Stamford Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

008653 Issued in CT

Legal business name

STAMFORD INTERNAL MEDICINE, PC

Practice address

1351 Washington Blvd
Stamford, CT 06902-2419

Phone

(203) 322-9472

Fax

(203) 322-1264

NPI assigned

Oct 24, 2007

Last updated

Jul 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lambros E Siderides, MD

Title

Owner

Phone

(203) 348-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John C Katsetos, MD

  • Internal Medicine Physician
  • Milford, CT
  • NPI 1831121979
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1093904211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022419",
            "telephone_number": "203-322-9472",
            "fax_number": "203-322-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022419",
            "telephone_number": "203-322-9472",
            "fax_number": "203-322-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "SIDERIDES",
        "authorized_official_first_name": "LAMBROS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-348-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "008653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1086537",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stamford Hospital
• Stamford Hospital
• Stamford Hospital
• Stamford Implant & Oral Surgery Center, PLLC
• Stamford Infectious Diseases LLC
• Stamford Naturopathic & Acupuncture, LLC
• Stamford Nephrology, P.C.
• Stamford Neurological Associates PC
• Stamford OBGYN Associates, PC
• Stamford Ophthalmology, LLC

• Internal Medicine Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.