EMERGENCY MEDICINE PHYSICIANS OF FAIRFIELD COUNTY, LLC
NPI 1689614109
Emergency Medicine in Stamford, CT

NPI Status: Active since June 07, 2006

Contact Information

30 SHELBURNE RD
STAMFORD, CT
ZIP 06902
Phone: (330) 493-4443
Fax: (330) 493-8677

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  • Organization
  • Emergency Medicine

About EMERGENCY MEDICINE PHYSICIANS OF FAIRFIELD COUNTY, LLC

This page provides the complete NPI Profile along with additional information for Emergency Medicine Physicians Of Fairfield County, Llc, a provider established in Stamford, Connecticut operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1689614109 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Emergency Medicine Physicians Of Fairfield County, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is David C Packo Md (President)

NPI
1689614109
Provider Name
EMERGENCY MEDICINE PHYSICIANS OF FAIRFIELD COUNTY, LLC
Entity Type
Organization
Location Address
30 SHELBURNE RD STAMFORD, CT 06902
Location Phone
(330) 493-4443
Location Fax
(330) 493-8677
Mailing Address
4535 DRESSLER RD NW CANTON, OH 44718
Mailing Phone
(330) 493-4443
Mailing Fax
(330) 493-8677
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2006
Last Update Date
06-25-2016
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080P0204XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Emergency Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DAVID C PACKO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(330) 493-4443

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C02878MEDICARE PIN (08)CT 
02324707MEDICAID (05)NY 
8902500MEDICAID (05)NJ 
004225141MEDICAID (05)CT 

Reviews for EMERGENCY MEDICINE PHYSICIANS OF FAIRFIELD COUNTY, LLC

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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.
1689614109
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169121810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 1 + 8 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1689614109 is valid because the calculated check digit 9 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
1558351759 BO XU M.D.
Individual
Pathology (Anatomic Pathology)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-4067
1124006341 ROBERT C BABKOWSKI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)30 SHELBURNE RD
STAMFORD, CT 06902
(860) 673-9984
1609829217 RAYMOND A BAER MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)30 SHELBURNE RD STAMFORD HOSPITAL, DEPT OF PATHOLOGY
STAMFORD, CT 06902
(203) 276-7420
1073552642 AUGUSTO H PODESTA MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7424
1740215789 BHARATI K BANERJEE MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7190
1982622098 VICKI LYUS
Individual
Genetic Counselor, MS30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7693
1902826225DR. DAWN MARIE NAIR A.P.R.N.
Individual
Nurse Practitioner (Adult Health)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 610-3878
1992713036 SCOTT GOTTLIEB MD
Individual
Internal Medicine30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7298
1215946900 FRANCES W GINSBURG MD
Individual
Obstetrics & Gynecology (Reproductive Endocrinology)30 SHELBURNE RD STAMFORD HOSPITAL
STAMFORD, CT 06902
(203) 325-7559
1174534150 JOHN F RODIS MD
Individual
Obstetrics & Gynecology (Gynecology)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7295
1093726127 GERALD B RAKOS MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7085
1609888668 PETER J TENICKI MD
Individual
Internal Medicine30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7298
1427164953 STEVEN F HOROWITZ MD
Individual
Internal Medicine (Cardiovascular Disease)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7480
1811006398 DORA L BUSH LCSW
Individual
Social Worker30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7111
1669578175 ROBERT GENNARO MD
Individual
Obstetrics & Gynecology30 SHELBURNE RD OBGYN ASSOCIATES, PC
STAMFORD, CT 06902
(203) 276-7060
1487745022 HIREN MODY MD
Individual
Internal Medicine30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-7010
1649351602MS. SHILPA DESAI PA
Individual
Physician Assistant (Medical)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-1000
1477632305DR. RICHARD M WEINBERG MD
Individual
Internal Medicine (Pulmonary Disease)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-4156
1174680888 DONNA S BOWMAN APRN
Individual
Nurse Practitioner (Family)30 SHELBURNE RD
STAMFORD, CT 06902
(203) 276-1000
1669527347DR. SAREETA HELENA BJERKE M.D.
Individual
Obstetrics & Gynecology30 SHELBURNE RD STAMFORD HOSPITAL AMBULATORY CLINIC
STAMFORD, CT 06902
(203) 276-7145

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689614109, enumerated in the NPI registry as an "organization" on June 07, 2006

The provider is located at 30 Shelburne Rd Stamford, Ct 06902 and the phone number is (330) 493-4443

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 07, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.