RICHARD A ST. DENNIS (NPI# 1306879242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306879242 |
| Entity Type | Individual |
| Full Name | RICHARD A ST. DENNIS |
| Other Name | RICHARD A ST. DENNIS |
| Credential | PA |
| Practice Address |
3514 Main Street Coventry CT 06238 |
| Mailing Address |
3514 Main St Coventry CT 06238-1551 |
| Practice Telephone | 8607423543 |
| Mailing Telephone | 8607423543 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001203 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1203 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0001203 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | RS77579 | 05 |
| Street Address |
3514 MAIN STREET |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624855 | Annika Simmons | Behavioral Analyst | 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 | 2020-09-17 |
| 1932201308 | Paul Ilario Szwez | Chiropractor | 28 Lake St., Coventry, CT 06238 | 2006-09-05 |
| 1871071423 | Chastity J. Pimental Lcsw, Pllc | Social Worker | 1153 Main St, Coventry, CT 06238 | 2018-08-04 |
| 1881726123 | Daniel M Mclennon | Dentist | 16 Lake St., Coventry, CT 06238-0327 | 2007-03-12 |
| 1568686970 | Jennifer Therian | Counselor | 32 Church Lane, Coventry, CT 06238-0749 | 2007-04-13 |
| 1821332115 | Jenifer L Gietek | Social Worker | 21 Bread and Milk St Fl 1, Coventry, CT 06238-1012 | 2012-11-27 |
| 1144531989 | Barbara Forstberg Lcsw LLC | Community/Behavioral Health | 21 Bread and Milk St, Coventry, CT 06238-1012 | 2010-06-26 |
| 1396007043 | Julie Lynn Ingenohl | Marriage & Family Therapist | 58 Zeya Dr, Coventry, CT 06238-1035 | 2012-06-08 |
| 1407888332 | Krista A Catalan | Physical Therapist | 1683 Boston Tpke, Coventry, CT 06238-1105 | 2006-07-07 |
| 1558338004 | David Edelheit | Family Medicine | 1707 Boston Tpke, Coventry, CT 06238-1105 | 2006-03-03 |
| Find all providers in zip 06238 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326160961 | Alan A. Ali | Physician Assistant | 13th Civil Support Team, 570 Read Schoolhouse Road, Coventry, RI 02816 | 2007-04-04 |
| 1134514276 | Ocean State Primary Care Center of Coventry, LLC | Physician Assistant | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295913 | Courtney Marquardt | Physician Assistant | 25 Buckland Rd, South Windsor, CT 06074-3703 | 2020-11-04 |
| 1154922623 | Alexis Cardinali | Physician Assistant | 175 S Meriden Rd, Cheshire, CT 06410-2973 | 2020-11-02 |
| 1689274417 | Danielle Kerr | Physician Assistant | 1055 Kennedy Rd, Windsor, CT 06095-1308 | 2020-10-30 |
| 1467051920 | Cynthia G Moreno | Physician Assistant | 76 Newtown Rd Ste C, Danbury, CT 06810-6265 | 2020-10-25 |
| 1245837764 | Lauren Tripodi | Physician Assistant | 9 Sunset Hill Rd, Newtown, CT 06470-1318 | 2020-10-07 |
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1558977868 | Gabrielle Guetta | Physician Assistant | 25 Woody Ln, Westport, CT 06880-2260 | 2020-09-22 |
| 1609481639 | Gresi Kello | Physician Assistant | 506 Frost Rd, Waterbury, CT 06705-2304 | 2020-09-15 |
| 1477167351 | Connecticut Children's Eye Care, P.C. | Physician Assistant | 131 New London Tpke Ste 200, Glastonbury, CT 06033-2246 | 2020-09-08 |
| 1750991303 | Lana Chapman | Physician Assistant | 289 Curtis St Apt 2, Meriden, CT 06450-5910 | 2020-08-07 |
| 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.