JAIRO MAURICIO MONTEZUMA- RUSCA


Address: 263 Farmington Avenue, Farmington, CT 06030
Phone: 8606793245

JAIRO MAURICIO MONTEZUMA- RUSCA (NPI# 1114150588) 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) 1114150588
Entity Type Individual
Full Name JAIRO MAURICIO MONTEZUMA- RUSCA
Credential MD
Practice Address 263 Farmington Avenue
Farmington
CT 06030
Mailing Address 263 Farmington Avenue
Farmington
CT 06030-8082
Practice Telephone 8606793245
Practice Fax Number 8606790121
Mailing Telephone 8606793692
Mailing Fax Number 8606797077
Enumeration Date 2009-09-01
Last Update Date 2019-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
52396 CT Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
500 Albany Ave, Hartford, CT 061202508 8602499625 8608081537
263 Farmington Avenue, Farmington, CT 060308082 8606793245 8606790121

Office Location

Street Address 263 FARMINGTON AVENUE
City FARMINGTON
State CT
Zip Code 06030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669466561 State of Connecticut Clinic/Center 263 Farmington Avenue, Farmington, CT 06030-5355 2005-09-07
1619584026 Sylvia Polanco Nurse Practitioner 263 Farmington Avenue, Farmington, CT 06030-8203 2020-09-29
1154930956 Lindsay Allison Petriello Nurse Practitioner 263 Farmington Avenue, Farmington, CT 06030 2020-07-28
1891304663 Kara Dazkevich Nurse Practitioner 263 Farmington Avenue, Farmington, CT 06030-0001 2020-07-28
1093324873 Kaitlin Jeanne O'connor Nurse Practitioner 263 Farmington Avenue, Icu, University Tower, 1st Floor, Mail Code: 1131, Farmington, CT 06030 2020-07-28
1457975070 Shriya Gupta Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, Uconn Health - Outpatient Pavilion, Farmington, CT 06030-8031 2020-05-29
1114540150 Carolina Mendes Pessoa Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, 2 West Uconn Clinic, Internal Medicine Associates, Ou, Farmington, CT 06032 2020-05-26
1457971293 Christopher Dalton Lemoine Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, Farmington, CT 06030-8073 2020-04-22
1871112953 Cory Hewitt Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, Farmington, CT 06030-4037 2020-04-09
1154940310 Jeffrey Henry Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, Farmington, CT 06030-1930 2020-04-08
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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
1013199314 State of Connecitut Health Center Internal Medicine 263 Farmington Ave, Infectious Diseases Associates, Farmington, CT 06030-0001 2007-11-29
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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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