DR. SUBASREE SRINIVASAN (NPI# 1871564237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871564237 |
| Entity Type | Individual |
| Full Name | DR. SUBASREE SRINIVASAN |
| Credential | M.D. |
| Practice Address |
2890 Main St Stratford CT 06614-4980 |
| Practice Telephone | 2033834466 |
| Practice Fax Number | 2033834466 |
| Mailing Telephone | 2033834466 |
| Mailing Fax Number | 2033834466 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2011-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
033279 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | AETNA | 3717982 | 01 |
| CT | CT CARE | 706315 | 01 |
| CT | CIGNA | 061608343 | 01 |
| CT | UNITED HEALTHCARE | 061608343 | 01 |
| CT | BLUE CROSS | 010033279CT04 | 01 |
| Street Address |
2890 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-4980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150643 | Sarah Knauf | Nurse Practitioner | 2890 Main St, Stratford, CT 06614 | 2018-07-02 |
| 1902279607 | Primary Care Physicians of Stratford, LLC | Pediatrics | 2890 Main St, Suite 2a, Stratford, CT 06614-4980 | 2015-11-04 |
| 1134502701 | Cynthia M Perez | Physician Assistant | 2890 Main St, Suite 2a, Stratford, CT 06614-4980 | 2015-07-01 |
| 1285956821 | Erin Flynn | Nurse Practitioner | 2890 Main St, Ste 2a, Stratford, CT 06614-4980 | 2010-02-24 |
| 1497970826 | Primary Care Associates,pc | Internal Medicine | 2890 Main St, Ste 2a, Stratford, CT 06614-4980 | 2007-04-13 |
| 1588607386 | Pietro G Andres | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-06-13 |
| 1649219221 | Gregory N. Soloway | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-06-06 |
| 1548209125 | Andrew Bedford | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-06-06 |
| 1811936461 | Howard L Taubin | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-06-06 |
| 1780630582 | Gastroenterology Associates, P.C. | Internal Medicine | 2890 Main St, Stratford, CT 06614-4980 | 2006-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1598837957 | Gary Blick | Internal Medicine | 2595 Main St, Stratford, CT 06615-5855 | 2006-11-14 |
| 1023089513 | Zane Kevin Saul | Internal Medicine | 3241 Main St, Suite B, Stratford, CT 06614-4850 | 2006-02-01 |
| 1316439839 | Rowansom Dept of Infectious Disease | Internal Medicine | 42 E Laurel Rd Ste 3100, Stratford, NJ 08084-1354 | 2018-05-31 |
| 1922046630 | Judith Anne Lightfoot | Internal Medicine | 42 E Laurel Rd Ste 3100, Stratford, NJ 08084-1354 | 2006-06-03 |
| 1053382416 | Goran Miljkovic | Internal Medicine | 3241 Main St, Suite B, Stratford, CT 06614-4850 | 2006-02-01 |
| 1811968258 | David Lobo | Internal Medicine | 3241 Main St, Suite B, Stratford, CT 06614-4850 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768944 | Michael William Dunne | Internal Medicine | 30 Cromwell Pl, Old Saybrook, CT 06475-2512 | 2020-04-14 |
| 1548673627 | Scott Roberts | Internal Medicine | 789 Howard Ave # 3, New Haven, CT 06519-1304 | 2014-06-06 |
| 1568702629 | Infectious Disease Consultancy, LLC | Internal Medicine | 9 Hickory Ln, Woodbridge, CT 06525-1433 | 2013-02-26 |
| 1730443698 | Roger Madison Echols | Internal Medicine | 753 Westport Rd, Easton, CT 06612-1535 | 2012-06-26 |
| 1750642930 | Daniel Alfred Scott | Internal Medicine | 63 Ridgecrest Dr, Ridgefield, CT 06877-2534 | 2012-06-04 |
| 1972861896 | Peter J Piliero | Internal Medicine | 625 Patriot Rd, Southbury, CT 06488-3223 | 2012-04-28 |
| 1710243167 | Robert Gordon Douglas Jr. | Internal Medicine | 265 Old Black Point Rd, Niantic, CT 06357-3732 | 2012-04-10 |
| 1780979526 | Marwan Azar | Internal Medicine | 300 Cedar St # S169, New Haven, CT 06519-1612 | 2011-06-09 |
| 1730415928 | Stephanie Green | Internal Medicine | 54 Meadow St Fl 1, New Haven, CT 06519-1719 | 2009-10-23 |
| 1811129463 | Jeanne Demars Breen | Internal Medicine | 229 Hidden Cove Rd, Old Saybrook, CT 06475-1620 | 2009-08-17 |
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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.