DOC NUTRITION CLINIC (NPI# 1063724193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063724193 |
| Entity Type | Organization |
| Organization Name | DOC NUTRITION CLINIC |
| Practice Address |
185 Center St Suite 1b Wallingford CT 06492-4100 |
| Practice Telephone | 2032692852 |
| Practice Fax Number | 2032699852 |
| Mailing Telephone | 2032692852 |
| Mailing Fax Number | 2032699852 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | LISA ZOLA (CEO/OWNER) |
| Authorized Official Telephone | 2032692852 |
| Authorized Official Credential | MS, MSN, APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
185 CENTER ST SUITE 1B |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154367308 | Joan Mary Landino | Nurse Practitioner | 185 Center St, Wallingford, CT 06492-4100 | 2006-06-22 |
| 1851588636 | Susan Fagan, Lcsw LLC | Social Worker | 185 Center St, Wallingford, CT 06492-4100 | 2007-09-26 |
| 1346370376 | Helm & Helm, P.C. | Specialist | 185 Center St, Suite H, Wallingford, CT 06492-4100 | 2007-03-07 |
| 1255443479 | Jackson P Maille | Family Medicine | 185 Center St, Ste 2a, Wallingford, CT 06492 | 2006-09-01 |
| 1427060045 | Joseph A. Peccerillo | Obstetrics & Gynecology | 185 Center St, Suite H, Wallingford, CT 06492-4100 | 2006-08-12 |
| 1437168457 | Marlene L. Waradzin | Obstetrics & Gynecology | 185 Center St, Suite H, Wallingford, CT 06492-4100 | 2006-08-07 |
| 1194732990 | Charles Brian Helm | Obstetrics & Gynecology | 185 Center St, Suite H, Wallingford, CT 06492-4100 | 2006-08-02 |
| 1760498836 | Daniel T. Dennehy | Obstetrics & Gynecology | 185 Center St, Suite H, Wallingford, CT 06492-4100 | 2006-07-31 |
| 1588678270 | Thomas J. Helm | Obstetrics & Gynecology | 185 Center St, Suite H., Wallingford, CT 06492-4100 | 2006-07-28 |
| 1023022282 | James B Fanning Jr. | Obstetrics & Gynecology | 185 Center St, Suite H, Wallingford, CT 06492-4100 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407008949 | Concentra Health Services, Inc. | Clinic/Center | 900 Northrup Road, Wallingford, CT 06492-1997 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725878 | Emily Garber Aprn, Pllc | Clinic/Center | 6515 Main St Ste 1l, Trumbull, CT 06611-6350 | 2020-03-22 |
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1265098180 | Wheeler Clinic Inc | Clinic/Center | 855 Lakewood Rd, Waterbury, CT 06704-5408 | 2019-05-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1326469024 | Sugati Health and Wellness | Clinic/Center | 37 W Town St, Lebanon, CT 06249-1536 | 2013-12-23 |
| 1225379837 | H. Robert Silverstein Md Facc PC | Clinic/Center | 1000 Asylum Ave Ste 2109, Hartford, CT 06105-1719 | 2013-03-06 |
| 1003167701 | Stec Md Clinic PC | Clinic/Center | 31 Strawberry Hill Ave Ste 104, Stamford, CT 06902-2681 | 2012-09-21 |
| 1477719839 | Woodbury Walk-in Clinic, LLC | Clinic/Center | 238 Main St S, Woodbury, CT 06798-3407 | 2008-08-04 |
| 1063693935 | Boylan Chiropractic LLC | Clinic/Center | 2 Library Place, Bethel, CT 06801-2106 | 2007-11-20 |
| 1831311257 | Guilford Chiropractic Wellness LLC | Clinic/Center | 728 Long Hill Rd, Guilford, CT 06437 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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| 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.