FAMILY PRACTICE & INTERNAL MEDICINE OF SPRING GREN LLC (NPI# 1255371571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255371571 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE & INTERNAL MEDICINE OF SPRING GREN LLC |
| Practice Address |
2200 Whithey Ave Suite 100 Hamdeh CT 06518 |
| Practice Telephone | 2034076410 |
| Practice Fax Number | 2034076433 |
| Mailing Telephone | 2034076410 |
| Mailing Fax Number | 2034076433 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FAUSTO PETEUZZIELLO (PHYSICIAN OWNER) |
| Authorized Official Telephone | 2034076410 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RRM | CG7487 | 01 |
| Street Address |
2200 WHITHEY AVE SUITE 100 |
| City | HAMDEH |
| State | CT |
| Zip Code | 06518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1588264659 | Urgent Care Center of Bloomfield Pllc | Internal Medicine | 699 Cottage Grove Rd, Bloomfield, CT 06002-3059 | 2020-10-28 |
| 1497353999 | Kaushar Desai | Internal Medicine | 23 Adam Dr, Newington, CT 06111-5143 | 2020-10-15 |
| 1255938940 | Shirley Kuan | Internal Medicine | 20 Taft St, Hamden, CT 06514-3422 | 2020-10-06 |
| 1306451869 | Falcon Medical LLC | Internal Medicine | 101 Washington Blvd Unit 1208, Stamford, CT 06902-7060 | 2020-09-11 |
| 1811509904 | Kristina Beauharnais | Internal Medicine | 18 Bedford Ave Apt 10, Norwalk, CT 06850-3849 | 2020-08-19 |
| 1720603087 | Ct Osteopathic, LLC | Internal Medicine | 41 Baldwin Ln, Glastonbury, CT 06033-3845 | 2020-06-12 |
| 1609495134 | West Hartford Primary Care, LLC | Internal Medicine | 9 Ellsworth Rd, West Hartford, CT 06107-2302 | 2020-04-14 |
| 1275178642 | Real Life Medical LLC | Internal Medicine | 1245 Farmington Ave # 226, West Hartford, CT 06107-2667 | 2019-11-09 |
| 1619525466 | Ilja Hulinsky Md PC | Internal Medicine | 4641 Main St Ste 3, Bridgeport, CT 06606-1827 | 2019-08-26 |
| 1023664125 | Emily Knowlton | Internal Medicine | 2000 Post Rd Ste 202, Fairfield, CT 06824-5730 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
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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.