JESSICA AVILES


Address: 2800 Main St, Bridgeport, CT 06606-4292
Phone: 2035766000

JESSICA AVILES (NPI# 1962857649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962857649
Entity Type Individual
Full Name JESSICA AVILES
Credential M.D.
Practice Address 2800 Main St
Bridgeport
CT 06606-4292
Mailing Address 263 Farmington Ave
Farmington
CT 06030-1930
Practice Telephone 2035766000
Mailing Telephone 8606794988
Enumeration Date 2016-04-29
Last Update Date 2019-06-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 63508 CT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
263 Farmington Ave, Farmington, CT 060301930 8606794988

Other Providers JESSICA AVILES

NPI Name Taxonomy Address Enumeration
1497088348 Jessica Maie Aviles Counselor 1295 W State St, El Centro, CA 92243-2845 2009-09-10

Office Location

Street Address 2800 MAIN ST
City BRIDGEPORT
State CT
Zip Code 06606-4292

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780678227 Stuart Marcus Surgery 2800 Main St, St. Vincent's Medical Center, Bridgeport, CT 06606-4201 2005-09-09
1134733074 Jessica Anne Mcdonald Physician Assistant 2800 Main St, Bridgeport, CT 06606-4292 2020-09-08
1720692874 Patricia A Hardy Nurse Practitioner 2800 Main St, Bridgeport, CT 06606-4292 2020-09-05
1083227920 Richard Magee Nurse Practitioner 2800 Main St, Bridgeport, CT 06606-4201 2020-08-29
1083223903 Victoria Piacquadio Nurse Anesthetist, Certified Registered 2800 Main St, Bridgeport, CT 06606-4201 2020-07-27
1972120509 Svmc Holdings, Inc Pharmacy 2800 Main St, Bridgeport, CT 06606-4201 2020-06-30
1083237168 Ranji Raju Nurse Anesthetist, Certified Registered 2800 Main St, Bridgeport, CT 06606-4292 2020-05-22
1437771698 Michaela Anne Paduch Physician Assistant 2800 Main St, Bridgeport, CT 06606-4292 2020-05-11
1376162982 Lyndsay Hauser Student in an Organized Health Care Education/Training Program 2800 Main St, Bridgeport, CT 06606-4201 2020-04-14
1851938435 Kaitlyn Mccarthy Pharmacist 2800 Main St, Bridgeport, CT 06606-4201 2019-12-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1578192001 Karin Alexandra Skalina Student in an Organized Health Care Education/Training Program 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 2020-04-06
1720641293 Valeriia Klymenko Student in an Organized Health Care Education/Training Program 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2019-04-19
1821579996 Ashley Liese Nurse Practitioner Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 2018-08-27
1699261289 Gema Estefania Giler-sacoto Student in an Organized Health Care Education/Training Program St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2018-07-06
1114418365 Jona Bumci Physician Assistant 3180 Main St Ste 304, Bridgeport, CT 06606 2018-05-23
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1861867442 Marie Dorothea Lisieski Social Worker 2400 Main Street, Bridgeport, CT 06606 2015-12-08
1548603384 Gerald E. Hedley Internal Medicine 390 Charles Street Unit #101, Bridgeport, CT 06606 2013-04-11
1487997581 Gerald Micalizzi, M.d., LLC Radiology 558 Fairview Avenue, Bridgeport, CT 06606 2013-03-27
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578126009 Michaela Colleen Anderson Emergency Medicine 25 Dewhirst St, Bridgeport, CT 06606-4042 2019-04-19
1316227838 Medexpress Urgent Care, Inc. - West Virginia Emergency Medicine 120 Medical Park Drive, Suite 100, Bridgeport, WV 26330 2011-08-29
1629175898 Citcads, PC Emergency Medicine 39 Asia Cir, Bridgeport, CT 06610-1262 2006-09-20
1326024555 Harry Marinakis Emergency Medicine 49 E Wexford Way, Bridgeport, WV 26330 2005-12-20
1003437633 Jessica Lynn Carder Emergency Medicine 327 Medical Park Dr, Bridgeport, WV 26330-9006 2020-05-05
1255865275 Brandon M Lewko Emergency Medicine 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 2017-04-17
1770932725 Kelly R Patel Emergency Medicine 2800 Main St, Bridgeport, CT 06606-4201 2016-06-10
1902254220 Nicholas Michael Chill Emergency Medicine 327 Medical Park Dr, Bridgeport, WV 26330-9006 2016-05-26
1992168975 Henna Kaur Kochar Emergency Medicine 267 Grant St, Bridgeport, CT 06610-2805 2016-03-29
1689061343 Jessica Neidhardt Emergency Medicine 327 Medical Park Dr, Bridgeport, WV 26330-9006 2015-04-21
Find all providers in BRIDGEPORT

Competitor

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City BRIDGEPORT
Zip Code 06606

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Dataset Information

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.

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