Basic Information
| Provider Information | |||||||||
| NPI: | 1790043735 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BELMONT | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | LEWIS | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | DNP, CRNA, APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7365 MAIN STREET | ||||||||
| Address2: | BRIDGEPORT ANESTHESIA ASSOCIATES, PC , STE 310 | ||||||||
| City: | STRATFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 066141300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2033843174 | ||||||||
| FaxNumber: | 2033844619 | ||||||||
| Practice Location | |||||||||
| Address1: | 267 GRANT STREET | ||||||||
| Address2: | BRIDGEPORT HOSPITAL - ANESTHESIA DEPT | ||||||||
| City: | BRIDGEPORT | ||||||||
| State: | CT | ||||||||
| PostalCode: | 066100120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2033843174 | ||||||||
| FaxNumber: | 2033844619 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2012 | ||||||||
| LastUpdateDate: | 12/21/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 080485 | CT | N | Nursing Service Providers | Registered Nurse | 367H00000X | N | Physician Assistants & Advanced Practice Nursing Providers | Anesthesiologist Assistant | 367500000X | 5008 | CT | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.