SHELTON PEDIATRICS (NPI# 1922597830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922597830 |
| Entity Type | Organization |
| Organization Name | SHELTON PEDIATRICS |
| Practice Address |
2 Trap Falls Rd Ste 101 Shelton CT 06484-4616 |
| Mailing Address |
220 Fans Rock Rd Hamden CT 06518-2017 |
| Practice Telephone | 2038287185 |
| Mailing Telephone | 2038136175 |
| Mailing Fax Number | 4756552990 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | DR. FADI HAMMOUD (PEDIATRICIAN) |
| Authorized Official Telephone | 2034370346 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
043900 | CT | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 043900 | CT | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Shelton Pediatrics, Pllc | 2 Trap Falls Road, Suite 101, Shelton, CT 06484 |
| Street Address |
2 TRAP FALLS RD STE 101 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518038454 | Fadi Mohamad Hammoud | Pediatrics | 2 Trap Falls Rd Ste 101, Shelton, CT 06484 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518038454 | Fadi Mohamad Hammoud | Pediatrics | 2 Trap Falls Rd Ste 101, Shelton, CT 06484 | 2006-11-13 |
| 1407863467 | David Arthur Myers | Pediatrics | 247 Professional Way, Shelton, WA 98584-4404 | 2006-08-02 |
| 1710301296 | Alexandra Danae Rhodes | Pediatrics | 247 Professional Way, Shelton, WA 98584 | 2014-02-05 |
| 1578996518 | Iris Ruedas Malit | Pediatrics | 247 Professional Way, Shelton, WA 98584-4404 | 2013-08-13 |
| 1942646179 | Margaret Beth Kissel | Pediatrics | 4 Corporate Dr, Suite 290, Shelton, CT 06484-6211 | 2013-05-15 |
| 1790916054 | Roseann Rayos | Pediatrics | 247 Professional Way, Shelton, WA 98584-4404 | 2009-08-05 |
| 1770696692 | Corrie C Steeves | Pediatrics | 4 Corporate Dr, Suite 290, Shelton, CT 06484-6211 | 2006-08-16 |
| 1326051038 | Diane M Gallo | Pediatrics | 4 Corporate Dr, Suite 290, Shelton, CT 06484-6211 | 2006-08-14 |
| 1922011766 | Richard E Carroll | Pediatrics | 4 Corporate Dr, Suite 290, Shelton, CT 06484-6211 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514292 | Medical Center of East Hartford LLC | Pediatrics | 580 Burnside Ave Ste 2, East Hartford, CT 06108-3579 | 2020-07-01 |
| 1841856721 | Jutta Nemec | Pediatrics | 9 Meadow Pl, Old Greenwich, CT 06870-2114 | 2019-05-15 |
| 1396201307 | My Catholic Doctor, P.l.l.c. | Pediatrics | 711 Silvermine Rd, New Canaan, CT 06840-4329 | 2019-02-14 |
| 1710442694 | Staci Ruth Cicero | Pediatrics | 11 Crimmins Rd, Darien, CT 06820-5327 | 2019-02-05 |
| 1740760032 | Glastonbury Pediatrics | Pediatrics | 131 New London Tpke Ste 322, Glastonbury, CT 06033-2246 | 2018-08-16 |
| 1386158467 | Pm Pediatrics of Connecticut | Pediatrics | 1459 New Britain Ave, West Hartford, CT 06110-1659 | 2017-11-28 |
| 1366973679 | Jonathan Uhl | Pediatrics | 435 Highland Ave Ste 110, Cheshire, CT 06410-2583 | 2017-03-27 |
| 1801247861 | John Frederick Harper | Pediatrics | 175 Scott Swamp Rd, Farmington, CT 06032-3124 | 2016-06-30 |
| 1831540715 | Hilary Christina Hoffmeister | Pediatrics | 41 Jones Park Dr, Riverside, CT 06878-2205 | 2016-06-22 |
| 1811381726 | Jessica Weyman Tutolo | Pediatrics | 290 Western Blvd, Glastonbury, CT 06033-1236 | 2015-03-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHELTON PEDIATRICS.
| 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.