Dimitri Ghecas, PA-C
Physician Assistant in New Milford, Connecticut
1174595490- Practice location
- 11 Old Park Lane, New Milford, CT 06776
- Phone
- 860-355-1149
- Fax
- 860-355-5957
- Last updated
- June 18, 2024
Dimitri Ghecas is a Physician Assistant based in New Milford, CT. Dimitri Ghecas practices in New Milford, CT and has the professional credentials of PA-C. The NPI Number for Dimitri Ghecas is 1174595490 and holds a License No. 00735 (CT). The current practice location address for Dimitri Ghecas is 11 Old Park Lane, New Milford, CT 06776 and can be reached out via phone at 860-355-1149 and via fax at 860-355-5957.
Provider Profile Details
- NPI Number
- 1174595490
- Provider Name
- Dimitri Ghecas
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 Old Park Lane, New Milford, CT 06776
- Phone Number
- 860-355-1149
- Fax Number
- 860-355-5957
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 2, 2006
- Last Update Date
- June 18, 2024
- Certification Date
- June 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Old Park Lane
New Milford, CT 06776 - City
- New Milford
- State
- Connecticut
- Zip
- 06776
- Phone Number
- 860-355-1149
- Fax Number
- 860-355-5957
Provider Business Mailing Address Details
- Address
- 11 Old Park Lane
New Milford, CT 06776 - City
- New Milford
- State
- CT
- Zip
- 06776
- Phone Number
- 860-355-1149
- Fax Number
- 860-355-5957
License Information
- License Number (1)
- 00735
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 022592
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dimitri Ghecas, PA-C?
The NPI number of Dimitri Ghecas, PA-C is 1174595490. It was assigned on February 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Dimitri Ghecas, PA-C?
Dimitri Ghecas, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 00735.
Where does Dimitri Ghecas, PA-C practice?
The practice location is 11 Old Park Lane, New Milford, CT 06776. The office can be reached at 860-355-1149 (phone) or 860-355-5957 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174595490 directly on the NPPES registry website.