Trisha Erdman (NPI# 1063897866, PAC ID# 0244549855) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063897866 |
| PAC ID by PECOS | 0244549855 |
| Professional Enrollment ID | I20151022000781 |
| Full Name | Trisha Erdman |
| Organization Legal Name | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| Address |
1449 Old Waterbury Rd Suite 101 Southbury CT 06488-3926 |
| Phone Number | 2032629979 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8527951532 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070016 | SAINT MARYS HOSPITAL |
| 070005 | WATERBURY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 | 2032629979 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| 495 Hawley Ln, 2a, Stratford, CT 06614-1514 | 2032106340 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| Organization Legal Name | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harry Ma | Vascular Surgery | Southern Connecticut Vascular Center LLC | 2 Shaws Cv, New London, CT 06320-4975 |
| Jonathan N Bowman | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
| Richard Martin Margules | General Surgery | Southern Connecticut Vascular Center LLC | 7 Germantown Rd, Suite 2b, Danbury, CT 06810-5000 |
| Ben Marsan | Vascular Surgery | Southern Connecticut Vascular Center LLC | 599 Middlesex Tpke, Old Saybrook, CT 06475-1201 |
| Ann Marie Williams | Physician Assistant | Southern Connecticut Vascular Center LLC | 236 Boston Post Rd, Orange, CT 06477-3236 |
| Jaime S Strachan | Vascular Surgery | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
| Andrew Baxter | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
| Lee J Goldstein | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
| Jeffrey M Ranaudo | Vascular Surgery | Southern Connecticut Vascular Center LLC | 360 Tolland Tpke, Suite 1a, Manchester, CT 06042-1759 |
| Michael A Sergi | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
| Street Address |
1449 OLD WATERBURY RD SUITE 101 |
| City | SOUTHBURY |
| State | CT |
| Zip | 06488-3926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime S Strachan | Vascular Surgery | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
| Marsel Huribal | Vascular Surgery | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
| Mark C Ruchman | Ophthalmology | 1449 Old Waterbury Rd, Suite 203, Southbury, CT 06488-3926 | |
| Bing Shue | Vascular Surgery | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
| Sae Hahm | Vascular Surgery | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
| Robert Kingsbury Botta | Vascular Surgery | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Barberie | Psychiatry | State of Connecticut | 1461 S Britain Rd, Southbury, CT 06488-1139 |
| Denise M Casavant | Clinical Social Worker | 519 Heritage Rd, Suite 1c1, Southbury, CT 06488-1699 | |
| Howard M Lee | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Paul Mcguire | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Mark Glicklich | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Gregory Nevsky | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Peter N Waxman | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Sunil Saxena | Psychiatry | Spectrum Behavioral PC | 1287 Strongtown Rd, Southbury, CT 06488-1948 |
| Caroline L Larosa | Dermatology | Dermatology Associates of Western Connecticut, PC | 77 Main N St, Suite 107, Southbury, CT 06488-2200 |
| Anthony S. Comunale | Psychologist, Clinical | 77 Main St N, Suite 206, Southbury, CT 06488-2200 | |
| Find all physicians in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SOUTHBURY + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.