JEFFERSON RADIOLOGY, PC (NPI# 1396795951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396795951 |
| Entity Type | Organization |
| Organization Name | JEFFERSON RADIOLOGY, PC |
| Practice Address |
85 Seymour St Ste 200 Hartford CT 06106-5509 |
| Mailing Address |
111 Founders Plz Suite 400 East Hartford CT 06108-3212 |
| Practice Telephone | 8602893375 |
| Practice Fax Number | 8607835733 |
| Mailing Telephone | 8605282080 |
| Mailing Fax Number | 8602916594 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | CRYSTAL HOUSH KOLLMORGEN (DIRECTOR, MEDICAL STAFF OFFICE) |
| Authorized Official Telephone | 8602916517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9704507 | 05 | |
| CT | WELLCARE/PREFERRED ONE | NY108137 | 01 |
| CT | 004000295 | 05 | |
| CT | OXFORD | A2516306 | 01 |
| CT | CONNECTICARE | 669045 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1260 Silas Deane Hwy Ste 104, Wethersfield, CT 061094363 | 8602893375 | 8607835733 |
| 100 Simsbury Rd Ste 101, Avon, CT 060013793 | 8602893375 | 8607835733 |
| 6 Northwestern Dr, Bloomfield, CT 060023463 | 8602893375 | 8607835733 |
| 100 Hazard Ave Ste 100, Enfield, CT 060825447 | 8602893375 | 8607835733 |
| 399 Farmington Ave Lowr 1, Farmington, CT 060321937 | 8602893375 | 8607835733 |
| 18 E Granby Rd Ste 202, Granby, CT 060352201 | 8602893375 | 8607835733 |
| 941 Farmington Ave, West Hartford, CT 061072203 | 8602893375 | 8607835733 |
| 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 061094363 | 8602893375 | 8607835733 |
| 704 Hebron Ave Ste 100, Glastonbury, CT 060335020 | 8602893375 | 8607835733 |
| 85 Seymour St Ste 200, Hartford, CT 061065509 | 8602893375 | 8607835733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518158419 | Jefferson Radiology, PC | Nuclear Medicine | 23b Arts Center Ct, Avon, CT 06001 | 2007-08-06 |
| 1467403741 | Jefferson Radiology, PC | Radiology | 941 Farmington Ave, West Hartford, CT 06107-2203 | 2006-05-12 |
| 1538451042 | Jefferson Radiology, PC | Radiology | 74 Mack St, Windsor, CT 06095-2759 | 2011-05-03 |
| 1720316128 | Jefferson Radiology, PC | Radiology | 18 E Granby Rd, Granby, CT 06035-2201 | 2009-11-23 |
| 1417112962 | Jefferson Radiology, PC | Radiology | 85 Seymour St, Suite 200, Hartford, CT 06106-5501 | 2008-07-24 |
| 1609067503 | Jefferson Radiology, PC | Nuclear Medicine | 40 Dale Rd, Avon, CT 06001-3692 | 2007-08-06 |
| 1285685867 | Jefferson Radiology, PC | Radiology | 1260 Silas Deane Hwy, Suite 104, Wethersfield, CT 06109-4362 | 2006-05-16 |
| 1053362350 | Jefferson Radiology, PC | Nuclear Medicine | 704 Hebron Ave, Suite 100, Glastonbury, CT 06033-5020 | 2006-05-12 |
| 1760463038 | Jefferson Radiology, PC | Radiology | 6 Northwestern Dr, Suite 102, Bloomfield, CT 06002-3463 | 2005-11-14 |
| Street Address |
85 SEYMOUR ST STE 200 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599092 | Prasanta Karak | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2005-06-22 |
| 1356961601 | Chelmsford Mri, P.C. | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2020-04-16 |
| 1932611571 | Suzanna Poplawski | Physician Assistant | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2017-11-03 |
| 1609282870 | Anne Carlson Kadlubowski | Physician Assistant | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2014-07-08 |
| 1164859518 | Abigail L Jensen | Physician Assistant | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2013-10-01 |
| 1801156518 | Brett Fillmore | Internal Medicine | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2012-05-29 |
| 1811256662 | Michael I Levinson | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2012-05-15 |
| 1629334784 | Michael Elliot Carlton | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2012-04-03 |
| 1285912485 | Charles Anthony Bruno Jr. | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2011-07-22 |
| 1265738496 | Gregory Lee Wrubel | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2011-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619298387 | Robert William Gordon | Radiology | 85 Seymour St Ste 400, Hartford, CT 06106-5501 | 2010-06-17 |
| 1639337363 | Ann C Price | Radiology | 226 E Washington St, Hartford, KY 42347-1143 | 2008-05-29 |
| 1043314693 | X-ray Associates | Radiology | 1211 N Main St, Ohio County Hospital, Hartford, KY 42347 | 2006-09-12 |
| 1407871890 | Stephen M Lindsey | Radiology | 784 Tipperary Ln, Hartford, WI 53027-9049 | 2006-07-13 |
| 1871599092 | Prasanta Karak | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2005-06-22 |
| 1356961601 | Chelmsford Mri, P.C. | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2020-04-16 |
| 1396165049 | Cara Swintelski | Radiology | 114 Woodland St, Hartford, CT 06105-1208 | 2014-04-21 |
| 1396182887 | Neeta Kannan | Radiology | 85 Seymour St, Hartford, CT 06106-5501 | 2013-05-24 |
| 1275889859 | Dorothy Cinti | Radiology | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2012-08-01 |
| 1811256662 | Michael I Levinson | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2012-05-15 |
| 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.