JEFFERSON RADIOLOGY, PC (NPI# 1417112962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417112962 |
| Entity Type | Organization |
| Organization Name | JEFFERSON RADIOLOGY, PC |
| Practice Address |
85 Seymour St Suite 200 Hartford CT 06106-5501 |
| Mailing Address |
111 Founders Plz Suite 400 East Hartford CT 06108-3212 |
| Practice Telephone | 8602466589 |
| Practice Fax Number | 8605602849 |
| Mailing Telephone | 8602466589 |
| Mailing Fax Number | 8607835733 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | WILLIAM J GLUCKSMAN (PRESIDENT) |
| Authorized Official Telephone | 8602466589 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1396795951 | Jefferson Radiology, PC | Nuclear Medicine | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2006-05-12 |
| 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 SUITE 200 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586471 | Daniel Bruce Fram | Internal Medicine | 85 Seymour St, Ste 821, Hartford, CT 06106 | 2005-05-27 |
| 1255841714 | Danielle Montufar Gleason | Psychologist | 85 Seymour St, Hartford, CT 06106-5501 | 2017-10-10 |
| 1164946760 | Christopher John Krupa-schayer | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2017-07-26 |
| 1902349251 | Courtney Leigh Davis | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2016-11-18 |
| 1669927703 | Hartford Healthcare Retail Pharmacy | Pharmacy | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-08-18 |
| 1013360254 | Praveen Jayapal | Student in an Organized Health Care Education/Training Program | 85 Seymour St, Hartford, CT 06106-5501 | 2016-07-22 |
| 1457702193 | Kevin Rooney | Physician Assistant | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2016-06-23 |
| 1922455211 | Molly Nathanson | Midwife | 85 Seymour St, Suite 1019, Hartford, CT 06106 | 2016-05-17 |
| 1386090124 | Allyson Rossi | Occupational Therapist | 85 Seymour St, Suite 604, Hartford, CT 06106-5501 | 2016-05-11 |
| 1639539554 | Daniel Gleason | Pharmacist | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-03-04 |
| 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 | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095851 | State of Connecticut | Clinic/Center | 850 Bolton Rd Unit 1271, Storrs, CT 06269-1271 | 2018-03-06 |
| 1871542316 | University Standing Open Mri of New Haven, LLC | Clinic/Center | 216 Crown St, New Haven, CT 06510-2705 | 2006-05-10 |
| 1447408299 | Tolland Imaging Center, LLC | Clinic/Center | 6 Fieldstone Cmns, Suite E, Tolland, CT 06084-3419 | 2008-09-05 |
| 1184840845 | Connecticut Orthopaedic Specialists, PC | Clinic/Center | 2416 Whitney Ave, Hamden, CT 06518-3248 | 2007-04-18 |
| 1003820911 | Advanced Radiology Mri Centers, Lp | Clinic/Center | 3 Enterprise Dr, Suite 220, Shelton, CT 06484-7620 | 2006-07-28 |
| 1245252824 | Diagnostic Imaging of Southbury | Clinic/Center | 385 Main St South, Nvra Union Square Bldg 2, Southbury, CT 06488 | 2006-07-24 |
| 1154343739 | Prospect Diagnostic Imaging | Clinic/Center | 166 Waterbury Road, Rte 69, Prospect, CT 06712 | 2006-07-24 |
| 1972552768 | Paul A. Aiello, Md, PC | Clinic/Center | 46 Prince St, Suite 109, New Haven, CT 06519-1600 | 2006-05-09 |
| 1386637742 | Saint Raphael Mr Center | Clinic/Center | 330 Orchard St, New Haven, CT 06511-4417 | 2005-08-31 |
Please comment or provide details below to improve the information on JEFFERSON RADIOLOGY, PC.
| 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.