Mrs. Tracey Sheedy
Physician Assistant

Address: 2 Old Park Ln, New Milford, CT 06776-2560
Phone: 8603549321

Mrs. Tracey Sheedy (NPI# 1710174537) 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) 1710174537
Entity Type Individual
Full Name Mrs. Tracey Sheedy
Credential R.P.A.-C
Gender Female
Practice Address 2 Old Park Ln
New Milford
CT 06776-2560
Practice Telephone 8603549321
Practice Fax Number 8603509304
Mailing Address 2 Old Park Ln
New Milford
CT 06776-2560
Mailing Telephone 8603549321
Mailing Fax Number 8603509304
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-09-25
Last Update Date 2013-03-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 001908 CT
No 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 001908 CT

Physician Overview

NPI 1710174537
PAC ID by PECOS 6305080268
Professional Enrollment ID I20130913000593
Full Name Tracey C Sheedy
Organization Legal Name VASSAR HEALTHQUEST MEDICAL PRACTICE OF CONNECTICUT INC
Gender F
Graduation Year 1999
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 2365715505
Number of Group Practice Members 27
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070004 SHARON HOSPITAL
070033 DANBURY HOSPITAL

Office Location

Street Address 2 OLD PARK LN
City NEW MILFORD
State CT
Zip Code 06776-2560

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205833670 John R. Sussman Obstetrics & Gynecology 2 Old Park Ln, New Milford, CT 06776-2508 2005-06-30
1447536461 Christopher David Moore Physician Assistant 2 Old Park Ln, New Milford, CT 06776-2560 2011-10-24
1750572400 John R. Sussman, M.d. Obstetrics & Gynecology 2 Old Park Ln, New Milford, CT 06776-2560 2007-08-07
1669587028 Cameron C Brown Orthopaedic Surgery 2 Old Park Ln, New Milford, CT 06776 2006-08-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639680879 Foot & Ankle Specialists of Ct PC Podiatrist 7 Pickett District Road, New Milford, CT 06776 2017-10-16
1447639208 Kevin Reddington Nurse Practitioner 52 Sawyer Hill Rd., New Milford, CT 06776 2015-05-27
1477715035 Abra Grize Mabasa Family Medicine 169 Danberry Rd., New Milford, CT 06776 2008-06-25
1134393259 Brian A Fusillo Dentist One Aspetuck Ave, New Milford, CT 06776 2008-04-18
1972791499 New Milford Chiropractic Chiropractor 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 2007-10-10
1366637084 Mary Mackessy Emergency Medicine 21 Elm Street, New Milford, CT 06776 2007-09-06
1659407021 Margaret Martha Babington Specialist/Technologist 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 2007-02-27
1053448456 Lisa Gay Witham Specialist/Technologist 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 2007-02-27
1710049754 Linda Gail Smith Social Worker New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 2006-12-15
1881777597 Candlewood New Milford LLC Skilled Nursing Facility 30 Park Lane East, New Milford, CT 06776 2006-10-24
Find all providers in zip 06776

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649753187 Riddhi Mehta Physician Assistant 203 Dahlia Dr, New Milford, NJ 07646-2533 2018-09-11
1609353309 Hayley Bauza Physician Assistant 21 Elm St, New Milford, CT 06776-2915 2018-07-25
1346772563 Kylanne Berry Physician Assistant 11 Old Park Lane Rd, New Milford, CT 06776-2507 2017-03-28
1245690106 Scott Hinman Physician Assistant 131 Kent Rd, New Milford, CT 06776 2016-03-04
1467842526 Alexis Axtell Physician Assistant 344 Wagner Rd, New Milford, PA 18834-8159 2015-01-28
1851780233 Jessica Ann Gill Physician Assistant 11 Old Park Lane Rd, New Milford, CT 06776-2507 2015-01-22
1063829638 Preetkamal Kaur Physician Assistant 11 Old Park Lane Rd, New Milford, CT 06776-2507 2014-07-16
1447536461 Christopher David Moore Physician Assistant 2 Old Park Ln, New Milford, CT 06776-2560 2011-10-24
1821187162 Georgina Carlson Physician Assistant 131 Kent Rd, New Milford, CT 06776-3485 2006-10-12
1528157849 Steven A Saunders Physician Assistant 131 Kent Rd, New Milford, CT 06776 2006-10-12
Find all providers in NEW MILFORD

Competitor

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City NEW MILFORD
Zip Code 06776

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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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