT 06762 | 2011-11-18 |
| 1588893952 | Catherine Ann Accashian | Occupational Therapist | 778 Middlebury Road, Middlebury Convalescent Center, Middlebury, CT 06762 | 2009-07-07 |
| 1013081819 | Waltor M Phillips | Psychologist | 415 Middlebury Road, Middlebury, CT 06762 | 2006-11-20 |
| 1518922608 | W Kenneth Miner | Physician Assistant | 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 | 2006-04-20 |
| 1952366072 | John M Keggi | Orthopaedic Surgery | 1579 Straits Turnpike, Suite E, Orthopaedics New England PC, Middlebury, CT 06762 | 2006-04-20 |
| 1568443125 | Stanley J Foster IIi | Plastic Surgery | 1625 Straits Turnpike, Suite 108, Middlebury, CT 06762 | 2005-11-10 |
| 1932556602 | Karissa Piedescalzo | Social Worker | 850 Straits Tpke Ste 201, Middlebury, CT 06762 | 2016-05-23 |
| Find all providers in zip 06762 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578801437 | David Silverstein | Neurological Surgery | 44 Dillon Rd, Woodbridge, CT 06525-1219 | 2013-01-27 |
| 1558627232 | Ali Reza Nourizadeh | Neurological Surgery | 50 Birch Hill Dr, New Britain, CT 06052-1804 | 2012-04-06 |
| 1295005643 | John A Calogero | Neurological Surgery | 148 Lawler Rd, West Hartford, CT 06117-2621 | 2012-01-03 |
| 1215255278 | Matthew John During | Neurological Surgery | 8 Nearwater Rd, Norwalk, CT 06853-1711 | 2010-05-13 |
| 1609010719 | Joshua Marcus | Neurological Surgery | 67 Sand Pit Rd Ste 208, Danbury, CT 06810-4032 | 2009-04-21 |
| 1396906418 | Ervin Eugene Hanson | Neurological Surgery | 7 Deer Park Ct, Greenwich, CT 06830-3803 | 2008-06-20 |
| 1851566228 | Arianne Jeaneve Boylan | Neurological Surgery | Yale Department of Neurosurgery, 333 Cedar Street, New Haven, CT 06520 | 2008-04-28 |
| 1235307125 | Orthopaedic Specialty Group | Neurological Surgery | 2 Enterprise Dr, Shelton, CT 06484-4600 | 2008-02-14 |
| 1245408137 | Orthopaedic Specialty Group | Neurological Surgery | 2909 Main Street, Stratford, CT 06614 | 2008-02-14 |
| 1477737328 | Patrick P Mastroianni Md PC | Neurological Surgery | 340 Capital Ave, Bridgeport, CT 06606 | 2007-12-27 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURY |
| Zip Code | 06762 |
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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.