DR. ERIC MYLES KOSOFSKY (NPI# 1295712891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295712891 |
| Entity Type | Individual |
| Full Name | DR. ERIC MYLES KOSOFSKY |
| Credential | DPM |
| Practice Address |
597 Farmington Ave Hartford CT 06105-3057 |
| Practice Telephone | 8605238026 |
| Practice Fax Number | 8605237622 |
| Mailing Telephone | 8605238026 |
| Mailing Fax Number | 8605237622 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000468 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
000468 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BLUE CROSS | 030000468CT04 | 01 |
| CT | CONNECTICARE | 060468 | 01 |
| ALLIED HEALTH GROUP | 061280198003 | 01 | |
| AETNA | 0533188 | 01 | |
| HEALTHNET | 0P0501 | 01 | |
| RAILROAD MEDICARE | 480007333 | 01 | |
| ORTHONET/OXFORD | HAS384 | 01 | |
| CIGNA | 0190960002 | 01 | |
| HEALTH NOW OF NEW YORK | 0744660001 | 01 | |
| UNITED HEALTHCARE | 061280198 | 01 | |
| CT | 004162476 | 05 | |
| RAILROAD MEDICARE | C14746 | 01 |
| Street Address |
597 FARMINGTON AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891774915 | Robert David Rutstein | Podiatrist | 597 Farmington Ave, Hartford, CT 06105-3057 | 2006-01-17 |
| 1083691414 | Hartford Podiatry Group LLC | Durable Medical Equipment & Medical Supplies | 597 Farmington Ave, Hartford, CT 06105-3057 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851643258 | Hartford Healthcare Medical Group, Inc | Podiatrist | 85 Seymour St, Ste. 409, Hartford, CT 06106-5501 | 2012-10-09 |
| 1962783381 | Hartford Clinical Associates, PC | Podiatrist | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2011-08-30 |
| 1144484213 | Connecticut Foot Specialists PC | Podiatrist | 1000 Asylum Avenue, Suite 2100, Hartford, CT 06105 | 2008-07-17 |
| 1588783641 | Irving J Buchbinder | Podiatrist | 500 Albany Avenue, Hartford, CT 06120 | 2007-03-28 |
| 1033155163 | Eric Lui | Podiatrist | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2006-06-20 |
| 1316902273 | Henry F Fedus | Podiatrist | 21 Grand Street, Hartford, CT 06106 | 2006-04-20 |
| 1891774915 | Robert David Rutstein | Podiatrist | 597 Farmington Ave, Hartford, CT 06105-3057 | 2006-01-17 |
| 1053395400 | Connecticut Surgical Group, PC | Podiatrist | 85 Seymour St, Ste 409, Hartford, CT 06106 | 2005-11-30 |
| 1891782165 | Eric W Silverstein | Podiatrist | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2005-10-03 |
| 1790770733 | Ashley Kirsten Shepard | Podiatrist | 85 Seymour St, Ste 409, Hartford, CT 06106 | 2005-09-15 |
| Find all providers in HARTFORD | ||||
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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.