THE HOPE CLINIC, LLC (NPI# 1235214826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235214826 |
| Entity Type | Organization |
| Organization Name | THE HOPE CLINIC, LLC |
| Practice Address |
10 N Main St Suite 210 Bristol CT 06010-8102 |
| Practice Telephone | 8605894673 |
| Practice Fax Number | 8605896124 |
| Mailing Telephone | 8605894673 |
| Mailing Fax Number | 8605896124 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | DR. VIRGINIA M TJAN-WETTSTEIN (PHYSICIAN / OWNER) |
| Authorized Official Telephone | 8605894673 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | THE HOPE CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255383907 | The Hope Clinic, LLC | Internal Medicine | 10 N Main St, Suite 210, Bristol, CT 06010-8102 | 2006-05-17 |
| Street Address |
10 N MAIN ST SUITE 210 |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815782 | Khushboo Surti | Nurse Practitioner | 10 N Main St, Bristol, CT 06010-8122 | 2020-09-09 |
| 1124638481 | Shannon Rebecca Walsh | Social Worker | 10 N Main St, Bristol, CT 06010-8122 | 2020-08-03 |
| 1396381448 | Wheeler Clinic Inc. | Clinic/Center | 10 N Main St, Bristol, CT 06010-8122 | 2019-11-25 |
| 1538700042 | Helen Margaret Nutt | Nurse Practitioner | 10 N Main St, Bristol, CT 06010-8122 | 2019-10-06 |
| 1578118162 | Kelli Ann Klies | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2019-08-09 |
| 1750850467 | Julio Angel Sanchez | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2018-11-26 |
| 1841773959 | Lisa Marie Roth | Case Manager/Care Coordinator | 10 N Main St, Bristol, CT 06010-8122 | 2018-09-13 |
| 1144709585 | Adilsa R Encarnacao | Social Worker | 10 N Main St, Bristol, CT 06010-8122 | 2018-08-07 |
| 1114415007 | Germaine Michele Andrews | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2018-04-25 |
| 1548760119 | Wheeler Clinic Inc. | Clinic/Center | 10 N Main St, Bristol, CT 06010-8122 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720430358 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 26 Midway St Ste 100, Bristol, TN 37620-1706 | 2016-07-07 |
| 1245689355 | Starling Physicians PC | Durable Medical Equipment & Medical Supplies | 1345 Farmington Ave, Bristol, CT 06010-4776 | 2016-06-09 |
| 1114399011 | Betsy A Rose | Durable Medical Equipment & Medical Supplies | 725 Commonwealth Ave, Bristol, VA 24201-3321 | 2015-10-30 |
| 1578958146 | K Va T Food Stores Inc. | Durable Medical Equipment & Medical Supplies | 1317 Virginia Ave, Hwy 421, Bristol, TN 37620-5158 | 2015-04-01 |
| 1962782334 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 60 Middle Street, Bristol, CT 06010-5201 | 2011-08-17 |
| 1518275015 | Advanced Medical Systems and Solutions | Durable Medical Equipment & Medical Supplies | 1200 New Rodgers Rd, Suite C9b, Bristol, PA 19007-2525 | 2010-09-17 |
| 1134431620 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Medical Park Blvd Ste 106e, Bristol, TN 37620-7450 | 2010-07-13 |
| 1598082513 | Johnny Clay Koehn | Durable Medical Equipment & Medical Supplies | 102 Flannagan Dr, Bristol, VA 24202-5842 | 2010-04-29 |
| 1366769861 | Allied Rehab Services | Durable Medical Equipment & Medical Supplies | 520 Brookwood Dr, Bristol, TN 37620-2815 | 2010-04-23 |
| 1316130180 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 621 Terryville Rd, Grove Hill Medical Center., Bristol, CT 06010-4078 | 2007-08-24 |
| Find all providers in BRISTOL | ||||
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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.