DEBRA K GOTZ MD NPI 1205902590

NPI Information

NPI: 1205902590
Provider Name: DEBRA K GOTZ, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1275 SUMMER ST
SUITE 301
STAMFORD, CT
ZIP 06905
Phone: (203) 324-4100
Get Directions

Debra K Gotz, MD is a pediatrics in Stamford, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Debra K Gotz, MD NPI is 1205902590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1275 SUMMER ST
SUITE 301
STAMFORD, CT
ZIP 06905-359
Phone: (203) 324-4100
Fax: (203) 969-1271

The enumeration date for this NPI number is 11/28/2006 and was last updated on 11/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		038858	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010038858CT02	OTHER	CONNECTICUT	BLUE CROSS-DARIEN
2	038858	OTHER	CONNECTICUT	CONNECTICARE
3	06-0873781	OTHER	CONNECTICUT	CIGNA
4	06-0873781	OTHER	CONNECTICUT	PHCS
5	06-0873781	OTHER	CONNECTICUT	UNITED
6	001388588	MEDICAID	CONNECTICUT
7	10449669	OTHER	CONNECTICUT	CAQH
8	01161R	MEDICARE UPIN	CONNECTICUT
9	OV7530	OTHER	CONNECTICUT	HEALTHNET
10	7555130	OTHER	CONNECTICUT	AETNA
11	P2107015	OTHER	CONNECTICUT	OXFORD
12	010038858CT01	OTHER	CONNECTICUT	BLUE CROSS-STAMFORD
13	06-0873781	OTHER	CONNECTICUT	GREAT WEST
14	06-0873781	OTHER	CONNECTICUT	NORTHEAST HEALTHCARE ALLI
15	06-0873781	OTHER	CONNECTICUT	HUMANA CHOICECARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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