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DR. KEVIN MICHAEL DWYER M.D. FACS NPI 1417923210


NPI Information

NPI: 1417923210
Provider Name: DR. KEVIN MICHAEL DWYER, M.D. FACS
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

Organization: STAMFORD HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
30 SHELBURNE RD
TRAUMA SERVICES
STAMFORD, CT
ZIP 06902
Phone: (203) 276-7467
Get Directions

DR. Kevin Michael Dwyer, M.D. FACS is a surgical critical care surgery in Stamford, CT with 40 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Kevin Michael Dwyer, M.D. FACS NPI is 1417923210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

30 SHELBURNE RD
TRAUMA SERVICES
STAMFORD, CT
ZIP 06902-628
Phone: (203) 276-7467
Fax: (203) 276-7020

The NPI 1417923210 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 12/21/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery46891CONNECTICUTNo
22086S0127XSurgeryTrauma Surgery46891CONNECTICUTNo
32086S0102XSurgerySurgical Critical Care46891CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F82861MEDICARE UPINVIRGINIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.