Lakin H Shostak (NPI# 1952497091, PAC ID# 9739236167) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952497091 |
| PAC ID by PECOS | 9739236167 |
| Professional Enrollment ID | I20090422000007 |
| Full Name | Lakin H Shostak |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
226 Mill Hill Ave Suite 3 Bridgeport CT 06610-2826 |
| Phone Number | 2033843976 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 | 2033843976 | NORTHEAST MEDICAL GROUP INC |
| 95 Armory Rd, Stratford, CT 06614-1702 | 2033843388 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
226 MILL HILL AVE SUITE 3 |
| City | BRIDGEPORT |
| State | CT |
| Zip | 06610-2826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin B Panzer | Internal Medicine | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Georgia Ann Kelley | Internal Medicine | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Richard S Rhee | Internal Medicine | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Susan M Dagostino | Nurse Practitioner | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Amanda F Zygmant | Nurse Practitioner | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Christopher M Defrancesco | Nurse Practitioner | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Trishia M Barat | Physician Assistant | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Alla Chesky | Internal Medicine | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Diane M Sheehan | Nurse Practitioner | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Jessica L Nargi | Registered Dietitian Or Nutrition Professional | Northeast Medical Group Inc | 226 Mill Hill Ave, Suite 3, Bridgeport, CT 06610-2826 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Simon | Optometry | Vision Center Associates LLC | 2664 E Main St, Bridgeport, CT 06610-1422 |
| Nilka Pabon Torres | Optometry | Vision Center Associates LLC | 2664 E Main St, Bridgeport, CT 06610-1422 |
| Neil Rosen | Optometry | Vision Center Associates LLC | 2664 E Main St, Bridgeport, CT 06610-1422 |
| Michele Irving | Emergency Medicine | Bridgeport Hospital | 305 Boston Ave, Bridgeport, CT 06610-1649 |
| Natalie Cristino | Clinical Social Worker | Bridgeport Hospital | 305 Boston Ave, Bridgeport, CT 06610-1649 |
| Nicolle Eryn White | Physician Assistant | Quentin Medical Group LLC | 161 Boston Ave, Bridgeport, CT 06610-1662 |
| Sarah E Halloran | Physician Assistant | Quentin Medical Group LLC | 161 Boston Ave, Bridgeport, CT 06610-1662 |
| Deborah S Guidetti Gerwien | Clinical Social Worker | Sunrise Psychological Services LLC | 540 Bond St, Bridgeport, CT 06610-2205 |
| Sheikh M Yousuf Ali | Internal Medicine | 515 N Ridgefield Ave, Bridgeport, CT 06610-2557 | |
| Gregory G Decandia | Family Medicine | State of Connecticut | 1635 Central Ave, Bridgeport, CT 06610-2717 |
| Find all physicians in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRIDGEPORT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lakin H Shostak.
| 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.