Physical Medicine and Chiropractic Center Lorelei Davidson M.D. Marc K

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

044106 Issued in CT

Legal business name

PHYSICAL MEDICINE AND CHIROPRACTIC CENTER LORELEI DAVIDSON M.D. MARC K

Practice address

1867 Summer St
Stamford, CT 06905-5016

Phone

(203) 975-7000

Fax

(203) 975-0876

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc David Kirshner, D.C.NPI 1780778944

Title

President

Phone

(203) 975-7000

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc David Kirshner, D.C.

  • Chiropractor
  • Stamford, CT
  • NPI 1780778944
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1023102209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055016",
            "telephone_number": "203-975-7000",
            "fax_number": "203-975-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055016",
            "telephone_number": "203-975-7000",
            "fax_number": "203-975-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE AND CHIROPRACTIC CENTER LORELEI DAVIDSON M.D. MARC K",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "KIRSHNER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-975-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CT",
            "license": "044106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4125747",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LYNNE BC",
            "identifier": "050001402CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIRSHNER BC",
            "identifier": "050000952CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Phelps
• Philip a Walker
• Lawrence Michael Philips
• Anthony E Phillips, LCSW
• Sonji Phillips, PHD
• Physical Therapy Doctors, LLC
• Sherylann E. Pica
• Maria-Claire Pietak, PA
• Katie Nicole Piliero, PA-C
• Slobodan Pilipovic, MD

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.