Digestive Disease Associates, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DIGESTIVE DISEASE ASSOCIATES, LLC

Practice address

1224 Main St
Branford, CT 06405-3778

Phone

(203) 481-0315

Fax

(203) 481-6788

NPI assigned

Feb 5, 2007

Last updated

Jan 12, 2024By 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

Christopher Dunbar Illick, MDNPI 1609836998

Title

Partner

Phone

(203) 481-0315

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 10

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.

• Christopher Dunbar Illick, MD

  • Gastroenterology Physician
  • Branford, CT
  • NPI 1609836998
  Medicare reassignment Care Compare group NPD Authorized official
• Kenneth Barshop, M.D.

  • Gastroenterology Physician
  • Branford, CT
  • NPI 1316396690
  Medicare reassignment Care Compare group NPD
• Michael Phillip Dorfman, M.D.

  • Gastroenterology Physician
  • Branford, CT
  • NPI 1164658555
  Medicare reassignment Care Compare group NPD
• Keri Alissa Herzog, M.D.

  • Gastroenterology Physician
  • Branford, CT
  • NPI 1427292614
  Medicare reassignment Care Compare group NPD
• Nadeen Hussain, MD

  • Internal Medicine Physician
  • Bradford, CT
  • NPI 1336705524
  Medicare reassignment Care Compare group NPD
• Kristin Loening Macarthur, M.D.

  • Gastroenterology Physician
  • Branford, CT
  • NPI 1225357809
  Medicare reassignment Care Compare group NPD
• Daniel Joseph Zanchetti, M.D.

  • Gastroenterology Physician
  • New Haven, CT
  • NPI 1821257742
  Medicare reassignment Care Compare group NPD
• Michael Schultz, PA

  • Medical Physician Assistant
  • New Haven, CT
  • NPI 1396727533
  Medicare reassignment Care Compare group
• Robin M Brammer, DO

  • Internal Medicine Physician
  • Milford, CT
  • NPI 1275575995
  NPD (past)
• Joseph Yu, MD

  • Gastroenterology Physician
  • Branford, CT
  • NPI 1346209046
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1356480578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053612",
            "telephone_number": "203-481-7050",
            "fax_number": "203-488-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053778",
            "telephone_number": "203-481-0315",
            "fax_number": "203-481-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "ILLICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DUNBAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-481-0315",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004070314",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Devlin, OTR
• Brett David Devries, PA-C
• Diabetic Footwear Centers LLC
• Vincent J Difonzo, MPT
• Digestive Disease Associates Endoscopy Suite, LLC
• Kristy Dillon, MSW
• Carlene Dinitto, COTA
• Joanna Dinkle, LCSW
• Claire Dinorscia, RPH
• Lauren Doll

• Gastroenterology Physician in Branford, CT
• Providers in Branford, CT by specialty
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.