ANDREW JOSEPH ILLIG (NPI# 1952566580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952566580 |
| Entity Type | Individual |
| Full Name | ANDREW JOSEPH ILLIG |
| Credential | D.O. |
| Practice Address |
1281 E Main St Stamford CT 06902-3544 |
| Practice Telephone | 2033254087 |
| Practice Fax Number | 2033599941 |
| Mailing Telephone | 2033254087 |
| Mailing Fax Number | 2033599941 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 051324 | CT | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
051324 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1281 E MAIN ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940687 | Andrew L Haas | Orthopaedic Surgery | 1281 E Main St, Stamford, CT 06902-3544 | 2005-05-31 |
| 1255780490 | Westchester Medical Group, P.C. | Orthopaedic Surgery | 1281 E Main St, Stamford, CT 06902-3544 | 2016-06-08 |
| 1073996377 | Orthopaedic Associates of Stamford PC | Orthopaedic Surgery | 1281 E Main St, Fourth Floor, Stamford, CT 06902-3544 | 2015-07-06 |
| 1669851861 | Abigail Fischer | Occupational Therapist | 1281 E Main St, Stamford, CT 06902-3544 | 2015-05-21 |
| 1275889305 | Melissa Evans | Physical Therapist | 1281 E Main St, Stamford, CT 06902-3544 | 2012-07-26 |
| 1992018535 | Radhika Siriki | Anesthesiology | 1281 E Main St, Stamford, CT 06902-3544 | 2010-07-25 |
| 1528396264 | Jennifer Marie Zagarino | Physical Therapist | 1281 E Main St, Stamford, CT 06902-3544 | 2009-11-18 |
| 1124285192 | Emily Slate | Orthopaedic Surgery | 1281 E Main St, Stamford, CT 06902-3544 | 2008-05-19 |
| 1063692861 | Alex Gitelman | Orthopaedic Surgery | 1281 E Main St, Stamford, CT 06902-3544 | 2007-11-08 |
| 1013059757 | Carla Cuccia | Physical Therapist | 1281 E Main St, Stamford, CT 06902-3544 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194165951 | Katherine Rodriguez | Physical Medicine & Rehabilitation | 35 6th St, Stamford, CT 06905-4603 | 2013-06-26 |
| 1912108325 | Midas Medical PC | Physical Medicine & Rehabilitation | 1867 Summer St, Stamford, CT 06905-5016 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740566 | Interventional Orthopedics Ct, P.c | Physical Medicine & Rehabilitation | 195 Danbury Rd Ste B200, Wilton, CT 06897-6009 | 2020-04-27 |
| 1013229103 | Robin D Raju | Physical Medicine & Rehabilitation | 1 Long Wharf Dr Fl 6, New Haven, CT 06511 | 2010-07-06 |
| 1205147352 | Jonathan G. Tuma | Physical Medicine & Rehabilitation | 22 Marjorie St, Mystic, CT 06355-3626 | 2010-06-23 |
| 1154580827 | Bohdan J Warycha | Physical Medicine & Rehabilitation | 1579 Straits Tpke Lowr Level, Middlebury, CT 06762-1835 | 2008-06-06 |
| 1699843888 | Perry Michael Perretz | Physical Medicine & Rehabilitation | 112 Portland Ave, West Redding, CT 06896-3119 | 2006-12-04 |
| 1528068921 | Arpad Sandor Fejos | Physical Medicine & Rehabilitation | 512 Saybrook Rd, Suite 100, Middletown, CT 06457-4788 | 2005-07-28 |
| 1639506967 | Hans Knopp | Physical Medicine & Rehabilitation | 1579 Straits Tpke, Middlebury, CT 06762 | 2013-10-01 |
| 1760828172 | David Emmanuel Gutierrez | Physical Medicine & Rehabilitation | 800 Howard Ave Fl 1, New Haven, CT 06519 | 2013-05-14 |
| 1427396019 | Kyle Silva | Physical Medicine & Rehabilitation | 888 White Plains Rd Ste 105&106, Trumbull, CT 06611-4552 | 2013-01-16 |
| 1972799799 | David Lee Tung | Physical Medicine & Rehabilitation | 3180 Main St, Suite 303, Bridgeport, CT 06606-4237 | 2007-09-16 |
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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.