MS. HEATHER MICHELLE RYNKOWSKI (NPI# 1477980480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477980480 |
Entity Type | Individual |
Full Name | MS. HEATHER MICHELLE RYNKOWSKI |
Other Name | HEATHER MICHELLE REZNIK |
Credential | PA-C |
Practice Address |
365 Montauk Ave Office # 3.525 New London CT 06357 |
Practice Telephone | 8604420711 |
Practice Fax Number | 8602714988 |
Mailing Telephone | 8604420711 |
Mailing Fax Number | 8602714988 |
Enumeration Date | 2013-10-04 |
Last Update Date | 2018-11-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 23.003003 | CT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
00729 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3003 | CT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
23.003003 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
365 MONTAUK AVE OFFICE # 3.525 |
City | NEW LONDON |
State | CT |
Zip Code | 06357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568460186 | Steven Lu | Internal Medicine | 365 Montauk Ave, Rm 4.512, New London, CT 06320-4700 | 2005-07-08 |
1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
1952954117 | Veronica O Lee | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-17 |
1265084487 | Lydia Derienzo | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-09 |
1184283699 | Theresa Joan Crino | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-08 |
1437718137 | Linda Anderson | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-07 |
1265091813 | Stephen Richard Cofone | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-07 |
1841859683 | Thomas David Page | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-06 |
1942869706 | William Edward Sergiy IIi | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
1578122263 | Mary Stevens | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093094401 | Pamela Dhillon | Nurse Practitioner | 215 West Main St, Niantic, CT 06357 | 2011-08-16 |
1841454485 | Richard Frederick Jones IIi | Obstetrics & Gynecology | 224 Old Balck Point Rd, Niantic, CT 06357 | 2008-07-14 |
1437224771 | Margaret C Barili | Registered Nurse | 369 Main Street, Niantic, CT 06357 | 2006-11-21 |
1720163942 | Carole C Olson | Psychologist | 4 N. Pine Street, Ninantic, CT 06357 | 2006-10-26 |
1427151513 | Melvin Harold Engel | Family Medicine | 50 Green Cliff Drive, Niantic, CT 06357 | 2006-09-06 |
1457304420 | Michele Nadine Litwin | Nurse Practitioner | 30 W Main Street, Niantic, CT 06357 | 2006-05-18 |
1487133906 | Ryne Mcmullen | Physical Therapist | 11 Freedom Way Unit B2, Niantic, CT 06357 | 2018-08-07 |
1558720854 | Bodhi Naturopathic LLC | Naturopath | 17 Hope Street, Nianic, CT 06357 | 2016-02-15 |
1245662592 | Erica L Lussier | Nurse Practitioner | 248 Flanders Rd, Niantic, CT 06357 | 2013-08-08 |
1699025965 | Sara B Sherwin | Nurse Practitioner | 248 Flanders Road, Niantic, CT 06357 | 2012-09-14 |
Find all providers in zip 06357 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558319194 | Arthur S Welch | Physician Assistant | 50 Fair Harbour Pl, Suite 2-a, New London, CT 06320-4731 | 2006-05-05 |
1629074505 | Jan Idzikowski | Physician Assistant | 273 County Rd, New London, NH 03257-5736 | 2005-06-24 |
1508429275 | Marissa Ann Sylvester | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2019-04-18 |
1295213320 | Kelsey Bestall | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2018-07-31 |
1669889481 | Heather Nickerson | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2014-07-14 |
1669809927 | L&m Medical Group | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2013-10-02 |
1699910489 | Taryn Fabian | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2008-12-08 |
1669684205 | Margo R. Coffey | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2007-05-04 |
1326182650 | Juan C Delprado | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2007-02-19 |
1275696304 | Marcelle Loranger Cashman | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2006-12-19 |
Find all providers in NEW LONDON |
City | NEW LONDON |
Zip Code | 06357 |
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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.