SUSAN KATHERYN DEMICCO (NPI# 1790706257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790706257 |
| Entity Type | Individual |
| Full Name | SUSAN KATHERYN DEMICCO |
| Credential | CRNA |
| Practice Address |
831 Boston Post Rd Ste. 670 Milford CT 06460-3536 |
| Practice Telephone | 2037831831 |
| Mailing Telephone | 2037831831 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RNA21303 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
831 BOSTON POST RD STE. 670 |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361402 | Jessie M. Williams | Internal Medicine | 831 Boston Post Rd, Milford, CT 06460-3531 | 2005-07-21 |
| 1407302854 | Connecticut Team Physicians, PC | Emergency Medicine | 831 Boston Post Rd, Milford, CT 06460-3536 | 2016-08-26 |
| 1023438983 | Kinglet Urgent Care Physicians LLC | Physician Assistant | 831 Boston Post Rd, Milford, CT 06460-3536 | 2014-04-18 |
| 1760750509 | Cassandra Freeland | Nurse Anesthetist, Certified Registered | 831 Boston Post Rd, Ste 203, Milford, CT 06460-3536 | 2011-12-08 |
| 1194013888 | Jillian M Kalinchak | Nurse Practitioner | 831 Boston Post Rd, Milford, CT 06460-3536 | 2011-07-14 |
| 1093904625 | Peter T. Naiman Md LLC | Orthopaedic Surgery | 831 Boston Post Rd, Suite 201, Milford, CT 06460-3536 | 2007-10-19 |
| 1770796450 | Hemantha Lakshmi Sunkara | Anesthesiology | 831 Boston Post Rd, Suite 203, Milford, CT 06460-3536 | 2007-05-08 |
| 1730100389 | Richard Blum | Orthopaedic Surgery | 831 Boston Post Rd, Suite 201, Milford, CT 06460-3536 | 2006-07-21 |
| 1538191911 | Charles Guglin | Surgery | 831 Boston Post Rd, Suite 202, Milford, CT 06460-3536 | 2006-07-07 |
| 1962433904 | Surgical Associates of Milford PC | Surgery | 831 Boston Post Rd, Suite 202, Milford, CT 06460-3536 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386884294 | Gail Grace Seamonds | Nurse Anesthetist, Certified Registered | 39 Lavery Ln, Milford, CT 06461-1625 | 2009-03-05 |
| 1396192670 | Connecticut Eye Anesthesia LLC | Nurse Anesthetist, Certified Registered | 60 Wellington Rd, Milford, CT 06461-1677 | 2016-05-17 |
| 1760750509 | Cassandra Freeland | Nurse Anesthetist, Certified Registered | 831 Boston Post Rd, Ste 203, Milford, CT 06460-3536 | 2011-12-08 |
| 1679809859 | Patricia Ck Kearnan | Nurse Anesthetist, Certified Registered | 14 Prospect St, Milford, MA 01757-3003 | 2009-10-23 |
| 1518134659 | Brandon Shea Ellis-hay | Nurse Anesthetist, Certified Registered | 21 W Clarke Ave, Milford, DE 19963-1840 | 2008-05-08 |
| 1558530782 | Christine Margaret Berthelette | Nurse Anesthetist, Certified Registered | 14 Prospect St, Milford, MA 01757-3003 | 2008-02-21 |
| 1215074653 | Mildred Stevens | Nurse Anesthetist, Certified Registered | 309 Seaside Ave, Suite201, Milford, CT 06460-4625 | 2007-02-01 |
| 1609929835 | Lesley Glaude | Nurse Anesthetist, Certified Registered | 14 Prospect St, Milford, MA 01757-3003 | 2007-01-19 |
| 1912066051 | Lou Ann Hurst | Nurse Anesthetist, Certified Registered | 21 W Clarke Ave, Kent General Hopital, Milford, DE 19963-1840 | 2006-12-06 |
| 1235224825 | Michael Allan Crockett | Nurse Anesthetist, Certified Registered | 14 Prospect St., Milford, MA 01757 | 2006-10-03 |
| Find all providers in MILFORD | ||||
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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.