CONNECTICUT EAR NOSE THROAT MEDICAL AND SURGICAL SPECIALISTS PC (NPI# 1699836197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699836197 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT EAR NOSE THROAT MEDICAL AND SURGICAL SPECIALISTS PC |
| Practice Address |
15 Corporate Drive Suite 2-8 Trumbull CT 06611 |
| Practice Telephone | 2034527081 |
| Practice Fax Number | 2034527089 |
| Mailing Telephone | 2034527081 |
| Mailing Fax Number | 2034527089 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-02-13 |
| Authorized Official Name | TOM KENDALL COFFEY (PRESIDENT) |
| Authorized Official Telephone | 2034527081 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
15 CORPORATE DRIVE SUITE 2-8 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588758718 | Neal A Fischbach | Internal Medicine | 15 Corporate Drive, Trumbull, CT 06611 | 2006-10-03 |
| 1467798546 | Michelle Bedson | Audiologist | 15 Corporate Drive, Suite 2-8, Trumbull, CT 06611 | 2012-12-18 |
| 1205172442 | Susan Sidransky Krutt | Audiologist | 15 Corporate Drive, Suite 2-8, Trumbull, CT 06611 | 2012-12-17 |
| 1114011343 | Jerry P Malefatto | Internal Medicine | 15 Corporate Drive, Trumbull, CT 06611 | 2006-10-03 |
| 1932293164 | Laurie J Harrold | Internal Medicine | 15 Corporate Drive, Trumbull, CT 06611 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336254309 | Ent & Allergy Associates LLC | Otolaryngology | 160 Hawley Ln, Suite 202, Trumbull, CT 06611 | 2006-08-20 |
| 1912932385 | Adam Pearl | Otolaryngology | 15 Corporate Dr, Ste 2-8, Trumbull, CT 06611 | 2006-07-12 |
| 1942231782 | Tom K Coffey | Otolaryngology | 15 Corporate Dr, Suite 2 8, Trumbull, CT 06611-1351 | 2006-07-06 |
| 1497784995 | Michael N Waltzman | Otolaryngology | 965 White Plains Rd, 3rd Floor, Trumbull, CT 06611-4566 | 2006-06-30 |
| 1225004765 | Steven B. Levine | Otolaryngology | 160 Hawley Ln, Suite 202, Trumbull, CT 06611-5300 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1265936512 | Nofrat Schwartz | Otolaryngology | 47 College St Ste 216, New Haven, CT 06510-3209 | 2018-03-21 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1841624038 | David Lawrence Harsany | Otolaryngology | 10 Elskip Ln, Greenwich, CT 06831-3620 | 2013-08-25 |
| 1942543111 | Jeffrey Paul Cranford | Otolaryngology | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | 2013-04-05 |
| 1366700494 | Paul Daniel Neubauer | Otolaryngology | 32 Strawberry Hill Ct Ste 4, Stamford, CT 06902-2594 | 2012-04-26 |
| 1174815096 | Hailun Wang | Otolaryngology | 21 South Rd Ste 112, Farmington, CT 06032-2482 | 2011-05-11 |
| 1265721013 | Alan Jay Gill | Otolaryngology | 2031 Redding Rd, Fairfield, CT 06824-1708 | 2011-04-01 |
| 1417259417 | James Michael Dowaliby II | Otolaryngology | 200 College St, Apt. 331, New Haven, CT 06510-2444 | 2010-11-23 |
| 1427376334 | Anthony J. Vallone, Md, PC | Otolaryngology | 4718 Main St, Bridgeport, CT 06606-1823 | 2010-05-17 |
| Find all providers with the same taxonomy | ||||
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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.