REAL LIFE MEDICAL LLC (NPI# 1275178642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275178642 |
| Entity Type | Organization |
| Organization Name | REAL LIFE MEDICAL LLC |
| Practice Address |
1245 Farmington Ave # 226 West Hartford CT 06107-2667 |
| Practice Telephone | 8604706630 |
| Practice Fax Number | 8622980763 |
| Mailing Telephone | 8604706630 |
| Mailing Fax Number | 8622980763 |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | DR. KARL MICHAEL DAUPHINAIS (OWNER) |
| Authorized Official Telephone | 8604706630 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | REAL LIFE MEDICAL LLC | 129 Woodpond Road, West Hartford, CT 06107 |
| Street Address |
1245 FARMINGTON AVE # 226 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2667 |
| 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 | 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 |
|---|---|---|---|---|
| 1609495134 | West Hartford Primary Care, LLC | Internal Medicine | 9 Ellsworth Rd, West Hartford, CT 06107-2302 | 2020-04-14 |
| 1407210016 | Christine Najjar | Internal Medicine | 125 Lasalle Rd Ste 208, West Hartford, CT 06107-2311 | 2016-04-09 |
| 1821212382 | Steven A Weisman | Internal Medicine | 41 Crossroads Plz, Unit 213, West Hartford, CT 06117-2402 | 2007-04-13 |
| 1073685905 | William James Pickering | Internal Medicine | 1064 Farmington Ave, West Hartford, CT 06107 | 2006-11-15 |
| 1194818013 | John D. Rixon | Internal Medicine | 55 Webster Hill Blvd, 555 Willard Ave, West Hartford, CT 06107-3458 | 2006-10-02 |
| 1043317340 | Varalakshmi Niranjan | Internal Medicine | 65 Kane Street, West Hartford, CT 06119-2110 | 2006-09-20 |
| 1831101443 | Michael Jimenez | Internal Medicine | 631 South Quaker Ln, West Hartford, CT 06110-1026 | 2006-08-12 |
| 1891718763 | Herbert Saul Hoffman | Internal Medicine | 1170 New Britain Ave, West Hartford, CT 06110-2410 | 2006-07-25 |
| 1508887290 | Murray Isaac Wellner | Internal Medicine | 10 Dale St, West Hartford, CT 06107-1815 | 2006-07-21 |
| 1376569392 | Sally Ann Ardolino | Internal Medicine | 1007 Farmington Avenue, Ste 9, West Hartford, CT 06107 | 2006-07-14 |
| Find all providers in WEST HARTFORD | ||||
| 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.