FRANCIS MIRECKI (NPI# 1083667265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083667265 |
| Entity Type | Individual |
| Full Name | FRANCIS MIRECKI |
| Credential | M.D. |
| Practice Address |
164 Otrobando Ave Suite 102 Norwich CT 06360-2116 |
| Practice Telephone | 8608860023 |
| Practice Fax Number | 8608860024 |
| Mailing Telephone | 8608860023 |
| Mailing Fax Number | 8608860024 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
33689 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM/ECCG:06-1049086 | 010033689CT01 | 01 | |
| ANTHEM/HOSP-BASED ECCD | 500HBC444CT01 | 01 | |
| CT | 001336892 | 05 | |
| ANTHEM/ECCD:06-1616101 | 010033689CT05 | 01 | |
| RR MED/ECCG: 06-1049086 | 110088356 | 01 | |
| HEALTHNET/ECCG:06-1049086 | 030514 | 01 | |
| OXFORD/ECCD: 06-1616101 | P2524312 | 01 | |
| BLUECARE FAMILY PLAN | 001336892 | 01 | |
| CONNECTICARE | 033689 | 01 | |
| OXFORD/ECCG: 06-1049086 | NLS105 | 01 | |
| RR MED/ECCD: 06-1616101 | 060064827 | 01 | |
| HEALTHNET/ECCD:06-1616101 | 0V9737 | 01 |
| Street Address |
164 OTROBANDO AVE SUITE 102 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031563 | Jaclyn Rose Neveu | Physician Assistant | 164 Otrobando Ave, Norwich, CT 06360-2116 | 2019-06-13 |
| 1326482092 | Naveen Sablani | Internal Medicine | 164 Otrobando Ave, Norwich, CT 06360-2116 | 2013-04-24 |
| 1780868133 | Edward Charles Yates | Dentist | 164 Otrobando Ave, Norwich, CT 06360-2116 | 2007-12-20 |
| 1538271887 | Stuart M Deglin | Internal Medicine | 164 Otrobando Ave, Norwich, CT 06360-2116 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620064 | Jeffrey P Seltzer | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2005-06-24 |
| 1962715169 | Katharine Tumampos Decena | Internal Medicine | 130 New London Tpke, Norwich, CT 06360-2624 | 2010-07-16 |
| 1326233511 | James K Obrien | Internal Medicine | 179 N Broad St, Norwich, NY 13815-1019 | 2007-09-11 |
| 1780727925 | Norwich Cardiac Medicine LLC | Internal Medicine | 130 New London Tpke, Norwich, CT 06360-2624 | 2007-02-15 |
| 1649332164 | Cardiology Associates of Norwich, LLC | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2006-12-14 |
| 1407937469 | John R. Brereton | Internal Medicine | 179 N Broad St, Norwich, NY 13815-1019 | 2006-10-18 |
| 1265489959 | Gohar Jamil | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2006-05-28 |
| 1104896224 | Michael J Fucci | Internal Medicine | 79 Wawecus St, Suite #106, Norwich, CT 06360-2160 | 2006-01-23 |
| 1023005667 | Ting Li | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2005-09-29 |
| 1326044124 | John A Foley | Internal Medicine | 79 Wawecus St, Norwich, CT 06360-2160 | 2005-06-27 |
| Find all providers in NORWICH | ||||
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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.