HARTFORD DERMATOLOGY ASSOCIATES PC (NPI# 1467588343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467588343 |
| Entity Type | Organization |
| Organization Name | HARTFORD DERMATOLOGY ASSOCIATES PC |
| Practice Address |
65 Memorial Rd Suite 450 West Hartford CT 06107-2434 |
| Practice Telephone | 8605231087 |
| Practice Fax Number | 8605231472 |
| Mailing Telephone | 8605231087 |
| Mailing Fax Number | 8605231472 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-06-16 |
| Authorized Official Name | MRS. JANET L WEISNER (OFFICE MANAGER) |
| Authorized Official Telephone | 8605231087 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
031336 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004394277 | 05 |
| Street Address |
65 MEMORIAL RD SUITE 450 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407718 | Mary W Chang | Dermatology | 65 Memorial Rd, Suite 450, West Hartford, CT 06107-2434 | 2005-06-17 |
| 1932619160 | Daniel Jones | Psychologist | 65 Memorial Rd, West Hartford, CT 06107-2434 | 2017-10-02 |
| 1609128016 | Hartford Healthcare Medical Group, Inc | Podiatrist | 65 Memorial Rd, Ste. 430, West Hartford, CT 06107-2434 | 2012-10-09 |
| 1467709097 | Andrea Dias Murphy | Nurse Practitioner | 65 Memorial Rd, Hartford Healthcare Headache Center, West Hartford, CT 06107-2434 | 2012-08-14 |
| 1972883858 | Hartford Clinical Associates, PC | Podiatrist | 65 Memorial Rd, Suite 430, West Hartford, CT 06107-2434 | 2011-08-23 |
| 1598051674 | Elizabeth Dolan Holzhauer | Dentist | 65 Memorial Rd, Suite 400, West Hartford, CT 06107-2434 | 2011-06-27 |
| 1306038674 | Ricardo Taboada | Anesthesiology | 65 Memorial Rd, Suite 435, West Hartford, CT 06107-2434 | 2007-08-10 |
| 1932313863 | Kelly Su Lim | Massage Therapist | 65 Memorial Rd, Suite 410, West Hartford, CT 06107-2434 | 2007-05-10 |
| 1730240839 | Lee David Brauer | Psychiatry & Neurology | 65 Memorial Rd, Suite 440, West Hartford, CT 06107-2434 | 2006-12-12 |
| 1447337050 | Ob-gyn Associates of West Hartford, PC | Obstetrics & Gynecology | 65 Memorial Rd, Suite 550, West Hartford, CT 06107-2434 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053787564 | Mhs Primary Care Inc. | Dermatology | 540 Saybrook Rd Ste 100, Middletown, CT 06457-4760 | 2015-08-19 |
| 1407845332 | Michelle S Malane | Dermatology | 1781 Highland Ave, Cheshire, CT 06410-1254 | 2005-10-13 |
| 1235505710 | Mhs Primary Care Inc. | Dermatology | 1353 Boston Post Rd, Madison, CT 06443-3445 | 2015-08-19 |
| 1336532647 | Robert J Patrignelli Md PC | Dermatology | 17 Church Hill Rd, Trumbull, CT 06611-3116 | 2015-03-11 |
| 1689857674 | Theresa Huszar Md PC | Dermatology | 140 Clark St, Milford, CT 06460-3221 | 2007-12-12 |
| 1073705232 | Enfield Dermatology LLC | Dermatology | 146 Hazard Ave, Suite 101, Enfield, CT 06082-4571 | 2007-08-13 |
| 1356541668 | Robert J Patrignelli M D LLC | Dermatology | 17 Church Hill Rd, Trumbull, CT 06611-3116 | 2007-07-24 |
| 1710187505 | John W. Edelglass M.d., P.C. | Dermatology | 1 Bradley Rd, Suite 705, Woodbridge, CT 06525-2285 | 2007-07-20 |
| 1497872659 | Mitchell J. Ross | Dermatology | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | 2007-03-23 |
| 1710017181 | Robert C Langdon | Dermatology | 5 Durham Road, Guilford, CT 06437 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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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.