Organization Active NPI

Fairfield County Women'S Health Associates, P.C.

  • Specialist
  • Stratford, CT
National Provider Identifier
1366621815
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
027973 Issued in CT
Legal business name
FAIRFIELD COUNTY WOMEN'S HEALTH ASSOCIATES, P.C.
Practice address
2590 Main St
Stratford, CT 06615-5838
Phone
(203) 375-3665
Fax
(203) 378-1340
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mrs. Maryanne Yakoubian
Title
Office Manager
Phone
(203) 375-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 027973 CT Primary

Addresses

Primary practice location

2590 Main St
Stratford, CT 06615-5838

Mailing address

2590 Main St
Stratford, CT 06615-5838
Phone (203) 375-3665

National Provider Directory

National Provider Directory

Locations

2 Trap Falls Rd
Ste 510
Shelton, CT 06484
Phone (203) 395-4867

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1366621815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155838",
            "telephone_number": "203-375-3665",
            "fax_number": "203-378-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155838",
            "telephone_number": "203-375-3665",
            "fax_number": "203-378-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY WOMEN'S HEALTH ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "YAKOUBIAN",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-375-3665",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "027973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.