JUSTIN RICHARD LEDUC (NPI# 1467441865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467441865 |
| Entity Type | Individual |
| Full Name | JUSTIN RICHARD LEDUC |
| Credential | ATC |
| Practice Address |
300 Summit St Ferris Athletic Center Hartford CT 06106-3100 |
| Mailing Address |
220 W Main St Apt 10 Plantsville CT 06479-1150 |
| Practice Telephone | 5044911823 |
| Mailing Telephone | 8603784754 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2008-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
300 SUMMIT ST FERRIS ATHLETIC CENTER |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033575204 | Leyla Kuz-dworzak | Specialist/Technologist | 300 Summit St, Hartford, CT 06106-3100 | 2016-01-04 |
| 1891196309 | Trustees of Trinity College | Family Medicine | 300 Summit St, Ferris Athletic Center, Hartford, CT 06106-3100 | 2014-09-16 |
| 1467897462 | Trustees of Trinity College | Clinic/Center | 300 Summit St, Wheaton Hall, Hartford, CT 06106-3100 | 2013-05-03 |
| 1053660498 | Sarah Anne Raskin | Clinical Neuropsychologist | 300 Summit St, Hartford, CT 06106-3100 | 2012-08-30 |
| 1396005989 | John V. Carlson | Psychologist | 300 Summit St, Hartford, CT 06106-3100 | 2012-05-17 |
| 1952593782 | Martha Shamy Maniscalco | Registered Nurse | 300 Summit St, Hartford, CT 06106-3100 | 2007-08-15 |
| 1275732794 | Randolph M Lee | Psychologist | 300 Summit St, Trinity College Counseling Center, Hartford, CT 06106-3100 | 2007-07-14 |
| 1275753162 | Ernest Hallbach | Specialist/Technologist | 300 Summit St, Hartford, CT 06106-3100 | 2007-04-26 |
| 1669483939 | Stephanie Taylor | Registered Nurse | 300 Summit St, Trinity College Health Center, Hartford, CT 06106-3100 | 2006-08-11 |
| 1629049465 | Kathleen M. Hayes | Nurse Practitioner | 300 Summit St, Hartford, CT 06106-3100 | 2006-01-30 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437547239 | Total Care Physical Therapy & Sports Medicine LLC | Specialist | 21 Woodland St Ste 111, Hartford, CT 06105-4318 | 2014-12-31 |
| 1922400233 | Samantha Scarneo | Specialist | 85 Woodland St, Hartford, CT 06105-1207 | 2014-09-17 |
| 1790121614 | Kelly Jean Jameson | Specialist | 361 Roby Ln, Hartford, KY 42347-9550 | 2013-05-18 |
| 1740457597 | Hartford Rehab and Welness, LLC | Specialist | 102 S 4th Ave, Hartford, AL 36344-1615 | 2008-05-12 |
| 1740311059 | Vascular Associates of Ct, LLC | Specialist | 1000 Asylum Ave Ste 2120, Hartford, CT 06105-1770 | 2007-03-08 |
| 1982750162 | Peter Debell | Specialist | 31 Woodland St Apt 7e, Hartford, CT 06105-4301 | 2007-01-28 |
| 1487617635 | Robert M Smith | Specialist | 310 Collins St, Hartford, CT 06105-1549 | 2006-04-10 |
| 1730148909 | Lynn Keyes Davis | Specialist | 43 Woodland St, Suite G-80, Gothic Park, Hartford, CT 06105-2363 | 2006-03-17 |
| 1891776175 | Robert G Miceli | Specialist | 1 City Pl, Met Life, 7th Floor, Hartford, CT 06103-3432 | 2005-11-14 |
| 1780679795 | Christopher M Garvey | Specialist | 1640 E Sumner St, Hartford, WI 53027-2684 | 2005-09-15 |
| Find all providers in HARTFORD | ||||
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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.