Shahana Theriault (NPI# 1114322153, PAC ID# 4284957424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1114322153 |
PAC ID by PECOS | 4284957424 |
Professional Enrollment ID | I20141219001572 |
Full Name | Shahana Theriault |
Organization Legal Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
Address |
469 W Main St Branford CT 06405-3400 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 7315850039 |
Number of Group Practice Members | 143 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070017 | MIDSTATE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
469 W Main St, Branford, CT 06405-3400 | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC | |
2408 Whitney Ave, Hamden, CT 06518-3209 | 2034073500 | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
9 Washington Ave, Suite 1a, Hamden, CT 06518-3267 | 2038656784 | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
30 Commerce Park, Milford, CT 06460-3551 | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
Organization Legal Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
Physicians | 22 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joanne Nachtygal | Physician Assistant | Connecticut Orthopaedic Specialists, PC | 330 Boston Post Rd, Orange, CT 06477-3505 |
Marie A Staley | Physical Therapy | Connecticut Orthopaedic Specialists, PC | 2408 Whitney Ave, Hamden, CT 06518-3209 |
Alyssa I Figlar | Physical Therapy | Connecticut Orthopaedic Specialists, PC | 469 W Main St, Branford, CT 06405-3400 |
Kathleen M Jacobsen | Physical Therapy | Connecticut Orthopaedic Specialists, PC | 469 W Main St, Branford, CT 06405-3400 |
Erika L Schramm | Physical Therapy | Connecticut Orthopaedic Specialists, PC | 2408 Whitney Ave, Hamden, CT 06518-3209 |
John Aversa | Orthopedic Surgery | Connecticut Orthopaedic Specialists, PC | 84 N Main St, Branford, CT 06405-3061 |
Anthony Rapuano | Physical Therapy | Connecticut Orthopaedic Specialists, PC | 258 Broad St, Milford, CT 06460-3226 |
Maribeth E Voytek | Physical Therapy | Connecticut Orthopaedic Specialists, PC | 30 Commerce Park, Milford, CT 06460-3551 |
Peggy L Fillion | Occupational Therapy | Connecticut Orthopaedic Specialists, PC | 2408 Whitney Ave, Hamden, CT 06518-3209 |
James E Beam Iii | Physical Therapy | Connecticut Orthopaedic Specialists, PC | 2408 Whitney Ave, Hamden, CT 06518-3209 |
Street Address |
469 W MAIN ST |
City | BRANFORD |
State | CT |
Zip | 06405-3400 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gail D Garfield-dadio | Occupational Therapy | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
Shirvinda A Wijesekera | Orthopedic Surgery | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
John F Irving | Orthopedic Surgery | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
Sherri Lynn Oconnor | Physician Assistant | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
Melissa A Mieszczanski | Physician Assistant | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
Jerome L Houle Iv | Physician Assistant | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
Adriana P Blanco | Rheumatology | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
Krista F Nolan | Physical Therapy | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
Jacqueline L Murray | Nurse Practitioner | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
Laura Adair | Physical Therapy | Connecticut Orthopaedic Specialists PC | 469 W Main St, Branford, CT 06405-3400 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Patricia A Youngquist | Optometry | 120 Commercial Pkwy, Branford, CT 06405-2537 | |
Sushil Gupta | Pulmonary Disease | Pulmonary Care, PC | 14 Business Park Dr, Branford, CT 06405-2909 |
Rachel Creevy D'errico | Nurse Practitioner | Northeast Medical Group Inc | 500 E Main St, Branford, CT 06405-2912 |
Kyle Lynn Blomberg | Nurse Practitioner | Northeast Medical Group Inc | 500 E Main St, Branford, CT 06405-2912 |
Gloria J Greenidge | Clinical Social Worker | 388 E Main St, Suite 3, Branford, CT 06405-2914 | |
Jamelah T Stone | Clinical Social Worker | 500 E Main St, Suite 322, Branford, CT 06405-2929 | |
Faith Levin-irwin | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
Janet M Smith | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
Justine Gillen | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
Phyllis L Quinn | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
Find all physicians in zip 06405 |
City | BRANFORD |
Zip Code | 06405 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | BRANFORD + 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.