DIANE L. FOUNTAS M.D.
NPI 1639378086
Pediatrics in Waterbury, CT

NPI Status: Active since July 16, 2007

Contact Information

1389 W MAIN ST
SUITE 325
WATERBURY, CT
ZIP 06708
Phone: (203) 753-6776

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  • Organization
  • Pediatrics

About DIANE L. FOUNTAS M.D.

This page provides the complete NPI Profile along with additional information for Diane L. Fountas M.d., a pediatrician established in Waterbury, Connecticut operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1639378086 assigned on July 2007. The practitioner's primary taxonomy code is 208000000X with license number 024436 (CT). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Tammy Carrasquillo (Office Manager)

NPI
1639378086
Provider Name
DIANE L. FOUNTAS M.D.
Entity Type
Organization
Location Address
1389 W MAIN ST SUITE 325 WATERBURY, CT 06708
Location Phone
(203) 753-6776
Mailing Address
1389 W MAIN ST SUITE 325 WATERBURY, CT 06708
Mailing Phone
(203) 753-6776
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2007
Last Update Date
07-16-2007
Code Navigator

A pediatrician like Diane L. Fountas M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
024436
License State
CT
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TAMMY CARRASQUILLO

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(203) 753-6776

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639378086
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26696716016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 7 + 1 + 6 + 0 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1639378086 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023085065DR. JUAN FICA M.D.
Individual
Internal Medicine1389 W MAIN ST TOWER 2, SUITE 320
WATERBURY, CT 06708
(203) 753-9313
1376507301DR. DIANE LOUISE FOUNTAS M.D.
Individual
Pediatrics (Adolescent Medicine)1389 W MAIN ST SUITE 325
WATERBURY, CT 06708
(203) 753-6776
1114985728MR. RICHARD POPE PA-C
Individual
Physician Assistant (Medical)1389 W MAIN ST SUITE120
WATERBURY, CT 06708
(203) 755-5555
1396788501 ABDULMASIH Z ZARIF MD
Individual
Surgery1389 W MAIN ST TOWER 2 SUITE 321
WATERBURY, CT 06708
(203) 757-1113
1770511891 RICHARD MATZA M.D.
Individual
Orthopaedic Surgery1389 W MAIN ST SUITE 123
WATERBURY, CT 06708
(203) 755-5555
1174553663 THOMAS MATTHEW HALLINAN LMFT
Individual
Marriage & Family Therapist1389 W MAIN ST SUITE210
WATERBURY, CT 06708
(203) 755-5800
1770516452DR. EDWARD J KARBAN D.M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)1389 W MAIN ST SUITE 320
WATERBURY, CT 06708
(203) 573-1427
1538193370DR. JOHN JOSEPH HILLGEN IV D.M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)1389 W MAIN ST SUITE 320
WATERBURY, CT 06708
(203) 573-1427
1508951468DR. ANDREW F. KEENE DMD
Individual
Dentist (Oral and Maxillofacial Surgery)1389 W MAIN ST SUITE 320
WATERBURY, CT 06708
(203) 573-1427
1134216872 ELIZABETH M COUTURE PT
Individual
Physical Therapist1389 W MAIN ST SUITE 121
WATERBURY, CT 06708
(203) 755-5555
1942345889 LISA SEABRA-VEIGA D.M.D.
Individual
Dentist (General Practice)1389 W MAIN ST SUITE 202
WATERBURY, CT 06708
(203) 597-9388
1619173382 AMY BLAIS
Individual
Physical Therapist (Pediatrics)1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
1124218870 SARAH MOREIRA SLP
Individual
Speech-Language Pathologist1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
1376733022 TINA MEYERS
Individual
Physical Therapist (Pediatrics)1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
1467642132 SHARON BROWN
Individual
Physical Therapist (Pediatrics)1389 W MAIN ST
WATERBURY, CT 06708
(203) 271-9854
1083804751 CINDY DUNCAN
Individual
Speech-Language Pathologist1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
1023208790 KATHY REIFF
Individual
Occupational Therapist (Pediatrics)1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
1134319809 JENNIFER TWOHILL
Individual
Occupational Therapist (Pediatrics)1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
1740470400 GERALDINE CAMPBELL
Individual
Occupational Therapist (Pediatrics)1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
1336339001 JODIE BEAUCHAMP
Individual
Physical Therapist (Pediatrics)1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639378086, enumerated in the NPI registry as an "organization" on July 16, 2007

The provider is located at 1389 W Main St Suite 325 Waterbury, Ct 06708 and the phone number is (203) 753-6776

This medical organization specializes in Pediatrics with taxonomy code 208000000X

This NPI record was last updated on July 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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