Active NPIIndividual provider

Richard Shea, MD

Pediatrics in Waterbury, Connecticut

NPI Number1497771208
Practice location
95 Scovill St, 3RD Floor, Waterbury, CT 06706-1113
Fax
203-709-7754
Last updated
September 12, 2007

Richard Shea is a Pediatrics based in Waterbury, CT. Richard Shea practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Richard Shea is 1497771208 and holds a License No. 017418 (CT). The current practice location address for Richard Shea is 95 Scovill St, 3RD Floor, Waterbury, CT 06706-1113 and can be reached out via phone at 203-709-7081 and via fax at 203-709-7754.

Provider Profile Details

NPI Number
1497771208
Provider Name
Richard Shea
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
95 Scovill St, 3RD Floor, Waterbury, CT 06706-1113
Phone Number
203-709-7081
Fax Number
203-709-7754
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2006
Last Update Date
September 12, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Scovill St
3RD Floor
Waterbury, CT 06706-1113
Zip
06706-1113
Phone Number
203-709-7081
Fax Number
203-709-7754
Waterbury, CT 06706Get directions →

Provider Business Mailing Address Details

Address
56 Franklin St
3RD Floor
Waterbury, CT 06706-1221
City
Waterbury
State
CT
Zip
06706-1221
Phone Number
203-709-8873
Fax Number
203-709-8689

License Information

License Number
017418
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Richard Shea, MD?

The NPI number of Richard Shea, MD is 1497771208. It was assigned on July 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Richard Shea, MD?

Richard Shea, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 017418.

Where does Richard Shea, MD practice?

The practice location is 95 Scovill St, 3RD Floor, Waterbury, CT 06706-1113. The office can be reached at 203-709-7081 (phone) or 203-709-7754 (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 1497771208 directly on the NPPES registry website.

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