TRACEY JEANNETTE WILES (NPI# 1396899282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396899282 |
| Entity Type | Individual |
| Full Name | TRACEY JEANNETTE WILES |
| Credential | DO |
| Practice Address |
1598 E Main St Torrington CT 06790-3519 |
| Mailing Address |
Po Box 1090 Windsor CT 06095-6190 |
| Practice Telephone | 8604898444 |
| Practice Fax Number | 8604968641 |
| Mailing Telephone | 2037095935 |
| Mailing Fax Number | 2037095942 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 000270 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 5002704 | 05 |
| Street Address |
1598 E MAIN ST |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659425536 | Roberta Meltzer | Internal Medicine | 1598 E Main St, Torrington, CT 06790-3519 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
| 1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
| 1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
| Find all providers in zip 06790 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821358870 | Chioma Antonia Ihunnah Anjou | Internal Medicine | 245 Alvord Park Rd Bldg B, Torrington, CT 06790 | 2012-05-24 |
| 1154483964 | Aparna Oltikar Md LLC | Internal Medicine | 1185 New Litchfield Street, Torrington, CT 06790 | 2006-12-15 |
| 1285743419 | James J O'halloran | Internal Medicine | 185 Albert St, Torrington, CT 06790 | 2006-08-30 |
| 1699796441 | Jerome William Takiff | Internal Medicine | 895 East Main Street, Torrington, CT 06790 | 2006-07-21 |
| 1720501653 | Yu-hui Lee | Internal Medicine | 469 Migeon Ave, Torrington, CT 06790-4643 | 2017-07-23 |
| 1962958207 | Rachna Valvani | Internal Medicine | 1000 E Main St, Torrington, CT 06790-3909 | 2016-08-28 |
| 1093179111 | Obinna Chiedozie Ibe | Internal Medicine | 540 Litchfield St, Torrington, CT 06790-6679 | 2016-04-06 |
| 1144601279 | Richard Pianti | Internal Medicine | 540 Litchfield St, Torrington, CT 06790-6679 | 2015-06-15 |
| 1609257757 | James I Koola | Internal Medicine | 540 Litchfield St, Torrington, CT 06790-6600 | 2015-06-15 |
| 1992191449 | Sami El Hamwi | Internal Medicine | 540 Litchfield St, Torrington, CT 06790-6679 | 2015-04-11 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
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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.