LUZ EVELYN OMONDI (NPI# 1912141136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912141136 |
| Entity Type | Individual |
| Full Name | LUZ EVELYN OMONDI |
| Other Name | LUZ EVELYN JIMENEZ |
| Credential | M.D. |
| Practice Address |
64 Black Rock Ave Bridgeport CT 06605-1200 |
| Practice Telephone | 2035795000 |
| Practice Fax Number | 2035795113 |
| Mailing Telephone | 2035795000 |
| Mailing Fax Number | 2035795113 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 52250 | CT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 52250 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
64 BLACK ROCK AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649269705 | Kris Kotsay | Dentist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2005-10-20 |
| 1063942555 | Keitra Thompson | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2017-06-15 |
| 1497283295 | Jenifer Schmitz | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605 | 2017-05-24 |
| 1093256091 | Miriam Feinstein | Physician Assistant | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2017-03-10 |
| 1265828818 | Theresa Integral Dy Djama | Podiatrist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2015-04-10 |
| 1154722403 | Marlene St Juste | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2014-09-05 |
| 1245647486 | Lissette I Cruz | Physician Assistant | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2014-07-21 |
| 1891123220 | Nicole Callagy | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2013-10-22 |
| 1063853638 | Aswani Daraboina | Internal Medicine | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2013-07-11 |
| 1932479409 | Optimus Health Care Inc | Clinic/Center | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1619525466 | Ilja Hulinsky Md PC | Internal Medicine | 4641 Main St Ste 3, Bridgeport, CT 06606-1827 | 2019-08-26 |
| 1801245931 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 307, Bridgeport, WV 26330-9010 | 2016-06-09 |
| 1972957819 | Diana Rachel Stern Ferrante | Internal Medicine | 267 Grant St., Bridgeport, CT 06610 | 2016-04-18 |
| 1053711879 | Louis Ernest D'onofrio Jr. | Internal Medicine | 3180 Main St Unit 1b, Bridgeport, CT 06606-4237 | 2014-08-28 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1477849354 | Hervey Weitzman, Md, LLC | Internal Medicine | 4699 Main St Ste 213, Bridgeport, CT 06606-1830 | 2011-06-20 |
| 1598086506 | Saurabh Ranjan | Internal Medicine | 267 Grant Street, Gme 4th Floor, Bridgeport Hospital, Bridgeport, CT 06610 | 2010-06-14 |
| 1013143130 | Kevin B Panzer | Internal Medicine | 1381 Reservoir Ave., Bridgeport, CT 06606 | 2009-06-03 |
| 1720228455 | Wayne S Levin Md | Internal Medicine | 3690 Main St, Bridgeport, CT 06606-3610 | 2009-02-20 |
| 1992908537 | Jonathan Edmund Stanley | Internal Medicine | 527 Medical Park Dr Ste 302, Bridgeport, WV 26330-9009 | 2007-06-11 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
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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.