DR. EVELYN JANE CUSACK (NPI# 1700874435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700874435 |
| Entity Type | Individual |
| Full Name | DR. EVELYN JANE CUSACK |
| Credential | M.D. |
| Practice Address |
29 Hospital Plaza Suite 502 Stamford CT 06902-3602 |
| Practice Telephone | 2033487410 |
| Practice Fax Number | 2039618488 |
| Mailing Telephone | 2033487410 |
| Mailing Fax Number | 2039618488 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2016-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
41998 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
29 HOSPITAL PLAZA SUITE 502 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588088355 | Kathryn Creagh | Nurse Practitioner | 29 Hospital Plaza, Suite 502, Stamford, CT 06902-3602 | 2014-02-13 |
| 1447549639 | Sarah E Buckingham | Psychiatry & Neurology | 29 Hospital Plaza, Suite 602, Stamford, CT 06902-3602 | 2011-03-29 |
| 1164711354 | Sarah A Mulukutla | Psychiatry & Neurology | 29 Hospital Plaza, Suite 602, Stamford, CT 06902-3602 | 2011-03-29 |
| 1194963462 | Marissa Defreese | Surgery | 29 Hospital Plaza, 6th Floor, Stamford, CT 06902-2419 | 2009-01-26 |
| 1265696280 | Joey C Papa | Surgery | 29 Hospital Plaza, Suite 603, Stamford, CT 06902-3602 | 2008-07-18 |
| 1023285343 | Marilee L Freitas | Colon & Rectal Surgery | 29 Hospital Plaza, Suite 604, Stamford, CT 06902-3602 | 2008-05-15 |
| 1053583914 | Joonun Choi | Internal Medicine | 29 Hospital Plaza, Suite 502, Stamford, CT 06902-3602 | 2008-03-31 |
| 1275733537 | Shuaib A Latif | Internal Medicine | 29 Hospital Plaza, Suite 501, Stamford, CT 06902-3602 | 2007-07-24 |
| 1063618395 | William James Symons | Surgery | 29 Hospital Plaza, Suite 603, Stamford, CT 06902-3602 | 2007-06-24 |
| 1881896215 | Asha Kapur Shah | Internal Medicine | 29 Hospital Plaza, Suite 605, Stamford, CT 06902-3602 | 2007-06-05 |
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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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285739763 | Ronald Stephen Aronson | Internal Medicine | 1 Shore Rd, Unit 11, Stamford, CT 06902-7536 | 2006-09-13 |
| 1881798429 | Edward Schuster | Internal Medicine | 32 Strawberry Hill, Floor 2, Stamford, CT 06902-2594 | 2006-09-12 |
| 1437177896 | Martin Krauthamer | Internal Medicine | 1177 Summer St Fl 5, Stamford, CT 06905-5522 | 2006-07-17 |
| 1104859172 | Cardiology Associates of Fairfield County PC | Internal Medicine | 1177 Summer Street, 5th Floor, Stamford, CT 06905-5572 | 2006-07-10 |
| 1558707844 | Nikhil Victor Sikand | Internal Medicine | 29 Hospital Plz Ste 502, Stamford, CT 06902 | 2013-05-14 |
| 1174967145 | Anna Koulova | Internal Medicine | 29 Hospital Plz Ste 502, Stamford, CT 06902 | 2013-04-22 |
| 1477872372 | Mina Owlia | Internal Medicine | 29 Hospital Plz Ste 502, Stamford, CT 06902-3602 | 2010-05-18 |
| 1326373176 | Thomas Nero, Md, PC | Internal Medicine | 2015 W Main St, Stamford, CT 06902-4536 | 2009-10-13 |
| 1376703736 | Rebecca Streeter | Internal Medicine | 1177 Summer St, Stamford, CT 06905-5572 | 2008-06-10 |
| 1053583914 | Joonun Choi | Internal Medicine | 29 Hospital Plaza, Suite 502, Stamford, CT 06902-3602 | 2008-03-31 |
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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.