NORWICH PEDIATRIC GROUP, P.C. (NPI# 1134329485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134329485 |
| Entity Type | Organization |
| Organization Name | NORWICH PEDIATRIC GROUP, P.C. |
| Practice Address |
92 New London Tpke Norwich CT 06360-2637 |
| Practice Telephone | 8608893401 |
| Practice Fax Number | 8608231782 |
| Mailing Telephone | 8608893401 |
| Mailing Fax Number | 8608231782 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | MRS. ANITA M MAXIM (OFFICE MANAGER) |
| Authorized Official Telephone | 8608893401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
92 NEW LONDON TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881786226 | Timothy Joseph Sullivan | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| 1861808123 | Caitlin Paul | Registered Nurse | 92 New London Tpke, Norwich, CT 06360-2616 | 2014-07-08 |
| 1487917985 | Kaitlyn Spychala Rinaldi | Pediatrics | 92 New London Tpke, Norwich, CT 06360-2616 | 2012-06-19 |
| 1699867036 | Richard Warren Geller | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| 1326130766 | Pamela Sieber Kolp | Nurse Practitioner | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| 1144312588 | Nancy Kane Cusmano | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881786226 | Timothy Joseph Sullivan | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| 1588624597 | David L Schoon | Pediatrics | 57 Lafayette St, Norwich, CT 06360-3407 | 2006-03-24 |
| 1679562995 | Richard J Lavoie | Pediatrics | 27 Lafayette St, Norwich, CT 06360-3407 | 2005-10-19 |
| 1982698445 | Ravi Prakash | Pediatrics | 80 Sherman St, Norwich, CT 06360-4106 | 2005-09-09 |
| 1780680884 | Laurentiu P Galan | Pediatrics | 119 Sachem St, Norwich, CT 06360-4128 | 2005-06-23 |
| 1609255249 | Ma Khin Khin Win | Pediatrics | 4 Newton Ave, Norwich, NY 13815-1153 | 2015-05-28 |
| 1487917985 | Kaitlyn Spychala Rinaldi | Pediatrics | 92 New London Tpke, Norwich, CT 06360-2616 | 2012-06-19 |
| 1780954750 | Laurentiu P Galan, Md, LLC | Pediatrics | 36 Lafayette St, Norwich, CT 06360-3408 | 2012-01-09 |
| 1619273307 | Ashok Kottarathara | Pediatrics | 47 Town St, Norwich, CT 06360-2323 | 2011-01-28 |
| 1255548178 | Chinwe Tosha Erike | Pediatrics | 47 Town St, Norwich, CT 06360-2315 | 2007-05-17 |
| 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.