DIABETES AND ENDOCRINOLOGY OF NORTHWESTERN CONNECTICUT (NPI# 1407944689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407944689 |
| Entity Type | Organization |
| Organization Name | DIABETES AND ENDOCRINOLOGY OF NORTHWESTERN CONNECTICUT |
| Practice Address |
780 Litchfield St Torrington CT 06790-6268 |
| Practice Telephone | 8604962198 |
| Practice Fax Number | 8604892482 |
| Mailing Telephone | 8604962198 |
| Mailing Fax Number | 8604892482 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-11-09 |
| Authorized Official Name | DR. EGILS KNUTS BOGDANOVICS (OWNER) |
| Authorized Official Telephone | 8604962198 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001312660 | 05 | |
| CT | NEIC SITE ID, NSF BAO-7 | 3000 | 01 |
| CT | AETNA EDI ID | 4311104 | 01 |
| CT | AETNA CLAIMS ID | 7133354 | 01 |
| Street Address |
780 LITCHFIELD ST |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-6268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760464903 | Jean K Evangelisti | Nurse Practitioner | 780 Litchfield St, Suite 200, Torrington, CT 06790-6268 | 2005-11-15 |
| 1841854874 | Hannah Catherine Schnepp | Physician Assistant | 780 Litchfield St, Torrington, CT 06790-6268 | 2019-04-25 |
| 1003362989 | Katie L Tichenor | Physician Assistant | 780 Litchfield St, Torrington, CT 06790 | 2016-08-30 |
| 1043504756 | Corey Michelle Teagarden | Obstetrics & Gynecology | 780 Litchfield St, Torrington, CT 06790-6268 | 2011-05-31 |
| 1699067314 | David J Ohotnicky | Nurse Practitioner | 780 Litchfield St, Torrington, CT 06790-6268 | 2011-05-13 |
| 1588810055 | George Sunny Pazhayattil | Internal Medicine | 780 Litchfield St, Suite 200, Torrington, CT 06790-6268 | 2008-08-14 |
| 1952514986 | Foothills Family Care LLC | Clinic/Center | 780 Litchfield St, Torrington, CT 06790-6268 | 2007-05-07 |
| 1962560458 | Nephrology Associates of Northwestern Connecticut LLP | Internal Medicine | 780 Litchfield St, Suite 200, Torrington, CT 06790-6268 | 2006-12-05 |
| 1619065976 | Egils Knuts Bogdanovics | Internal Medicine | 780 Litchfield St, Torrington, CT 06790-6268 | 2006-10-11 |
| 1306812771 | Dva Renal Healthcare Inc | Clinic/Center | 780 Litchfield St, Ste 100, Torrington, CT 06790 | 2006-02-27 |
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| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1619065976 | Egils Knuts Bogdanovics | Internal Medicine | 780 Litchfield St, Torrington, CT 06790-6268 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103762 | Fairfield County Endocrine, LLC | Internal Medicine | 18 Sunnyside Ln, Westport, CT 06880-1710 | 2019-06-18 |
| 1013458447 | James Magner | Internal Medicine | 1022 Field Dr, Woodbridge, CT 06525-2638 | 2017-03-18 |
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1740675818 | Vivek Alaigh | Internal Medicine | 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 | 2015-04-05 |
| 1669801619 | Geetika Gupta | Internal Medicine | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | 2013-11-09 |
| 1134562911 | Lori Marie De La Portilla | Internal Medicine | 462 Queen St # 303, Southington, CT 06489-1801 | 2013-04-11 |
| 1346592862 | Kathleen Mary O'connell | Internal Medicine | 9 Stonecrop Ln, Wilton, CT 06897-2405 | 2012-10-08 |
| 1104159037 | Robert Aaron Levine | Internal Medicine | 137 Winthrop Rd, Guilford, CT 06437-1632 | 2009-09-10 |
| 1124209101 | Maryanne Horta Bhojwani | Internal Medicine | 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 | 2007-11-19 |
| 1366585762 | Ann E Taylor | Internal Medicine | Pfizer, Eastern Point Road, Groton, CT 06340 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
Please comment or provide details below to improve the information on DIABETES AND ENDOCRINOLOGY OF NORTHWESTERN CONNECTICUT.
| 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.