Beth I Andersen (NPI# 1003839291, PAC ID# 2163463324) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1003839291 |
| PAC ID by PECOS | 2163463324 |
| Professional Enrollment ID | I20081118000571 |
| Full Name | Beth I Andersen |
| Organization Legal Name | PAIN AND SPINE SPECIALISTS OF CONNECTICUT, LLC |
| Address |
67 Sand Pit Rd Danbury CT 06810-4032 |
| Phone Number | 2037927277 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0143323063 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070033 | DANBURY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2037927277 | PAIN AND SPINE SPECIALISTS OF CONNECTICUT, LLC |
| Organization Legal Name | PAIN AND SPINE SPECIALISTS OF CONNECTICUT, LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deloretta T Eckenrode | Nurse Practitioner | Pain and Spine Specialists of Connecticut, LLC | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Jordan Jacob Marcou | Physician Assistant | Pain and Spine Specialists of Connecticut, LLC | 5520 Park Ave, Suite 303, Trumbull, CT 06611-3466 |
| Amanda Hunsicker Uva | Nurse Practitioner | Pain and Spine Specialists of Connecticut, LLC | 11 S Rd, Suite 250, Farmington, CT 06032-2484 |
| Robert J Boolbol | Interventional Pain Management | Pain and Spine Specialists of Connecticut, LLC | 11 S Rd, Suite 250, Farmington, CT 06032-2484 |
| Amanda Ponte | Physician Assistant | Pain and Spine Specialists of Connecticut, LLC | 11 S Rd, Suite 250, Farmington, CT 06032-2484 |
| Marjorie Eliizabeth King | Nurse Practitioner | Pain and Spine Specialists of Connecticut, LLC | 1320 W Main St, Bldg 2, Waterbury, CT 06708-3131 |
| David C Levi | Interventional Pain Management | Pain and Spine Specialists of Connecticut, LLC | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Pardeep K Sood | Anesthesiology | Pain and Spine Specialists of Connecticut, LLC | 5520 Park Ave, Suite 303, Trumbull, CT 06611-3466 |
| Sandra L Anderson | Nurse Practitioner | Pain and Spine Specialists of Connecticut, LLC | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Mary Ann Chomiak | Physician Assistant | Pain and Spine Specialists of Connecticut, LLC | 11 S Rd, Suite 250, Farmington, CT 06032-2484 |
| Street Address |
67 SAND PIT RD |
| City | DANBURY |
| State | CT |
| Zip | 06810-4032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Porto | Physician Assistant | Western Connecticut Medical Group Inc | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Deloretta T Eckenrode | Nurse Practitioner | Pain and Spine Specialists of Connecticut, LLC | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Kristen M Debisceglie | Nurse Practitioner | Prohealth Physicians PC | 67 Sand Pit Rd, Suite 202, Danbury, CT 06810-4032 |
| Martha Severino | Internal Medicine | Prohealth Physicians PC | 67 Sand Pit Rd, Suite 202, Danbury, CT 06810-4032 |
| David C Levi | Interventional Pain Management | Pain and Spine Specialists of Connecticut, LLC | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Joshua Marcus | Neurosurgery | Western Connecticut Medical Group Inc | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Sandra L Anderson | Nurse Practitioner | Pain and Spine Specialists of Connecticut, LLC | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Shawn B Finnegan | Physician Assistant | Western Connecticut Medical Group Inc | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Sokpoleak So | Anesthesiology | Pain and Spine Specialists of Connecticut, LLC | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Daniel C Fombo | Nurse Practitioner | Pain and Spine Specialists of Connecticut, LLC | 67 Sand Pit Rd, Danbury, CT 06810-4032 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Moreira | Neurology | 24 Danbury Ave, Danbury, CT 06810 | |
| Michael Baroody | Plastic and Reconstructive Surgery | 51 -53 Kenosia Ave, Suite 201, Danbury, CT 06810-2301 | |
| Amanda G Madkour | Physician Assistant | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Diane St Pierre | Physician Assistant | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Edward M Beck | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| John J Bruno | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Lin Li | Pathology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Jeffrey I Gorelick | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Guy J Manetti | Urology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Andrea H Russo | Obstetrics/gynecology | Urology Associates of Danbury, PC | 51 -53 Kenosia Ave, Danbury, CT 06810-2304 |
| Find all physicians in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DANBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Beth I Andersen.
| 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.