Active NPI
Sarah A Ferrie, PA-C
- Medical Physician Assistant
- Waterbury, CT
National Provider Identifier
1255683876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 002812
- Practice address
- 2247 E Main St
Suite 103
Waterbury, CT 06705-2604 - Phone
- (203) 757-3486
- Fax
- (203) 757-3723
- NPI assigned
- Oct 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 002812 | CT | Primary |
Addresses
Primary practice location
2247 E Main St
Suite 103
Waterbury, CT 06705-2604
Mailing address
2247 E Main St
Suite 103
Waterbury, CT 06705-2604
Phone (203) 757-3486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004245272 | Medicaid | CT |
Other names 1
- Sarah A Cordani
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026597 | NY | MD | Dentist |
| 002812 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristan Medical PC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| WRK Ventures, LLC | Past | Accepting new patients | |
| CT Colony Emergency Physicians, LLC | Past | Accepting new patients |
Locations
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108
Interoperability endpoints
- https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4
Organizations & group practices 5
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.
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- Urgent Care Clinic/Center
- Brockton, MA
- NPI 1659153203
-
- Family Medicine Physician
- Norton, MA
- NPI 1154492700
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1831444322
-
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1255683876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2247 E MAIN ST",
"address_2": "SUITE 103",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067052604",
"telephone_number": "203-757-3486",
"fax_number": "203-757-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2247 E MAIN ST",
"address_2": "SUITE 103",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067052604",
"telephone_number": "203-757-3486",
"fax_number": "203-757-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIE",
"first_name": "SARAH",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "002812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004245272",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "CORDANI",
"middle_name": "A",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.