JEFFERSON RADIOLOGY, PC


Address: 85 Seymour St Ste 200, Hartford, CT 06106-5509
Phone: 8602893375

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Provider Secondary Practice Location

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

Other Provider IDs and Locations

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

Office Location

Street Address 85 SEYMOUR ST STE 200
City HARTFORD
State CT
Zip Code 06106-5509

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City HARTFORD
Zip Code 06106

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Dataset Information

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.

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