Mary Lucia (NPI# 1285645556, PAC ID# 1951333103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1285645556 |
| PAC ID by PECOS | 1951333103 |
| Professional Enrollment ID | I20050908000511 |
| Full Name | Mary Lucia |
| Organization Legal Name | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Address |
1046 Fairfield Ave Bridgeport CT 06605-1116 |
| Phone Number | 2033306000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2466445200 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2033306000 | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2033306000 | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Organization Legal Name | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Mraz | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Djana Harp | Obstetrics/gynecology | South-west Community Health Center, Inc. | 510 Clinton Ave, Bridgeport, CT 06605-1701 |
| Julianne Y Icatar | Obstetrics/gynecology | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Nicole A Altbaum-nash | Clinical Social Worker | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Pierre H Estime | Family Medicine | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Lachanna R Evans | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Latoya Smith | Nurse Practitioner | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Charles P Alexander | Psychiatry | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Frances U Ogudebe | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Monika Jean Maclean | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Street Address |
1046 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip | 06605-1116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole A Altbaum-nash | Clinical Social Worker | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Lachanna R Evans | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Charles P Alexander | Psychiatry | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Arashinder Singh Dhaliwal | Psychiatry | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Gerard Abidor | Internal Medicine | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Kathleen S Africano | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Karen Madeleine Smith | Clinical Social Worker | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Rachel Leigh | Registered Dietitian Or Nutrition Professional | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Susan M Denisco | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Rosabelle Therese Conover | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Camacho-pantoja | Psychiatry | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Richard Torres | Internal Medicine | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Paul J O Braonain | Family Medicine | Optimus Health Care Inc | 64 Black Rock Ave, Bridgeport, CT 06605-1200 |
| Pamela A Rule | Nurse Practitioner | Optimus Health Care Inc | 64 Black Rock Ave, Bridgeport, CT 06605-1200 |
| Laura Burr | Nurse Practitioner | Optimus Health Care Inc | 64 Black Rock Ave, Bridgeport, CT 06605-1200 |
| Vicente A Diaz | Ophthalmology | Optimus Health Care Inc | 64 Black Rock Ave, Bridgeport, CT 06605-1200 |
| Shel Swanson | Certified Nurse Midwife (cnm) | Optimus Health Care Inc | 64 Black Rock Ave, Bridgeport, CT 06605-1200 |
| Theresa Djama | Podiatry | Optimus Health Care Inc | 64 Black Rock Ave, Bridgeport, CT 06605-1200 |
| Shireen Donaldson-ramos | Obstetrics/gynecology | Optimus Health Care Inc | 64 Black Rock Ave, Bridgeport, CT 06605-1200 |
| Katherine A Golar | Internal Medicine | Optimus Health Care Inc | 64 Black Rock Ave, Bridgeport, CT 06605-1200 |
| Find all physicians in zip 06605 | |||
| City | BRIDGEPORT |
| Zip Code | 06605 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BRIDGEPORT + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Mary Lucia.
| 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.