CONNECTICUT NEUROSURGICAL SPECIALISTS, P.C. (NPI# 1902000276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902000276 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT NEUROSURGICAL SPECIALISTS, P.C. |
| Practice Address |
267 Grant Street Schine 8 Bridgeport CT 06610-2805 |
| Practice Telephone | 2033844500 |
| Practice Fax Number | 2033843812 |
| Mailing Telephone | 2033844500 |
| Mailing Fax Number | 2033843812 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | KENNETH IRWIN LIPOW (PRESIDENT) |
| Authorized Official Telephone | 2033844500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 026386 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001359018 | 05 | |
| CT | 001263862 | 05 |
| Street Address |
267 GRANT STREET SCHINE 8 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821103862 | Melissa Ann Shaw | Physician Assistant | 267 Grant Street, Dept of Pediatrics, Bridgeport, CT 06610 | 2006-08-20 |
| 1548882558 | Benjamin Hans Jeuk | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-05-13 |
| 1093335838 | Kwabena Sefah Nketiah Sarpong | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-22 |
| 1346860392 | Fabricio Malaguez Webber | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1154941318 | Prajna Dsilva | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Department of Internal Medicine Bridgeport Hospital, Bridgeport, CT 06610 | 2020-04-17 |
| 1013537281 | Lucia Plichtova | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-17 |
| 1295354397 | Meagan Ashley Norberta Klyn | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-09 |
| 1194354381 | Namita Bhagat | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-08 |
| 1659925196 | Connie Cholewczynski | Pharmacist | 267 Grant Street, Bridgeport, CT 06610 | 2019-08-01 |
| 1710540083 | Joshua Hillman | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2019-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477737328 | Patrick P Mastroianni Md PC | Neurological Surgery | 340 Capital Ave, Bridgeport, CT 06606 | 2007-12-27 |
| 1265621163 | Michael E Opalak Md PC | Neurological Surgery | 340 Capitol Avenue, Bridgeport, CT 06606 | 2007-10-17 |
| 1538364914 | Vincent J Miele | Neurological Surgery | 527 Medical Park Drive, Suite 401, Uhc Neurosurgery & Spine Center, Bridgeport, WV 26300 | 2007-06-18 |
| 1164452413 | Daniel Edgardo Nijensohn | Neurological Surgery | 340 Capitol Ave, Bridgeport, CT 06606-5445 | 2006-07-03 |
| 1790764850 | Bill D. Underwood | Neurological Surgery | 227 Medical Park Dr Ste 103, Bridgeport, WV 26330-8421 | 2006-01-17 |
| 1710961669 | Richard Allen Douglas | Neurological Surgery | 527 Medical Park Drive, Suite 401, Bridgeport, WV 26330 | 2005-12-05 |
| 1891164000 | Mary Anne Varner | Neurological Surgery | 227 Medical Park Drive, Suite 103, Bridgeport, WV 26330 | 2015-09-17 |
| 1326237256 | Daniel E Nijensohn Md PC | Neurological Surgery | 340 Capitol Ave, Bridgeport, CT 06606 | 2007-10-16 |
| 1306929476 | United Hospital Center, Inc | Neurological Surgery | 527 Medical Park Drive, Ste 401, Bridgeport, WV 26330 | 2006-10-23 |
| 1699783647 | Michael Ernest Opalak | Neurological Surgery | 340 Capitol Ave, Bridgeport, CT 06606 | 2006-08-04 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.