GREENWICH SPORTS MEDICINE PC (NPI# 1871780585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871780585 |
| Entity Type | Organization |
| Organization Name | GREENWICH SPORTS MEDICINE PC |
| Practice Address |
7 Riversville Rd 3rd Floor Greenwich CT 06831-3627 |
| Practice Telephone | 2035313131 |
| Practice Fax Number | 2035315690 |
| Mailing Telephone | 2035313131 |
| Mailing Fax Number | 2035315690 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2018-12-07 |
| Authorized Official Name | KATIE ELISE LORENA KENNY (OFFICE MANAGER) |
| Authorized Official Telephone | 2035313131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1228 | CT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE # | 350001350 | 01 |
| Street Address |
7 RIVERSVILLE RD 3RD FLOOR |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376539205 | Steven P Mickley | Internal Medicine | 7 Riversville Rd, Greenwich, CT 06831-3627 | 2005-09-26 |
| 1992131759 | Aaron L Gerard | Chiropractor | 7 Riversville Rd, Ste 4, Greenwich, CT 06831-3684 | 2013-09-24 |
| 1720323272 | Nancy King | Social Worker | 7 Riversville Rd, 3rd Floor, Greenwich, CT 06831-3684 | 2012-12-10 |
| 1649515669 | Pearl Berger | Counselor | 7 Riversville Rd, Greenwich, CT 06831-3684 | 2012-12-03 |
| 1982826574 | Glenville Medical Associates P.c | Internal Medicine | 7 Riversville Rd, Greenwich, CT 06831 | 2007-05-03 |
| 1164574778 | Diane Wilkins Mickley | Internal Medicine | 7 Riversville Rd, Greenwich, CT 06831-3627 | 2007-01-17 |
| 1326156951 | Christopher Mah | Chiropractor | 7 Riversville Rd, Greenwich, CT 06831-3627 | 2006-08-25 |
| 1104934819 | Gil Chimes | Chiropractor | 7 Riversville Rd, Greenwich, CT 06831-3627 | 2006-08-25 |
| 1265545545 | Kerry Miller | Chiropractor | 7 Riversville Rd, Greenwich, CT 06831-3627 | 2006-08-17 |
| 1710974530 | Judith F Shea | Internal Medicine | 7 Riversville Rd, Greenwich, CT 06831-3627 | 2005-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184962433 | Carin Marie Piacente | Chiropractor | 49 Greenwich Avenue, 2nd Floor, Greenwich, CT 06830 | 2013-01-22 |
| 1639388721 | Joseph A Rossello | Chiropractor | 65 Wildwood Dr, Greenwich, CT 06830-6727 | 2007-05-22 |
| 1871638452 | Ernest Richard Marrone Sr. | Chiropractor | 70 Dearfield Dr, Greenwich, CT 06831-5350 | 2007-02-21 |
| 1871637702 | Karen Shields Wright | Chiropractor | 106 Hunting Ridge Rd, Greenwich, CT 06831-3135 | 2007-02-16 |
| 1538222617 | Jennifer Kissane Hake | Chiropractor | 11 Maple Ave, Greenwich, CT 06830 | 2006-12-19 |
| 1871679902 | Douglas Masi | Chiropractor | 544 Old Post Rd. No.3, Greenwich, CT 06830 | 2006-10-31 |
| 1154328540 | Richard E Pettit | Chiropractor | 19 Townsend St, Greenwich, OH 44837-1131 | 2005-06-30 |
| 1255892840 | Chiro Clinic | Chiropractor | 49 Greenwich Ave, Greenwich, CT 06830-5523 | 2019-03-27 |
| 1508337205 | Lauren Taylor Van De Water | Chiropractor | 200 Main St, Greenwich, NY 12834-1054 | 2018-12-07 |
| 1912476797 | Indian Harbor Chiropractic | Chiropractor | 209 Bruce Park Ave, Greenwich, CT 06830-2703 | 2018-11-21 |
| Find all providers in GREENWICH | ||||
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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.