DR. DAVID JOHN DOMENICHINI (NPI# 1225004922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225004922 |
| Entity Type | Individual |
| Full Name | DR. DAVID JOHN DOMENICHINI |
| Credential | M.D. |
| Practice Address |
1216 Farmington Ave Room 102 West Hartford CT 06107-2672 |
| Practice Telephone | 8605611007 |
| Practice Fax Number | 8605611222 |
| Mailing Telephone | 8605611007 |
| Mailing Fax Number | 8605611222 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2016-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
032306 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001323063 | 05 |
| Street Address |
1216 FARMINGTON AVE ROOM 102 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251254 | Jennifer Lagosz Conboy | Family Medicine | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2017-08-21 |
| 1619400504 | Carolyn Elizabeth Considine | Nurse Practitioner | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2017-04-06 |
| 1205123825 | Bland Dew Maloney | Counselor | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2011-07-03 |
| 1770894214 | Companions for Living, LLC | In Home Supportive Care | 1216 Farmington Ave, Suite 202, West Hartford, CT 06107-2672 | 2010-06-30 |
| 1205018470 | David J Domenichini Md, PC | Internal Medicine | 1216 Farmington Ave, Suite 102, West Hartford, CT 06107-2672 | 2007-11-29 |
| 1437367679 | Richard Fisher | Social Worker | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2007-05-20 |
| 1427109875 | Brent Martin | Dentist | 1216 Farmington Ave, Suite 201, West Hartford, CT 06107-2672 | 2007-01-14 |
| 1902995855 | Patricia Hernandez | Nurse Practitioner | 1216 Farmington Ave, Suite 102, West Hartford, CT 06107-2672 | 2006-10-11 |
| 1629188131 | Patrick H Mcdermott | Internal Medicine | 1216 Farmington Ave, Suite 101, West Hartford, CT 06107-2672 | 2006-08-30 |
| 1386657740 | Alice Brooks | Social Worker | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1629188131 | Patrick H Mcdermott | Internal Medicine | 1216 Farmington Ave, Suite 101, West Hartford, CT 06107-2672 | 2006-08-30 |
| 1326060484 | Elizabeth A Fasy | Internal Medicine | 445 S Main St, West Hartford, CT 06110-1646 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103762 | Fairfield County Endocrine, LLC | Internal Medicine | 18 Sunnyside Ln, Westport, CT 06880-1710 | 2019-06-18 |
| 1013458447 | James Magner | Internal Medicine | 1022 Field Dr, Woodbridge, CT 06525-2638 | 2017-03-18 |
| 1740675818 | Vivek Alaigh | Internal Medicine | 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 | 2015-04-05 |
| 1669801619 | Geetika Gupta | Internal Medicine | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | 2013-11-09 |
| 1134562911 | Lori Marie De La Portilla | Internal Medicine | 462 Queen St # 303, Southington, CT 06489-1801 | 2013-04-11 |
| 1346592862 | Kathleen Mary O'connell | Internal Medicine | 9 Stonecrop Ln, Wilton, CT 06897-2405 | 2012-10-08 |
| 1104159037 | Robert Aaron Levine | Internal Medicine | 137 Winthrop Rd, Guilford, CT 06437-1632 | 2009-09-10 |
| 1124209101 | Maryanne Horta Bhojwani | Internal Medicine | 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 | 2007-11-19 |
| 1366585762 | Ann E Taylor | Internal Medicine | Pfizer, Eastern Point Road, Groton, CT 06340 | 2007-02-15 |
| 1306916846 | Antonio Pantaleo | Internal Medicine | 945 Summer St Fl 3, Stamford, CT 06905 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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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.