Glassfish Emergency Physicians LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

GLASSFISH EMERGENCY PHYSICIANS LLC

Practice address

50 Hospital Hill Rd
Sharon, CT 06069-2096

Phone

(469) 401-2386

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

Russell Harris, M.D.NPI 1598714800

Title

President

Phone

(469) 401-2386

Specialties & licenses 3

Addresses

Practitioners 5

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.

• Russell H. Harris, M.D.

  • Emergency Medicine Physician
  • Macungie, PA
  • NPI 1598714800
  Authorized official Same address or phone
• Kevin Michael Chandon, PA-C

  • Medical Physician Assistant
  • Waterbury, CT
  • NPI 1720285380
  NPD (past)
• Andrea Lowe, PAC

  • Physician Assistant
  • New Haven, CT
  • NPI 1023158524
  NPD (past)
• Mary Chau Tran, PA-C

  • Physician Assistant
  • Middletown, CT
  • NPI 1003001587
  NPD (past)
• Ashley Marie Laforest, PA-C

  • Physician Assistant
  • Plattsburgh, NY
  • NPI 1760993083
  NPD (past)

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1457759243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "469-401-2386",
            "fax_number": "214-712-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL HILL RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692096",
            "telephone_number": "469-401-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSFISH EMERGENCY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-401-2386",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan P Provisor MD PC (Sharon Surgical Group)
• Expert Pain Management PC
• Jack Finkelstein, MD
• Thomas J Francescott, N.D.
• Khalilah Fullard, PHARMD
• Andrew Michael Goldman, DO
• Virginia L Gray-Clarke, M.D
• Health Quest Medical Practice, PC
• Health Quest Medical Practice, PC
• Health Quest Medical Practice, PC

• Emergency Medicine Physician in Sharon, CT
• Providers in Sharon, CT by specialty
• Emergency Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.