Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elana Chloe McTavish, PA-C

Individual provider Surgical Physician Assistant · NPI 1962921023

Elana Chloe McTavish, PA-C is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2017, 9 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2870
Phone: (203) 384-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 22237083 (CT)

Record details

NPI number1962921023
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2017
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Northeast Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1360 clinicians in the practice; 12 are shown here.

Other providers in Bridgeport