Stephan Anton Bayer
Individual provider Active NPI Medical Physician Assistant · West Haven, CT
NPI 1003377631 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1003377631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 205 Elm St Apt 5
West Haven, CT 06516-4659 - Phone
- (719) 287-6053
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
205 Elm St Apt 5
West Haven, CT 06516-4659
Mailing address
205 Elm St Apt 5
West Haven, CT 06516-4659
Phone (719) 287-6053
Other providers in West Haven, CT
- Gwendolyn Anne Bassett
- Lori Anne Bastian
- Margaret Bauer
- Victoria Mary Bauer
- Baybrook Dental
- Allison Baylis
- Be Healed Homecare, LLC
- Amanda Bean
- John Beauvais
- Mark Gregory Becea
All providers in West Haven, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.