DR. DONNA M. BOCCELLI (NPI# 1588694210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588694210 |
| Entity Type | Individual |
| Full Name | DR. DONNA M. BOCCELLI |
| Credential | D.P.M. |
| Practice Address |
116 E Center St Suite 10 Manchester CT 06040-5215 |
| Mailing Address |
360 Tolland Tpke Ste 2c Manchester CT 06042-1770 |
| Practice Telephone | 8606477727 |
| Practice Fax Number | 8606477559 |
| Mailing Telephone | 8606477727 |
| Mailing Fax Number | 8606477559 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000769 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
000769 | CT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
116 E CENTER ST SUITE 10 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942276977 | Arthur E. Lamontagne Jr. | Urology | 116 E Center St, Manchester, CT 06040-5215 | 2006-02-28 |
| 1174705313 | David Jeremy Rosenberg | Urology | 116 E Center St, Suite 19, Manchester, CT 06040-5215 | 2007-11-29 |
| 1902004765 | Surgical Associates of Eastern Connecticut LLC | Surgery | 116 E Center St, Suite 12, Manchester, CT 06040-5215 | 2007-07-03 |
| 1821295296 | Kristin Lund | Neurological Surgery | 116 E Center St, Suite 10, Manchester, CT 06040-5215 | 2007-06-29 |
| 1821204579 | Associated Urologists PC | Urology | 116 E Center St, Suite 19, Manchester, CT 06040-5215 | 2007-05-16 |
| 1346386828 | Harry Anderson | Surgery | 116 E Center St, Suite 14, Manchester, CT 06040-5215 | 2007-01-30 |
| 1356411284 | Surgical Specialties of Eastern Ct LLC | Surgery | 116 E Center St, Suite 14, Manchester, CT 06040-5215 | 2006-11-08 |
| 1568430361 | Anthony Distefano | Urology | 116 E Center St, Suite 19, Manchester, CT 06040-5215 | 2006-03-09 |
| 1386612182 | Thomas E Staley | Urology | 116 E Center St, Suite 19, Manchester, CT 06040-5215 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376987537 | Kristin Tiffany Visco | Podiatrist | 424 Hanover St, Manchester, NH 03104-5101 | 2013-04-18 |
| 1144453895 | Podiatry Center of Eastern Ct, LLC | Podiatrist | 360 Tolland Tpke Ste 2c, Manchester, CT 06042-1770 | 2009-08-28 |
| 1033216122 | Peter Kasyjanski | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2006-09-20 |
| 1922009216 | Mark B Superstein | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2005-08-09 |
| 1316232382 | Eric B Bouldin | Podiatrist | 108 N Spring St, Manchester, Manchester, TN 37355-1563 | 2011-06-17 |
| 1649403080 | Cristi Lee Bouldin | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2009-09-02 |
| 1437306198 | Middle Tennessee Foot Associates P C | Podiatrist | 108 N Spring St, Manchester, TN 37355-1563 | 2008-08-25 |
| 1952589434 | Connecticut Surgical Group, PC | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2008-02-06 |
| 1639360381 | Luke C Jeffries | Podiatrist | 424 Hanover Street, Manchester, NH 03104 | 2007-08-07 |
| 1013075993 | Barry Alan Frank | Podiatrist | 384 Wilson St, Manchester, NH 03103-4912 | 2006-12-05 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on DR. DONNA M. BOCCELLI.
| 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.