Evangeline Santos Specht, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

027665 Issued in CT

Practice address

60 Sky Line Dr
Easton, CT 06612-1056

Phone

(203) 650-7347

Fax

(860) 738-5840

NPI assigned

Sep 11, 2006

Last updated

Dec 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ma. Evangeline S. Specht Professional name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Afc Physicians of Connecticut, PC

  • Urgent Care Clinic/Center
  • Danbury, CT
  • NPI 1003152984
  Medicare reassignment NPD
• Afc Physicians of Connecticut, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Rocky Hill, CT
  • NPI 1285387530
  NPD

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1871697946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SKY LINE DR",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121056",
            "telephone_number": "203-650-7347",
            "fax_number": "203-220-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SKY LINE DR",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121056",
            "telephone_number": "203-650-7347",
            "fax_number": "860-738-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECHT",
        "first_name": "EVANGELINE",
        "middle_name": "SANTOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "027665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA. EVANGELINE",
            "last_name": "SPECHT",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Kate Robb, LCSW
• Ilene Ann Robbins
• Monique Ann Rodrigue, LMFTA
• Solstice Farm Therapy LLC
• Rebecca Soule, LPC
• Sport Hill Chiropractic
• Sport Hill Chiropractic and Rehabilitation, P.C.
• Aneta Szczypiorski, LCSW
• The Parent & Child Wellness Center LLC
• Anthony Tortorella Jr., D.C.

• Internal Medicine Physician in Easton, CT
• Providers in Easton, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.

Verify at the official NPI Registry.