Kenneth Ethan Lai (NPI# 1376893974, PAC ID# 8325266489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1376893974 |
| PAC ID by PECOS | 8325266489 |
| Professional Enrollment ID | I20180319000579 |
| Full Name | Kenneth Ethan Lai |
| Organization Legal Name | ST VINCENTS MULTISPECIALTY GROUP, INC |
| Address |
47 Long Lots Rd Westport CT 06880-3828 |
| Phone Number | 2032271251 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6204977218 |
| Number of Group Practice Members | 157 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490018 | AUGUSTA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 47 Long Lots Rd, Westport, CT 06880-3828 | 2032271251 | ST VINCENTS MULTISPECIALTY GROUP, INC |
| Organization Legal Name | ST VINCENTS MULTISPECIALTY GROUP, INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Carolan | Orthopedic Surgery | St Vincents Multispecialty Group, Inc | 2800 Main St, Bridgeport, CT 06606-4201 |
| Melissa Marie Cranford | Psychiatry | St Vincents Multispecialty Group, Inc | 2800 Main St, Bridgeport, CT 06606-4201 |
| Neil D Price | Psychiatry | St Vincents Multispecialty Group, Inc | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Venkata Manchala | Internal Medicine | St Vincents Multispecialty Group, Inc | 2595 Main St, Stratford, CT 06615-5812 |
| Monica Ahern Lockwood | Internal Medicine | St Vincents Multispecialty Group, Inc | 2800 Main St, Bridgeport, CT 06606-4201 |
| Paulina D Kitcher | Psychiatry | St Vincents Multispecialty Group, Inc | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Jennifer L Pleimann | Physician Assistant | St Vincents Multispecialty Group, Inc | 2800 Main St, Bridgeport, CT 06606-4201 |
| David Gianetti | Psychiatry | St Vincents Multispecialty Group, Inc | 2800 Main St, Bridgeport, CT 06606-4201 |
| Sonia M Joy | Psychiatry | St Vincents Multispecialty Group, Inc | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Kathryn S Mitra | Nurse Practitioner | St Vincents Multispecialty Group, Inc | 2595 Main St, Stratford, CT 06615-5812 |
| Street Address |
47 LONG LOTS RD |
| City | WESTPORT |
| State | CT |
| Zip | 06880-3828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Lorraine Harrell | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Sol Lissette Rodriguez Medina | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Jacques P.b. Germain | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Bujji B Surapaneni | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Ryan Marc Lieberman | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Jay Draoua | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Melissa Bonasera | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Anne Kwon | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Dilwyn Symes | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Neil D Price | Psychiatry | St Vincents Multispecialty Group, Inc | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Find all physicians in the same address | |||
| 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 | PSYCHIATRY |
| City + Specialty | WESTPORT + PSYCHIATRY |
Please comment or provide details below to improve the information on Kenneth Ethan Lai.
| 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.