STATE OF CONNECITUT HEALTH CENTER


Address: 263 Farmington Ave, Infectious Diseases Associates, Farmington, CT 06030-0001
Phone: 8606794225

STATE OF CONNECITUT HEALTH CENTER (NPI# 1013199314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013199314
Entity Type Organization
Organization Name STATE OF CONNECITUT HEALTH CENTER
Practice Address 263 Farmington Ave
Infectious Diseases Associates
Farmington
CT 06030-0001
Mailing Address 263 Farmington Ave
Provider Enrollment - Dowling South
Farmington
CT 06030-2212
Practice Telephone 8606794225
Practice Fax Number 8606791217
Mailing Telephone 8606797503
Mailing Fax Number 8606791610
Enumeration Date 2007-11-29
Last Update Date 2012-06-14
Authorized Official Name DENIS C LAFRENIERE (MEDICAL DIRECTOR)
Authorized Official Telephone 8606797503
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name STATE OF CONNECITUT HEALTH CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
========= CT Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649452947 State of Connecitut Health Center Pediatrics 263 Farmington Ave, Human Genetics Associates, Farmington, CT 06030-0001 2007-11-29
1558543850 State of Connecitut Health Center Pediatrics 263 Farmington Ave, Neonatology Associates, Farmington, CT 06030-0001 2007-11-29
1659553949 State of Connecitut Health Center Internal Medicine 263 Farmington Ave, Pulmonary Medicine, Farmington, CT 06030-0001 2007-11-29
1568644862 State of Connecitut Health Center Internal Medicine 263 Farmington Ave, Nephrology Associates, Farmington, CT 06030-0001 2007-11-29
1730361031 State of Connecitut Health Center Neurological Surgery 263 Farmington Ave, Neurosurgery Associates, Farmington, CT 06030-0001 2007-11-29

Office Location

Street Address 263 FARMINGTON AVE
INFECTIOUS DISEASES ASSOCIATES
City FARMINGTON
State CT
Zip Code 06030-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609879519 Michael Joseph Giordano Neurological Surgery 263 Farmington Ave, Farmington, CT 06030-0001 2005-05-24
1891394995 Ewa Jaszczolt Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2020-10-20
1295333458 Brianne Catherine Bischoff Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2020-10-10
1023622073 Michael John Arciszewski Perfusionist 263 Farmington Ave, Farmington, CT 06030-0002 2020-09-06
1073126199 Esha Bhatt Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06032-1956 2020-08-28
1689286932 Margaret Darin Physician Assistant 263 Farmington Ave, Farmington, CT 06030-0001 2020-08-18
1174133656 Rosa Raquel Huivin Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-08-09
1336758051 Sahar Zamani Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0002 2020-07-28
1083222954 Gabriela Maria Parra Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-07-16
1780292680 Bastian Andres Rojas Espinoza Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821617606 David Wozny Student in an Organized Health Care Education/Training Program General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 2020-04-13
1508495185 Zachary Boivin Student in an Organized Health Care Education/Training Program Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 2020-04-06
1063903730 Agura Afiari Student in an Organized Health Care Education/Training Program Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 2018-05-29
1750879474 Areeba Siddiqui Student in an Organized Health Care Education/Training Program 263 Farmington Avenue Mc1921, Farmington, CT 06030 2018-04-27
1508362013 Arya Saniee I Student in an Organized Health Care Education/Training Program 264 Farmington Ave, Farmington, CT 06030 2018-04-03
1679828594 Randall Morera Student in an Organized Health Care Education/Training Program 262 Farmington Ave, Farmington, CT 06030 2012-07-17
1750644365 Ugonna Ijeoma Student in an Organized Health Care Education/Training Program 260 Farmington Ave, Farmington, CT 06030 2012-06-19
1407018419 Julia Marie Toto Plastic Surgery University Physicians, 263 Farmington Avenue, Farmington, CT 06030 2008-06-30
1851456495 Jeffrey Gross Anesthesiology 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 2006-12-26
1649225269 Julian Nieves Internal Medicine 263 Famrington Avenue, Farmington, CT 06030 2006-05-23
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609979806 Richard Anthony Lanzi Internal Medicine 1001 W Broadway Ste C, Farmington, NM 87401-5638 2006-09-06
1639602287 Amy Cohen Internal Medicine 263 Farmington Ave, Farmington, CT 06030-3450 2017-04-10
1063959104 Southern Missouri Infectious Disease Specialists LLC Internal Medicine 1101 W Liberty St, Farmington, MO 63640 2017-01-27
1013371756 Neelam Tailor Internal Medicine 263 Farmington Avenue, Farmington, CT 06030-1921 2016-04-08
1093125031 Mary Snayd Internal Medicine 263 Farmington Ave, Farmington, CT 06030-2631 2014-04-29
1003161258 Maroun Sfeir Internal Medicine 263 Farmington Avenue, Farmington, CT 06030 2012-07-13
1053607416 Jurate Ivanaviciene Internal Medicine Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 2011-06-23
1518256122 Justin David Radolf Internal Medicine 263 Farmington Ave, E2018, Farmington, CT 06030-0001 2011-04-04
1023321148 Omprakash Bhaskara Pillai Internal Medicine 263 Farmington Ave, Farmington, CT 06030-0001 2010-07-18
1114150588 Jairo Mauricio Montezuma- Rusca Internal Medicine 263 Farmington Avenue, Farmington, CT 06030 2009-09-01
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Competitor

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City FARMINGTON
Zip Code 06030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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