| Qmg4, Llc | |
|
4200 Main Street Bridgeport CT 06606 | |
| (203) 916-5151 | |
| (203) 916-5155 |
| Full Name | Qmg4, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4200 Main Street, Bridgeport, Connecticut |
| Authorized Official Name and Position | Steven Martin Heffer (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2039165151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Qmg4, Llc 4200 Main Street Bridgeport CT 06606 Ph: (203) 916-5151 | Qmg4, Llc 4200 Main Street Bridgeport CT 06606 Ph: (203) 916-5151 |
| NPI Number | 1023471299 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 01/30/2025 |
| Medicare PECOS PAC ID | 4284912957 |
|---|---|
| Medicare Enrollment ID | O20161031002469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023471299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Connecticut) | Primary |
| Provider Name | Valerie A Ianson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992779862 PECOS PAC ID: 2264331420 Enrollment ID: I20040107000243 |
| Provider Name | Alfonse M Campo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265541056 PECOS PAC ID: 2264414150 Enrollment ID: I20040607000048 |
| Provider Name | Mansoor Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235173170 PECOS PAC ID: 2466426010 Enrollment ID: I20040820000588 |
| Provider Name | Vanessa A Filippelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679582316 PECOS PAC ID: 0446280853 Enrollment ID: I20050816000574 |
| Provider Name | Ottllie T Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982626719 PECOS PAC ID: 9133153844 Enrollment ID: I20050922000259 |
| Provider Name | Rhianon N Iassogna Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457422057 PECOS PAC ID: 1456351022 Enrollment ID: I20070104000214 |
| Provider Name | Scott Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396770145 PECOS PAC ID: 9739220781 Enrollment ID: I20100113000027 |
| Provider Name | Syed Z Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144258377 PECOS PAC ID: 8527103068 Enrollment ID: I20100308000785 |
| Provider Name | Cama Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740207364 PECOS PAC ID: 4183512114 Enrollment ID: I20100503000432 |
| Provider Name | Steven M Heffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568485100 PECOS PAC ID: 2466578265 Enrollment ID: I20100929001338 |
| Provider Name | Cathleen M Azarigian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265757926 PECOS PAC ID: 5092998757 Enrollment ID: I20110318000167 |
| Provider Name | Shannan Vera Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265430664 PECOS PAC ID: 5890716385 Enrollment ID: I20120224000552 |
| Provider Name | Lisa Marie Bergeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366715179 PECOS PAC ID: 0143480350 Enrollment ID: I20120327000056 |
| Provider Name | Janet Rivera Rosado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932543147 PECOS PAC ID: 5698905974 Enrollment ID: I20140306001102 |
| Provider Name | Tyler Evans |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1912227125 PECOS PAC ID: 9335311059 Enrollment ID: I20140616000768 |
| Provider Name | Brandon D Pervis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821405127 PECOS PAC ID: 3072732684 Enrollment ID: I20140915000186 |
| Provider Name | Alina Marie Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922445402 PECOS PAC ID: 5698902344 Enrollment ID: I20140919000041 |
| Provider Name | Maged Barakat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801918230 PECOS PAC ID: 1759480940 Enrollment ID: I20150129000984 |
| Provider Name | Susana M Querido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659530731 PECOS PAC ID: 9537476668 Enrollment ID: I20150922000881 |
| Provider Name | Anthony Guglielmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700279452 PECOS PAC ID: 6507175346 Enrollment ID: I20151019001697 |
| Provider Name | Zohra Salehi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477993582 PECOS PAC ID: 5496034019 Enrollment ID: I20161122000752 |
| Provider Name | Margaret A Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336117951 PECOS PAC ID: 5991796013 Enrollment ID: I20170413000632 |
| Provider Name | Jennifer M Hagberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194236547 PECOS PAC ID: 6002174919 Enrollment ID: I20171226001829 |
| Provider Name | Kevin B Murano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386054385 PECOS PAC ID: 6507188240 Enrollment ID: I20180127000155 |
| Provider Name | Sarah Knauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588150643 PECOS PAC ID: 9436400322 Enrollment ID: I20180914001265 |
| Provider Name | Stephanie Lauren Gunpat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225528870 PECOS PAC ID: 2062763618 Enrollment ID: I20180921000226 |
| Provider Name | Daniella E Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319980 PECOS PAC ID: 9931438579 Enrollment ID: I20190909000227 |
| Provider Name | Cynthia Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962608927 PECOS PAC ID: 8921194184 Enrollment ID: I20190917002188 |
| Provider Name | Betsy Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851648398 PECOS PAC ID: 7911239199 Enrollment ID: I20191022001390 |
| Provider Name | Susmita Adhikari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356901201 PECOS PAC ID: 4385061118 Enrollment ID: I20200825002875 |
| Provider Name | Nelson Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194334359 PECOS PAC ID: 2567880818 Enrollment ID: I20200917002630 |
| Provider Name | Angela Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295348449 PECOS PAC ID: 5294146841 Enrollment ID: I20201202003238 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356622419 PECOS PAC ID: 8820261332 Enrollment ID: I20210129000091 |
| Provider Name | Kelly M Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780267153 PECOS PAC ID: 0941609994 Enrollment ID: I20210525002239 |
| Provider Name | Bryan Fix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982213997 PECOS PAC ID: 0749689503 Enrollment ID: I20210527000599 |
| Provider Name | Travis Pyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699388728 PECOS PAC ID: 9739573601 Enrollment ID: I20220219000062 |
| Provider Name | Bettina Pass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720725955 PECOS PAC ID: 3173994845 Enrollment ID: I20230118000539 |
| Provider Name | Rosemary Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548906449 PECOS PAC ID: 0941656698 Enrollment ID: I20231101000597 |
| Provider Name | Bharat Bhushan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063048643 PECOS PAC ID: 8426401316 Enrollment ID: I20240126002436 |
| Provider Name | Aimee Westmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184222754 PECOS PAC ID: 0941617278 Enrollment ID: I20240530002345 |
| Provider Name | Rose Casimir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013404565 PECOS PAC ID: 5698209765 Enrollment ID: I20241112002175 |
| Provider Name | Jory Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396329249 PECOS PAC ID: 8820535800 Enrollment ID: I20250207001339 |
Clinisanitas, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4543 Main St, Bridgeport, CT 06606 Phone: 305-921-7621 Fax: 305-921-7355 | |
Primed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4699 Main St, Suite 105 Attn: Med3000, Bridgeport, CT 06606 Phone: 203-944-1940 Fax: 203-402-4196 | |
Wellington Provider Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604 Phone: 859-518-8817 Fax: 859-201-1084 | |
Fairfield Clinical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 978 E Main St, Bridgeport, CT 06608 Phone: 203-549-1872 | |
Bridgeport Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Optimus Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Central Ave, Bridgeport, CT 06607 Phone: 203-332-4567 Fax: 203-332-0376 |