Her Transformation OBGYN, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HER TRANSFORMATION OBGYN, PLLC

Practice address

2228 Black Rock Tpke Ste 211
Fairfield, CT 06825-3237

Phone

(475) 888-0099

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Valentine Edusa, MD, FACOG

Title

Founder/Managing Member

Phone

(475) 888-0099

Specialties & licenses 1

Addresses

Other names 1

• HER TRANSFORMATION OBGYN Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1104391598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 BLACK ROCK TPKE STE 211",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253237",
            "telephone_number": "475-888-0099",
            "fax_number": "475-888-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 BLACK ROCK TPKE STE 211",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253237",
            "telephone_number": "475-888-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER TRANSFORMATION OBGYN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "EDUSA",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_title_or_position": "FOUNDER/MANAGING MEMBER",
        "authorized_official_telephone_number": "475-888-0099",
        "authorized_official_credential": "MD, FACOG"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HER TRANSFORMATION OBGYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HER TRANSFORMATION OBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Gerakd Hemenway II, MD
• Theodore Hendrickson
• Brian J. Henninger, N.D.
• Susan Lipman Henry, LCSW
• Kathryn Hepp
• Joseph Herbin, MD
• Monica Heredia, PTA
• Roseanne M Herlihy, MS OTR/L
• Scott Herman, MD
• Herbert Hermele, MD

• Obstetrics & Gynecology Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Obstetrics & Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.