Shelton Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

043900 Issued in CT

Legal business name

SHELTON PEDIATRICS

Practice address

2 Trap Falls Rd Ste 101
Shelton, CT 06484-4616

Phone

(203) 828-7185

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Fadi Hammoud, MDNPI 1518038454

Title

Pediatrician

Phone

(203) 437-0346

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Fadi Mohamad Hammoud, M.D.

  • Pediatric Adolescent Medicine Physician
  • Shelton, CT
  • NPI 1518038454

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1922597830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FANS ROCK RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182017",
            "telephone_number": "203-813-6175",
            "fax_number": "475-655-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 101",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844616",
            "telephone_number": "203-828-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "203-437-0346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "043900",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CT",
            "license": "043900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Sheikh, M.D.
• Shelton Dental Group LLC
• Shelton Dentist LLC
• Shelton Lakes Health Care Center
• Shelton Lakes Health Care Center, Inc
• Shelton Pharmacy Incorporated
• Shelton Public School System
• Shelton Restorative Health
• Shelton Sports & Spine, PC
• Sherlyne Dieudonne LPC LLC

• Pediatrics Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.