Dr. Seth Barak Blattman
Surgery (Vascular Surgery)

Address: 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867
Phone: 2033821900

Dr. Seth Barak Blattman (NPI# 1477508778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1477508778
Entity Type Individual
Full Name Dr. Seth Barak Blattman
Credential M.D.
Gender Male
Practice Address 501 Kings Hwy E
Suite 112
Fairfield
CT 06825-4867
Practice Telephone 2033821900
Practice Fax Number 2033820019
Mailing Address 501 Kings Hwy E
Suite 112
Fairfield
CT 06825-4867
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-05-24
Last Update Date 2010-11-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2086S0129X Surgery · Vascular Surgery Allopathic & Osteopathic Physicians 219909 MA

Other Provider Identifier

State Identifier Issuer Type Code
CT 001443324 MEDICAID

Physician Overview

NPI 1477508778
PAC ID by PECOS 4688677883
Professional Enrollment ID I20060808000376
Full Name Seth Barak Blattman
Organization Legal Name CONNECTICUT VASCULAR AND THORACIC SURGICAL ASSOCIATES, PC
Phone Number 2033821900
Gender M
Credential MD
Medical School STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 1997
Primary Specialty VASCULAR SURGERY
Group Practice PAC ID 9931102654
Number of Group Practice Members 5
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070028 ST VINCENT'S MEDICAL CENTER
070010 BRIDGEPORT HOSPITAL

Office Location

Street Address 501 KINGS HWY E
SUITE 112
City FAIRFIELD
State CT
Zip Code 06825-4867

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548253990 Fairfield Pediatrics Inc Pediatrics 501 Kings Hwy E, Ste 203, Fairfield, CT 06825 2005-08-31
1336653468 Fairfield Public Schools Local Education Agency (LEA) 501 Kings Hwy E, Fairfield, CT 06825-4867 2017-11-28
1265757926 Cathleen M Azarigian Nurse Practitioner 501 Kings Hwy E, Fairfield, CT 06825-4867 2010-04-06
1548421019 Catherine Burdge Nurse Practitioner 501 Kings Hwy E, Fairfield, CT 06825-4867 2008-06-18
1871781047 Primed, LLC Durable Medical Equipment & Medical Supplies 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 2007-10-12
1255525879 Women's Quality Care Inc. Specialist 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 2007-08-28
1841493913 Brian N King Student in an Organized Health Care Education/Training Program 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 2007-06-07
1003026329 Rishi Norman Razdan Radiology 501 Kings Hwy E, Suite 109, Fairfield, CT 06825-4871 2007-05-23
1861514457 Northeast Medical Group, Inc. Clinic/Center 501 Kings Hwy E, Suite 105, Fairfield, CT 06825-4867 2007-04-04
1871614826 Luann Russo Advanced Practice Midwife 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 2007-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023513132 Carolyn Brown Nurse Practitioner 15 Northwood Rd, Fairfield, CT 06825 2018-03-29
1548716111 Connecticut Orthopaedic Specialists, PC Specialist 425 Boston Post Road, Fairfield, CT 06825 2016-09-01
1497131239 Alice Z Kelly Social Worker 113 Sky Top Drive, Fairfield, CT 06825 2015-08-04
1902218647 John Feiler Occupational Therapist 175 Jefferson St., Fairfield, CT 06825 2014-05-29
1710242870 Bridge Partnership, LLC Community/Behavioral Health 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 2012-07-05
1841567302 Michelle Ann Hessberger Acupuncturist 2452 Black Rock Tpke Ste 7, Fairfield, CT 06825 2011-11-28
1154614543 Center for The Healing Arts, PC Internal Medicine 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 2011-05-18
1881995009 Jewish Home for The Elderly Skilled Nursing Facility 175 Jefferson Street, Fairfield, CT 06825 2010-11-04
1265769467 Nicole Ann Woering Nurse Practitioner 1817 Black Rock Tpke Ste 206, Fairfield, CT 06825 2009-11-09
1588827653 Valentine Edusa Obstetrics & Gynecology 2228 Black Rock Tpke Ste 211, Fairfield, CT 06825 2008-07-08
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457625055 North Bay Cardiac Thoracic and Vascular Surgery Inc Surgery 1860 Pennsylvania Ave, Suite 110, Fairfield, CA 94533-3590 2012-02-28
1700825593 James V Lettera Surgery 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 2006-06-06
1063451201 Paul Dean Demartini Surgery 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 2006-06-05
1396790960 Leslie Mark Kutcher Surgery 52 Beach Rd, Suite 207, Fairfield, CT 06824-6017 2006-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326385428 Hossein L. Tehrani Surgery 49 East Hyerdale Drive, Goshen, CT 06756 2013-01-09
1508120106 Bing Shue Surgery 1449 Old Waterbury Road, Suite 101, Southbury, CT 06488 2012-06-28
1932474053 John E. Fenn Surgery 200 Leeder Hill Drive, #2603, Hamden, CT 06517 2012-03-22
1033366745 Naiem Nassiri Surgery Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 2008-08-25
1477610913 Stephen Marc Bauer Surgery 455 East Putnam Ave, Old Greenwich, CT 06870 2007-01-03
1114019098 William Gething Crawford Surgery 21 Montauk Ave Ste 303, New London, CT 06320-4906 2006-09-29
1386669786 David J Esposito Surgery 20 Commerce Park, Milford, CT 06460-3506 2006-07-13
1104851294 Jonathan Norton Bowman Surgery 85 Old Kings Hwy N, Darien, CT 06820-4732 2006-07-11
1811928492 Bart E Muhs Surgery 540 Saybrook Road, Suite 210, Middletown, CT 06457-4759 2006-07-05
1659309706 Alan Dardik Surgery Va Connecticut Healthcare Systems, 950 Campbell Ave., Bldg 1, Suite 4-220, West Haven, CT 06516 2006-06-29
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Competitor

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City FAIRFIELD
Zip Code 06825

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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