SAINT FRANCIS MEDICAL GROUP, INC.


Address: 1000 Asylum Ave, Suite 2120, Hartford, CT 06105-1770
Phone: 8602464000

SAINT FRANCIS MEDICAL GROUP, INC. (NPI# 1407256415) 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) 1407256415
Entity Type Organization
Organization Name SAINT FRANCIS MEDICAL GROUP, INC.
Practice Address 1000 Asylum Ave
Suite 2120
Hartford
CT 06105-1770
Mailing Address 1000 Asylum Ave
Suite 2103
Hartford
CT 06105-1770
Practice Telephone 8602464000
Practice Fax Number 8605276985
Mailing Telephone 8607145058
Mailing Fax Number 8607148311
Enumeration Date 2014-08-27
Last Update Date 2014-08-27
Authorized Official Name SCOTT ELLNER (DO/PRESIDENT)
Authorized Official Telephone 8607145237
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
CT Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922407238 Saint Francis Medical Group, Inc. Surgery 1000 Asylum Ave, Suite 4320, Hartford, CT 06105-1770 2014-08-22

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations Saint Francis Medical Group, Inc. Legal Affairs, 114 Woodland Street, Hartford, CT 06105

Office Location

Street Address 1000 ASYLUM AVE
SUITE 2120
City HARTFORD
State CT
Zip Code 06105-1770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740283779 Emmanuel Javier Internal Medicine 1000 Asylum Ave, Suite 4310, Hartford, CT 06105-1770 2005-05-23
1992329544 Akosua Adzenyah Student in an Organized Health Care Education/Training Program 1000 Asylum Ave, Hartford, CT 06105-1770 2020-05-29
1851911689 Stephanie Vu Student in an Organized Health Care Education/Training Program 1000 Asylum Ave, Hartford, CT 06105-1770 2020-04-22
1760021539 Diane Graham Nurse Practitioner 1000 Asylum Ave, Hartford, CT 06105-1770 2019-12-27
1831735414 Christie Ann Tuttle Physician Assistant 1000 Asylum Ave, Hartford, CT 06105-1770 2019-11-19
1548819899 Elizabeth Joann Delbuono Genetic Counselor, MS 1000 Asylum Ave, Hartford, CT 06105-1770 2019-09-10
1235784554 Giovanna Craveiro-setaro Registered Nurse 1000 Asylum Ave, Hartford, CT 06105-1770 2019-08-04
1881250629 Karyn Eleanor Elaine Threet Student in an Organized Health Care Education/Training Program 1000 Asylum Ave, Hartford, CT 06105-1770 2019-05-16
1750844288 Belinda Nwagbara Student in an Organized Health Care Education/Training Program 1000 Asylum Ave, Hartford, CT 06105-1770 2019-04-11
1114480555 David Cheng-yao Wu Student in an Organized Health Care Education/Training Program 1000 Asylum Ave, Suite 1004, Hartford, CT 06105 2019-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275155939 Pruthwy R Addanki Student in an Organized Health Care Education/Training Program Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 2020-05-15
1700447802 Samuel Flynn Student in an Organized Health Care Education/Training Program 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 2019-06-28
1730743568 Turab J Mohammed Student in an Organized Health Care Education/Training Program Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 2019-04-26
1164900387 Breanne Ferrara Social Worker 43 Wooland St, Hartford, CT 06105 2018-07-31
1154814069 Signature Smiles of Hartford LLC Dentist 550 Farmington Avenue, Suite B, Hartford, CT 06105 2018-06-14
1356839062 Jaimy Villavicencio Student in an Organized Health Care Education/Training Program 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 2018-04-27
1750885679 Brittany Bird Student in an Organized Health Care Education/Training Program 839-841 Asylum Avenue, Hartford, CT 06105 2018-03-23
1972032241 Ashley Nicole Mills Student in an Organized Health Care Education/Training Program 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 2017-06-08
1528506847 Samuel Agyei Social Worker 291 Collins St, Hartford, CT 06105 2017-02-07
1841735818 Katie Strahowski Nurse Practitioner 85 Gillett Street, Clean Slate, Hartford, CT 06105 2016-12-30
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548608219 Ali Irshad Surgery 85 Seymour St Ste 409, Hartford, CT 06106-5523 2013-06-04
1942515408 Edward Dewitt Gifford Surgery 85 Seymour St Ste 409, Hartford, CT 06106-5523 2010-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336748953 Usa Vascular Center of Connecticut Pllc Surgery 2284 Summer St, Stamford, CT 06905-4503 2020-10-23
1245839869 Usa Vein Clinics of Connecticut Pllc Surgery 2284 Summer St Ste A, Stamford, CT 06905-4503 2020-10-23
1326385428 Hossein L. Tehrani Surgery 49 East Hyerdale Drive, Goshen, CT 06756 2013-01-09
1922368810 Megan Fritton Shue Surgery 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 2012-05-24
1932474053 John E. Fenn Surgery 200 Leeder Hill Drive, #2603, Hamden, CT 06517 2012-03-22
1033366745 Naiem Nassiri Surgery Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 2008-08-25
1407989569 Christos G. Pappas Surgery 372 Danbury Rd Ste 220, Wilton, CT 06897-2523 2007-03-14
1477610913 Stephen Marc Bauer Surgery 455 East Putnam Ave, Old Greenwich, CT 06870 2007-01-03
1114019098 William Gething Crawford Surgery 21 Montauk Ave Ste 303, New London, CT 06320-4906 2006-09-29
1083713416 Raul J. Guzman Surgery 330 Cedar St Bldg 204, New Haven, CT 06510 2006-09-22
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Competitor

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City HARTFORD
Zip Code 06105

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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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