Active NPIIndividual provider

Ioanna Anastasiadis, PA

Physician Assistant in Essex, Connecticut

NPI Number1790858058
Practice location
147 Westbrook RD, Essex, CT 06426-1512
Fax
860-358-8653
Last updated
April 12, 2017

Ioanna Anastasiadis is a Physician Assistant based in Essex, CT. Ioanna Anastasiadis practices in Essex, CT and has the professional credentials of PA. The NPI Number for Ioanna Anastasiadis is 1790858058 and holds a License No. 000621 (CT). The current practice location address for Ioanna Anastasiadis is 147 Westbrook RD, Essex, CT 06426-1512 and can be reached out via phone at 860-767-8265 and via fax at 860-358-8653.

Provider Profile Details

NPI Number
1790858058
Provider Name
Ioanna Anastasiadis
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
147 Westbrook RD, Essex, CT 06426-1512
Phone Number
860-767-8265
Fax Number
860-358-8653
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2006
Last Update Date
April 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
147 Westbrook RD
Essex, CT 06426-1512
City
Essex
Zip
06426-1512
Phone Number
860-767-8265
Fax Number
860-358-8653
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
28 Crescent St
Middletown, CT 06457-3654
City
Middletown
State
CT
Zip
06457-3654
Phone Number
860-358-4820
Fax Number
860-358-8661

License Information

License Number
000621
License State
CT
Taxonomy
Physician Assistant · 363A00000X · 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 Ioanna Anastasiadis, PA?

The NPI number of Ioanna Anastasiadis, PA is 1790858058. It was assigned on November 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Ioanna Anastasiadis, PA?

Ioanna Anastasiadis, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000621.

Where does Ioanna Anastasiadis, PA practice?

The practice location is 147 Westbrook RD, Essex, CT 06426-1512. The office can be reached at 860-767-8265 (phone) or 860-358-8653 (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 1790858058 directly on the NPPES registry website.

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