Individual provider Active NPI

Lisa Webb, MD

  • Neurology Physician
  • Stratford, CT
National Provider Identifier
1063458800
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
038663 Issued in CT
Practice address
2590 Main St
Stratford, CT 06615-5838
Phone
(203) 377-5988
Fax
(203) 380-0531
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 038663 CT Primary

Addresses

Primary practice location

2590 Main St
Stratford, CT 06615-5838

Mailing address

14 Carriage Dr
Seymour, CT 06483-2456
Phone (203) 888-5087

Other names 1

  • Miss Daisy Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000347 CT Practitioner - Physical Medicine and RehabilitationPractitioner - Neurology 7012900079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Neurology
Education
University of Connecticut School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Neurological Specialist PCGroup PAC ID 3375536469, 5 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

99 Hawley LN
Suite 1120
Stratford, CT 06614-1208
Phone 2033775988303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038663CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Hospital CurrentSince Jan 1, 2013 Accepting new patients
Bridgeport Hospital CurrentSince Jan 1, 2013 Accepting new patients
Ahlbin Centers for Rehabilitation Medicine Past Accepting new patients

Locations

226 Mill Hill Ave
Bridgeport, CT 06610
Phone (203) 384-3235

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

3585 Main St
Stratford, CT 06614
Phone (203) 380-4672

Interoperability endpoints

  • Direct secure messaging: lisab.webb@xdr.hhchealthdirect.org
  • Direct secure messaging: lwebb7818@direct.ynhh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063458800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CARRIAGE DR",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832456",
            "telephone_number": "203-888-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155838",
            "telephone_number": "203-377-5988",
            "fax_number": "203-380-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "038663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAISY",
            "last_name": "WILLIAMS",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.