HARTFORD CLINICAL ASSOCIATES, PC (NPI# 1316227291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316227291 |
| Entity Type | Organization |
| Organization Name | HARTFORD CLINICAL ASSOCIATES, PC |
| Other Organization Name | HARTFORD SPECIALISTS |
| Practice Address |
455 Lewis Ave Suite 210 Meriden CT 06451-2121 |
| Mailing Address |
17 Talcott Notch Rd Farmington CT 06032-1818 |
| Practice Telephone | 2032381241 |
| Practice Fax Number | 2036860791 |
| Mailing Telephone | 8605242626 |
| Mailing Fax Number | 8606775029 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | JOHN L FUNDOCK (VICE PRESIDENT) |
| Authorized Official Telephone | 8605457188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Hartford Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962783381 | Hartford Clinical Associates, PC | Podiatrist | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2011-08-30 |
| 1689954661 | Hartford Clinical Associates, PC | Podiatrist | 339 W Main St, Avon, CT 06001-4322 | 2011-08-23 |
| 1407136484 | Hartford Clinical Associates, PC | Urology | 100 Hazard Ave, Suite 206, Enfield, CT 06082-5446 | 2011-08-23 |
| 1346520228 | Hartford Clinical Associates, PC | Urology | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2011-08-23 |
| 1629358601 | Hartford Clinical Associates, PC | Podiatrist | 1 Liberty Sq, New Britain, CT 06051-2636 | 2011-08-23 |
| 1386924264 | Hartford Clinical Associates, PC | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2011-08-23 |
| 1275813156 | Hartford Clinical Associates, PC | Podiatrist | 330 Western Blvd, Glastonbury, CT 06033-4383 | 2011-08-23 |
| 1972883858 | Hartford Clinical Associates, PC | Podiatrist | 65 Memorial Rd, Suite 430, West Hartford, CT 06107-2434 | 2011-08-23 |
| Street Address |
455 LEWIS AVE SUITE 210 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986898 | David M Sack | Internal Medicine | 455 Lewis Ave, Suite 105, Meriden, CT 06451-2121 | 2005-07-20 |
| 1740601665 | Katelyn Spence | Nurse Practitioner | 455 Lewis Ave, Suite 220, Meriden, CT 06451-2121 | 2013-12-18 |
| 1336491752 | Hartford Healthcare Medical Group, Inc | Urology | 455 Lewis Ave, Ste. 210, Meriden, CT 06451-2121 | 2012-10-09 |
| 1265669089 | Madhavi Bhoomagoud | Internal Medicine | 455 Lewis Ave, Suite 105, Meriden, CT 06451-2121 | 2009-06-18 |
| 1982839247 | Connecticut Nephrology Associates LLC | Internal Medicine | 455 Lewis Ave, Suite 214, Meriden, CT 06451-2121 | 2009-05-15 |
| 1639316177 | Rafal Barczak | Surgery | 455 Lewis Ave, Meriden, CT 06451-2121 | 2009-01-20 |
| 1598919045 | Paul Pyo | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2008-11-11 |
| 1962654178 | Bluegrass Medicine & Nephrology, LLC | Clinic/Center | 455 Lewis Ave, Suite 214, Meriden, CT 06451-2121 | 2008-10-21 |
| 1366692691 | Aly Hemdan Abdalla | Internal Medicine | 455 Lewis Ave, Suite 206, Meriden, CT 06451-2121 | 2008-09-23 |
| 1164606372 | Kenneth M Schwartz | Surgery | 455 Lewis Ave, Suite 208, Meriden, CT 06451-2121 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| Find all providers in zip 06451 | ||||
| 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 |
|---|---|---|---|---|
| 1528246568 | Dr Jack Herrle Od | Durable Medical Equipment & Medical Supplies | 130 East Main St, Meriden, CT 06450 | 2008-02-01 |
| 1205961877 | Graeber' Medical and Nutri Supply | Durable Medical Equipment & Medical Supplies | 172 West Main St, Meriden, CT 06451-4104 | 2007-02-22 |
| 1508960436 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 153 Broad St, Meriden, CT 06450-6550 | 2006-09-12 |
| 1629172549 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 540 W Main St, Meriden, CT 06451-2710 | 2006-09-12 |
| 1467556365 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 839 E Main St, Meriden, CT 06450-6006 | 2006-09-12 |
| 1528076189 | Graeber's Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 172 W Main St, Meriden, CT 06451-4104 | 2006-08-03 |
| 1528080124 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2006-07-24 |
| 1487686358 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 485 Broad St, Meriden, CT 06450-5801 | 2006-07-07 |
| 1174563902 | New England Orthotic & Prosthetic Systems, LLC | Durable Medical Equipment & Medical Supplies | 61 Pomeroy Avenue, Building 2, Meriden, CT 06450-7101 | 2006-06-08 |
| 1871953471 | Graeber's Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 172 West Main St, Meriden, CT 06451-4104 | 2016-02-25 |
| Find all providers in MERIDEN | ||||
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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.