SEASONS MEDICAL GROUP OF CONNECTICUT PC (NPI# 1316491004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316491004 |
| Entity Type | Organization |
| Organization Name | SEASONS MEDICAL GROUP OF CONNECTICUT PC |
| Practice Address |
1579 Straits Tpke Suite 1e Middlebury CT 06762-1835 |
| Mailing Address |
6400 Shafer Ct Ste 700 Rosemont IL 60018-4914 |
| Practice Telephone | 8662442199 |
| Mailing Telephone | 8476921000 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | CARRIE BILL (VP FINANCE) |
| Authorized Official Telephone | 8476921000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1579 STRAITS TPKE SUITE 1E |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176423 | Karen Howe | Physical Therapist | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2005-07-07 |
| 1790270825 | Timothy Raymond Lebel | Physician Assistant | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2018-07-01 |
| 1477004612 | Erin Shaw | Nurse Practitioner | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2016-10-24 |
| 1437519949 | Jennifer L Crowther | Physician Assistant | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2016-02-25 |
| 1053714170 | Muneera Panjwani | Nurse Practitioner | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2014-10-02 |
| 1871901132 | Edmond Michael Daniells | Chiropractor | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2014-07-30 |
| 1639506967 | Hans Knopp | Physical Medicine & Rehabilitation | 1579 Straits Tpke, Middlebury, CT 06762 | 2013-10-01 |
| 1669726477 | Seasons Hospice & Palliative Care of Connecticut, LLC | Hospice Care, Community Based | 1579 Straits Tpke, Ste 1e, Middlebury, CT 06762-1835 | 2012-10-31 |
| 1093068405 | Robert S Wetmore Md PC | Orthopaedic Surgery | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2012-10-23 |
| 1952672446 | Daniel Dellaporta | Physician Assistant | 1579 Straits Tpke, Suite E, Middlebury, CT 06762-1835 | 2012-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895314 | Naugatuck Valley Womens Health Specialists PC | Obstetrics & Gynecology | 686 Straits Turnpike, 2a, Middlebury, CT 06762 | 2015-11-10 |
| 1588047153 | Princess Corset & Lingerie Shop II, LLC | Durable Medical Equipment & Medical Supplies | 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 | 2015-07-01 |
| 1437423985 | Gretchen R. Cianciola | Dental Hygienist | 12 Nantucket Way, Middlebury, CT 06762 | 2012-03-01 |
| 1124395223 | Tlc Homecare LLC | Home Health | 900 Straits Tpke Ste 205, Middlebury, CT 06762 | 2011-11-18 |
| 1588893952 | Catherine Ann Accashian | Occupational Therapist | 778 Middlebury Road, Middlebury Convalescent Center, Middlebury, CT 06762 | 2009-07-07 |
| 1013081819 | Waltor M Phillips | Psychologist | 415 Middlebury Road, Middlebury, CT 06762 | 2006-11-20 |
| 1518922608 | W Kenneth Miner | Physician Assistant | 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 | 2006-04-20 |
| 1952366072 | John M Keggi | Orthopaedic Surgery | 1579 Straits Turnpike, Suite E, Orthopaedics New England PC, Middlebury, CT 06762 | 2006-04-20 |
| 1568443125 | Stanley J Foster IIi | Plastic Surgery | 1625 Straits Turnpike, Suite 108, Middlebury, CT 06762 | 2005-11-10 |
| 1932556602 | Karissa Piedescalzo | Social Worker | 850 Straits Tpke Ste 201, Middlebury, CT 06762 | 2016-05-23 |
| Find all providers in zip 06762 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033340641 | Porter Hospital Inc | Family Medicine | 104 Porter Dr, Middlebury, VT 05753-8527 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740670959 | Regional Hospice and Home Care of Western Connecticut, Inc. | Family Medicine | 30 Milestone Road, Danbury, CT 06810 | 2015-01-26 |
| 1558704106 | Michael Gabriel | Family Medicine | 20 York St, New Haven, CT 06510 | 2013-04-14 |
| 1528401288 | Sherry Ng | Family Medicine | One Hospital Plaza, Stamford, CT 06904-9317 | 2013-04-12 |
| City | MIDDLEBURY |
| Zip Code | 06762 |
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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.