DR. AVA M PANNULLO (NPI# 1578545620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578545620 |
| Entity Type | Individual |
| Full Name | DR. AVA M PANNULLO |
| Credential | MD |
| Practice Address |
1 Abrahms Blvd West Hartford CT 06117-3949 |
| Practice Telephone | 8605233800 |
| Practice Fax Number | 8605233949 |
| Mailing Telephone | 8605233854 |
| Mailing Fax Number | 8605233828 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2008-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 31669 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
031669 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001316696 | 05 | |
| CT | BC | 010031669CT01 | 01 |
| Street Address |
1 ABRAHMS BLVD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578544714 | Hebrew Home and Hospital, Inc | Skilled Nursing Facility | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2005-11-06 |
| 1245773878 | Heather Digirolamo | Occupational Therapist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2016-11-30 |
| 1467907584 | Hebrew Home for Health and Rehabilitation LLC | Skilled Nursing Facility | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2016-08-18 |
| 1568826451 | Chelsea Duell | Speech-Language Pathologist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2016-04-07 |
| 1447614482 | Ria Vanhoof | Physical Therapist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2016-04-06 |
| 1154793610 | Karen Russell | Occupational Therapist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2015-10-23 |
| 1316319072 | Samantha Desmoines | Occupational Therapist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2015-10-21 |
| 1073907598 | Xiara Stringer | Physical Therapist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2015-03-23 |
| 1730573346 | Colleen Mcdermott | Occupational Therapist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2015-03-20 |
| 1336531466 | Amanda Schultz | Occupational Therapist | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2015-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1487040747 | Nancy Cabelus | Registered Nurse | 1678 Asylum Ave. Room 317, University of St. Joseph, West Hartford, CT 06117 | 2015-04-13 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1720282882 | Ruth Kahn | Psychologist | 54 Mountain Brook Road, West Hartford, CT 06117 | 2007-06-13 |
| 1437370426 | Dana Orthodontics PC | Dentist | 2446 Albany Avenue, West Hartford, CT 06117 | 2007-05-01 |
| 1972723146 | Michelle Payson | Occupational Therapist | One Abrahms Boulevard, West Hartford, CT 06117 | 2007-04-27 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| 1427181585 | Nancy L White | Naturopath | 10 Crossroads Plaza, West Hartford, CT 06117 | 2007-03-14 |
| 1689743452 | August C Olivar | Obstetrics & Gynecology | 2437 Albany Avenue, Suite 202, West Hartford, CT 06117 | 2006-11-07 |
| Find all providers in zip 06117 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1184896151 | Geriatric Medicine Consultants Home Visit Practice, LLC | Internal Medicine | 33 Birch Rd, West Hartford, CT 06119-1009 | 2008-03-30 |
| 1558301689 | Hebrew Home and Hospital, Inc | Internal Medicine | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612100 | Holistic Healing Partners, LLC | Internal Medicine | 290 Baxter Ln, Milford, CT 06460-6813 | 2019-04-28 |
| 1003113762 | Jennifer Anne Freimund | Internal Medicine | 1450 Chapel St Ste 107, New Haven, CT 06511-4405 | 2011-02-16 |
| 1720211444 | Joseph Daniel Demayo | Internal Medicine | 66 Skyline Dr, Middlebury, CT 06762-1717 | 2009-08-27 |
| 1679701882 | Southern Connecticut Geriatric & Preventive Medicine LLC | Internal Medicine | 4 Sagamore Cove Rd, Branford, CT 06405-5020 | 2009-06-25 |
| 1083814339 | Lefkowitz & Scollan, M.d.'s,llc | Internal Medicine | 469 E Main St, Meriden, CT 06450-6027 | 2007-07-24 |
| 1326116948 | Barney Spivack | Internal Medicine | 101 Long Lots Rd, Westport, CT 06880-3919 | 2006-12-01 |
| 1447267026 | Casey Ott | Internal Medicine | 22 Old Waterbury Rd # 103, Southbury, CT 06488-3848 | 2006-08-03 |
| 1447264155 | Audrey Lefkowitz | Internal Medicine | 469 E Main Street, Meriden, CT 06450 | 2006-07-28 |
| 1477583540 | Geraldine M Fabregas | Internal Medicine | 280 Alden Ave, New Haven, CT 06515-2114 | 2006-07-04 |
| 1083671861 | Taimur Habib | Internal Medicine | C/o Northeast Medical Group, Inc., 226 Mill Hill Ave., 3rd Floor, Bridgeport, CT 06610-2826 | 2006-04-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06117 |
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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.