AHMAD FOTOVAT (NPI# 1740234178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740234178 |
| Entity Type | Individual |
| Full Name | AHMAD FOTOVAT |
| Credential | MD |
| Practice Address |
115 Technology Dr C-100 Trumbull CT 06611-1395 |
| Mailing Address |
115 Technology Dr C-100 Trumbull CT 06611-6337 |
| Practice Telephone | 2032685212 |
| Practice Fax Number | 2032686779 |
| Mailing Telephone | 2032685212 |
| Mailing Fax Number | 2032686779 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 022045 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BETTER HEALTH ADVANTAGE | 103685 | 01 |
| CT | CIGNA | 4395958 | 01 |
| CT | ANTHEM BC/BS | 010022045CT04 | 01 |
| CT | HEALTH NET | 2V5317 | 01 |
| CT | AETNA - PPO | 4662047 | 01 |
| CT | AETNA - HMO | 1176502 | 01 |
| CT | CONNECTICARE | 796029 | 01 |
| CT | EMPIRE BC/BS | 512H41 | 01 |
| CT | OXFORD HEALTH PLANS | ZS080 | 01 |
| Street Address |
115 TECHNOLOGY DR C-100 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-1395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657276 | Nanci E Kaczegowicz | Nurse Practitioner | 115 Technology Dr, Suite B-106, Trumbull, CT 06611-6337 | 2005-05-24 |
| 1114525557 | Ashley L Fedor | Physical Therapist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2020-10-16 |
| 1194205088 | Cassandra Fitzgerald | Physical Therapist | 115 Technology Dr, Suite B100, Trumbull, CT 06611 | 2018-08-20 |
| 1538600069 | Ryan Pane | Orthotist | 115 Technology Dr, Sutie Cp102, Trumbull, CT 06611-6337 | 2017-03-16 |
| 1326589813 | Thomas Stec | Orthotist | 115 Technology Dr, Suite Cp102, Trumbull, CT 06611-6342 | 2017-03-16 |
| 1669913166 | Andrew Dows | Orthotist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2017-03-16 |
| 1255707410 | Christine Griffin Bachmann | Nurse Practitioner | 115 Technology Dr, Trumbull, CT 06611-6337 | 2015-08-11 |
| 1356721385 | Monica Jain & Associates,llc | Internal Medicine | 115 Technology Dr, Suite B106, Trumbull, CT 06611-6337 | 2015-06-04 |
| 1730594821 | Sharon Dragich | Obstetrics & Gynecology | 115 Technology Dr, Trumbull, CT 06611-6337 | 2014-06-26 |
| 1033543285 | Anne Wolf | Psychiatry & Neurology | 115 Technology Dr, Trumbull, CT 06611-6337 | 2013-08-23 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568411973 | Timothy B Ehrlich II | Surgery | 115 Technology Drive, Suite C100, Trumbull, CT 06611 | 2006-05-10 |
| 1588992374 | Ehrlich Bariatrics LLC | Surgery | 115 Technology Dr, Suite C100, Trumbull, CT 06611-6337 | 2009-12-07 |
| 1780843185 | Danielle Marie Bertoni | Surgery | 5520 Park Ave, Trumbull, CT 06611-3463 | 2008-06-02 |
| 1710196118 | Connecticut Cardiothoracic Surgery, LLC | Surgery | 999 Silver Ln, Suite 2b, Trumbull, CT 06611-5343 | 2007-05-22 |
| 1326093311 | Daniel J Passeri | Surgery | 888 White Plains Rd, Suite 206, Trumbull, CT 06611-4552 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168177 | Rebecca Pritchard | Surgery | 23 Woodside Ter, Milford, CT 06460-4252 | 2019-05-03 |
| 1518319458 | Muhammad Umer Afzaal | Surgery | 267 Grant St Fl St4, Bridgeport, CT 06610-2805 | 2016-07-04 |
| 1093175085 | Nicholas Mario Passarelli | Surgery | 88 Notch Hill Rd. Apt 183s, North Branford, CT 06471-1861 | 2016-03-03 |
| 1275912818 | David Christopher Aughton | Surgery | 538 Litchfield St Ste 201, Torrington, CT 06790-6669 | 2015-05-28 |
| 1174931463 | Jennifer Berry Matthesen | Surgery | 118 Good Hill Rd, Weston, CT 06883-2809 | 2014-07-30 |
| 1316378615 | Artem Dyatlov | Surgery | 2660 Main St Ste 110, Bridgeport, CT 06606-5301 | 2013-12-11 |
| 1669805974 | Robert John Mulcare | Surgery | 9 Cedarwood Dr, Greenwich, CT 06830-3904 | 2013-08-11 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1164764510 | William Stubenbord | Surgery | 25 Sunset Rd, Old Saybrook, CT 06475-2000 | 2013-03-25 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
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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.