Gynecologic Cancer Care, LLC

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

052404 Issued in CT

Legal business name

GYNECOLOGIC CANCER CARE, LLC

Practice address

65 High Ridge Rd
#653
Stamford, CT 06905-3800

Phone

(203) 970-0100

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Karen Nishida, M.D.NPI 1962509653

Title

Medical Director

Phone

(203) 970-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10252/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Karen J. Nishida, MD

  • Gynecologic Oncology Physician
  • Stamford, CT
  • NPI 1962509653
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1316354079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HIGH RIDGE ROAD",
            "address_2": "#653",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06905",
            "telephone_number": "203-970-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HIGH RIDGE RD",
            "address_2": "#653",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053800",
            "telephone_number": "203-970-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC CANCER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "NISHIDA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-970-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CT",
            "license": "052404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itzel Gutierrez
• Mark Gutkin, L.AC
• Bianca L Guy, LCSW
• Veruzca Guzman, LPC
• Kakra Gyambibi, M.D.
• Gynecological Care LLC
• Kenny Ha, PHARMD
• Devin James Haack
• Andrew L Haas, M.D.
• Heather Haase, LMFT

• Gynecologic Oncology Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Gynecologic Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.