BRUCE P WAINER (NPI# 1962506204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962506204 |
| Entity Type | Individual |
| Full Name | BRUCE P WAINER |
| Credential | MD |
| Practice Address |
1825 Barnum Ave Suite 203 Stratford CT 06614-5333 |
| Practice Telephone | 2033775493 |
| Practice Fax Number | 2033800874 |
| Mailing Telephone | 2033775493 |
| Mailing Fax Number | 2033800874 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2008-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
025902 | CT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 025902 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1259027 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548218605 | Bruce H. Wainer | Pathology | 1841 Clifton Rd Ne, Room 208, Atlanta, GA 30329-4021 | 2006-05-04 |
| Street Address |
1825 BARNUM AVE SUITE 203 |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629012661 | Thomas M Domanick | Podiatrist | 1825 Barnum Ave, Stratford, CT 06614-5333 | 2006-06-16 |
| 1376931311 | St. Vincent's Multispecialty Group | Durable Medical Equipment & Medical Supplies | 1825 Barnum Ave, Stratford, CT 06614-5333 | 2014-12-29 |
| 1265747323 | Maria Delvecchio Valerian | Social Worker | 1825 Barnum Ave, Suite 304, Stratford, CT 06614-5333 | 2010-08-13 |
| 1457662181 | Carla M Monteiro | Dentist | 1825 Barnum Ave, Suite 303, Stratford, CT 06614-5333 | 2010-06-28 |
| 1962641951 | Joyce A Evon | Counselor | 1825 Barnum Ave, #304, Stratford, CT 06614-5333 | 2009-02-13 |
| 1235316597 | Thomas M Domanick Dpm | Surgery | 1825 Barnum Ave, Stratford, CT 06614-5333 | 2008-01-29 |
| 1972647600 | Pulmonary Rehabilitation Associates, LLC | Internal Medicine | 1825 Barnum Ave, Suite 203, Stratford, CT 06614-5333 | 2007-02-16 |
| 1134298748 | Alan Goldberg | Dentist | 1825 Barnum Ave, Suite 303, Stratford, CT 06614-5333 | 2006-11-07 |
| 1588733133 | Elke W Cheung | Dentist | 1825 Barnum Ave, Suite 303, Stratford, CT 06614-5333 | 2006-11-07 |
| 1629147277 | Andrew M Marcus | Dentist | 1825 Barnum Ave, Suite 303, Stratford, CT 06614-5333 | 2006-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1174663470 | Kennedy Medical Group Practice, P.C. D/b/a Kennedy Health Alliance | Internal Medicine | 25 E Laurel Rd, Stratford, NJ 08084-1322 | 2007-02-07 |
| 1891287314 | Rowansom Dept of Endocrinology | Internal Medicine | 42 E Laurel Rd Ste 3100, Stratford, NJ 08084-1354 | 2018-05-31 |
| 1730325515 | Maria Szpiech | Internal Medicine | 25 E Laurel Rd, Stratford, NJ 08084-1322 | 2008-12-26 |
| 1538367198 | Patricia Marie Luceri | Internal Medicine | 25 E Laurel Rd, Stratford, NJ 08084-1322 | 2007-07-05 |
| 1760429369 | Joseph James Fallon Jr. | Internal Medicine | 42 E Laurel Rd Ste 3100, Stratford, NJ 08084-1354 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103762 | Fairfield County Endocrine, LLC | Internal Medicine | 18 Sunnyside Ln, Westport, CT 06880-1710 | 2019-06-18 |
| 1013458447 | James Magner | Internal Medicine | 1022 Field Dr, Woodbridge, CT 06525-2638 | 2017-03-18 |
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1740675818 | Vivek Alaigh | Internal Medicine | 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 | 2015-04-05 |
| 1669801619 | Geetika Gupta | Internal Medicine | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | 2013-11-09 |
| 1134562911 | Lori Marie De La Portilla | Internal Medicine | 462 Queen St # 303, Southington, CT 06489-1801 | 2013-04-11 |
| 1346592862 | Kathleen Mary O'connell | Internal Medicine | 9 Stonecrop Ln, Wilton, CT 06897-2405 | 2012-10-08 |
| 1104159037 | Robert Aaron Levine | Internal Medicine | 137 Winthrop Rd, Guilford, CT 06437-1632 | 2009-09-10 |
| 1124209101 | Maryanne Horta Bhojwani | Internal Medicine | 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 | 2007-11-19 |
| 1366585762 | Ann E Taylor | Internal Medicine | Pfizer, Eastern Point Road, Groton, CT 06340 | 2007-02-15 |
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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.