Tatyana Axyonova (NPI# 1093257164, PAC ID# 7012299654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093257164 |
| PAC ID by PECOS | 7012299654 |
| Professional Enrollment ID | I20170117000417 |
| Full Name | Tatyana Axyonova |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Address |
830 Post Rd E Westport CT 06880-5222 |
| Phone Number | 2032913800 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789597691 |
| Number of Group Practice Members | 534 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070033 | DANBURY HOSPITAL |
| 070034 | NORWALK HOSPITAL ASSOCIATION |
| Address | Phone | Organization |
|---|---|---|
| 830 Post Rd E, Westport, CT 06880-5222 | 2032913800 | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Physicians | 551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Jean Moore | Nurse Practitioner | Western Connecticut Medical Group Inc | 95 Locust Ave, Danbury, CT 06810-6148 |
| Patrice Thornton | Internal Medicine | Western Connecticut Medical Group Inc | 96 Route 37, New Fairfield, CT 06812 |
| Paola Ninoska Cruz Chery | Internal Medicine | Western Connecticut Medical Group Inc | 497 Westport Ave, Norwalk, CT 06851-4411 |
| Swati Srivastava | Family Medicine | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Jasmina Krstic | Internal Medicine | Western Connecticut Medical Group Inc | 363 Reef Rd, Fairfield, CT 06824-6582 |
| Rachel H Chung | Family Medicine | Western Connecticut Medical Group Inc | 38 E Ave, New Canaan, CT 06840-5516 |
| Marc Joseph Casasanta | Colorectal Surgery (proctology) | Western Connecticut Medical Group Inc | 111 Osborne St, Suite 121, Danbury, CT 06810-6019 |
| Susan Olsen | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Marcos Ramiro Lamas | Endocrinology | Western Connecticut Medical Group Inc | 25 Germantown Rd, Danbury, CT 06810-5036 |
| Eve Block | Hospice/palliative Care | Western Connecticut Medical Group Inc | 24 Stevens St, Norwalk, CT 06850-3852 |
| Street Address |
830 POST RD E |
| City | WESTPORT |
| State | CT |
| Zip | 06880-5222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Downing | Nurse Practitioner | Western Connecticut Medical Group, Inc | 830 Post Rd E, Westport, CT 06880-5222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Marshall | Chiropractic | Robert A, Marshall D.c. P.C. | 40 Red Coat Rd, Westport, CT 06880-1415 |
| Rochelle J Field | Clinical Social Worker | 12 Half Mile Cmn, Westport, CT 06880-2246 | |
| Alison S Tane | Psychologist, Clinical | 10 Vineyard Ln, Westport, CT 06880-2255 | |
| Thomas Brunoski | General Practice | 4 Ivy Knls, Westport, CT 06880-2326 | |
| Kristi A Sacco | Clinical Psychologist | 245 Main St, Westport, CT 06880-2401 | |
| Donna E Rogg | Clinical Social Worker | 127 Kings Hwy N, Westport, CT 06880-2422 | |
| Lois M Fox | Clinical Social Worker | 127 Kings Hwy N, Westport, CT 06880-2422 | |
| Zhaodi Gong | Anesthesiology | 125 Kings Hwy N, Lowr Level, Westport, CT 06880-2428 | |
| Cesar A Sierra | Ophthalmology | 125 Kings Hwy N, Suite B, Westport, CT 06880-2428 | |
| Thomas J Abrahamsen | Podiatry | 129 Kings Highwway N, Westport, CT 06880-2438 | |
| Find all physicians in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WESTPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tatyana Axyonova.
| 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.