Phillip A Bilderback (NPI# 1386968329, PAC ID# 9335385814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1386968329 |
| PAC ID by PECOS | 9335385814 |
| Professional Enrollment ID | I20180702002661 |
| Full Name | Phillip A Bilderback |
| Organization Legal Name | ADVANCED MINIMALLY INVASIVE SURGERY, LLC |
| Address |
4 Corporate Dr Suite 186 Shelton CT 06484-6266 |
| Phone Number | 2038805000 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1759478415 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070028 | ST. VINCENT'S MEDICAL CENTER |
| 070006 | STAMFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4 Corporate Dr, Suite 186, Shelton, CT 06484-6266 | 2038805000 | ADVANCED MINIMALLY INVASIVE SURGERY, LLC |
| 32 Strawberry Hill Ct, Suite 41052, Stamford, CT 06902-2777 | 2033274444 | ADVANCED MINIMALLY INVASIVE SURGERY, LLC |
| Organization Legal Name | ADVANCED MINIMALLY INVASIVE SURGERY, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Pulcini-buttine | Physician Assistant | Advanced Minimally Invasive Surgery, LLC | 32 Strawberry Hill Ct, Suite 41052, Stamford, CT 06902-2777 |
| Albert Anthony Luongo | Physician Assistant | Advanced Minimally Invasive Surgery, LLC | 4 Corporate Dr, Suite 186, Shelton, CT 06484-6266 |
| Jai Prasad | General Surgery | Advanced Minimally Invasive Surgery, LLC | 32 Strawberry Hill Ct, Suite 41052, Stamford, CT 06902-2777 |
| James A Bonheur | General Surgery | Advanced Minimally Invasive Surgery, LLC | 32 Strawberry Hill Ct, Suite 41052, Stamford, CT 06902-2777 |
| Street Address |
4 CORPORATE DR SUITE 186 |
| City | SHELTON |
| State | CT |
| Zip | 06484-6266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Digiacomo | Nurse Practitioner | Northeast Medical Group Inc | 4 Corporate Dr, Suite 394, Shelton, CT 06484-6240 |
| Brittany Craiglow | Dermatology | Connecticut Skinhealth LLP | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6240 |
| Swati Joshi | Internal Medicine | Northeast Medical Group Inc | 4 Corporate Dr, Suite 394, Shelton, CT 06484-6240 |
| Chhavi Rai | Family Medicine | Northeast Medical Group Inc | 4 Corporate Dr, Suite 394, Shelton, CT 06484-6240 |
| Piotr W Baginski | Internal Medicine | 4 Corporate Dr, Suite 283, Shelton, CT 06484-6264 | |
| Daniel Lax | Obstetrics/gynecology | Physicians for Women's Health, LLC | 4 Corporate Dr, Suite 484, Shelton, CT 06484-6241 |
| Kenneth J Shulman | Pathology | Connecticut Skinhealth LLP | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6240 |
| Julie L Cantatore-francis | Dermatology | Connecticut Skinhealth LLP | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6240 |
| Joseph L Sokol | Ophthalmology | Connecticut Eye Specialists LLC | 4 Corporate Dr, Suite 380, Shelton, CT 06484-6266 |
| Donna M Doxsey-mcgrew | Nurse Practitioner | Northeast Medical Group Inc | 4 Corporate Dr, Suite 100, Shelton, CT 06484-6258 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph A Saracco | Podiatry | Northeast Medical Group Inc | 175 Sherman Ave, Shelton, CT 06484 |
| Ernest D Moritz | Hospice/palliative Care | Northeast Medical Group Inc | 175 Sherman Ave, Shelton, CT 06484 |
| Suzanne B Guerrucci | Clinical Social Worker | 163 Leavenworth Rd, Shelton, CT 06484-2112 | |
| Donna A Nickdow | Clinical Social Worker | 476 Howe Ave, Suite 4, Shelton, CT 06484-3153 | |
| Anthony G Infantino | Physical Medicine and Rehabilitation | National Health Rehabilitation LLC | 45 Maltby St, Shelton, CT 06484-3328 |
| Joseph S Madrak | Optometry | Dr Joseph S Madrak Od LLC | 190 Coram Ave, Shelton, CT 06484-3347 |
| Howard R Cohen | Optometry | Dr Joseph S Madrak Od LLC | 190 Coram Ave, Shelton, CT 06484-3347 |
| Ballard Glenn Blair | Podiatry | 375 Bridgeport Ave, Shelton, CT 06484-3844 | |
| Stephanie G Pettingle | Nurse Practitioner | Griffin Faculty Physicians Inc | 330 Bridgeport Ave, Shelton, CT 06484-3861 |
| John G Strugar | Neurosurgery | Neurosurgery Orthopaedics and Spine Specialists PC | 330 Bridgeport Ave, Shelton, CT 06484-3861 |
| Find all physicians in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SHELTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Phillip A Bilderback.
| 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.