MICHAEL J. FELTES,DBA SOUND SENIORS GERIATRICS, APRN (NPI# 1588719736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588719736 |
| Entity Type | Organization |
| Organization Name | MICHAEL J. FELTES,DBA SOUND SENIORS GERIATRICS, APRN |
| Practice Address |
3 Heron Rd Mystic CT 06355-3253 |
| Practice Telephone | 8605366442 |
| Practice Fax Number | 8605366442 |
| Mailing Telephone | 8605366442 |
| Mailing Fax Number | 8605366442 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | MS. JUNE FLIRI (MANAGER) |
| Authorized Official Telephone | 8605366442 |
| Authorized Official Credential | M.B.A., M.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004203311 | 05 |
| Street Address |
3 HERON RD |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-3253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182353 | Cheryl A Walker | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2005-05-27 |
| 1245616705 | Karen Janet Terwilliger | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2015-08-07 |
| 1679628820 | Michael J. Feltes, Dba Sound Seniors Geriatrics, Md | Internal Medicine | 3 Heron Rd, Mystic, CT 06355-3253 | 2007-01-25 |
| 1336167238 | Mystic Geriatrics, LLC | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2006-07-18 |
| 1689690216 | Michael J Feltes | Family Medicine | 3 Heron Rd, Mystic, CT 06355-3253 | 2006-07-15 |
| 1114943214 | Mary Ellen Pagnozzi | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2006-07-14 |
| 1124026869 | Harold E Phillips Jr. | Family Medicine | 3 Heron Rd, Mystic, CT 06355-3253 | 2005-07-07 |
| 1457357618 | Judy D Mamaclay | Internal Medicine | 3 Heron Rd, Mystic, CT 06355-3253 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
| 1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| Find all providers in zip 06355 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182353 | Cheryl A Walker | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2005-05-27 |
| 1245616705 | Karen Janet Terwilliger | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1427689660 | Sajini M Roy | Nurse Practitioner | 172 Guinea Rd, Monroe, CT 06468-1044 | 2020-01-27 |
| 1073171393 | Sabine Donato Dabady | Nurse Practitioner | 287 Capitol Ave, Waterbury, CT 06705-2407 | 2019-06-01 |
| 1720599541 | Sherifa Bello | Nurse Practitioner | 1333 Burnside Ave Apt A3, East Hartford, CT 06108-1517 | 2017-10-19 |
| 1750808994 | Ronald S. Perpetua | Nurse Practitioner | 107 Bassett Rd, North Haven, CT 06473-1902 | 2017-08-28 |
| 1891247805 | Campbell Medical Care, LLC | Nurse Practitioner | 22 Parkwood Dr, Windsor, CT 06095-3142 | 2016-10-26 |
| 1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
| 1396977997 | Debra Innes Coyle | Nurse Practitioner | 85 Huckleberry Ln, Southington, CT 06489-4319 | 2009-08-14 |
| 1487727228 | Leeanne E Shaw-quinn | Nurse Practitioner | 30 Hyde Ave Ste 109, Vernon, CT 06066-4503 | 2006-11-17 |
| 1184648925 | Karen S Williams | Nurse Practitioner | 25 Witch Meadow Rd, Salem, CT 06420-3602 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
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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.