MR. BLAISE E SMYTH


Address: 31 Seymour Street, Suite 201, Hartford, CT 06106
Phone: 8604302176

MR. BLAISE E SMYTH (NPI# 1588761563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588761563
Entity Type Individual
Full Name MR. BLAISE E SMYTH
Other Name MR. BLAISE E SMYTH
Credential PA-C
Practice Address 31 Seymour Street
Suite 201
Hartford
CT 06106
Mailing Address 99 E River Dr Fl 5
East Hartford
CT 06108-7301
Practice Telephone 8604302176
Mailing Telephone 8602820833
Mailing Fax Number 8602820170
Enumeration Date 2006-09-20
Last Update Date 2020-02-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 000732 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
111 Founders Plz, #300 C/o Ipms, East Hartford, CT 061083212 8602824137 8602820170

Office Location

Street Address 31 SEYMOUR STREET
SUITE 201
City HARTFORD
State CT
Zip Code 06106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972500304 Orthopedic Associates of Hartford,pc Physical Therapist 31 Seymour Street, Suite 100, Hartford, CT 06106-5501 2005-06-30
1851920029 Prism Sports Medicine, LLC Orthopaedic Surgery 31 Seymour Street, Suite 204, Hartford, CT 06106 2020-04-08
1417511197 Megan R Hughes Physician Assistant 31 Seymour Street, Hartford Hospital Neurology Dept, Hartford, CT 06106-5521 2019-04-28
1518463678 Drew Jett Physician Assistant 31 Seymour Street, Hartford, CT 06102 2018-04-05
1336695188 Hhc Hartford Surgery Center, LLC Clinic/Center 31 Seymour Street, Suite 300, Hartford, CT 06102 2016-08-31
1295178085 Yury Rabotnikov Anesthesiology 31 Seymour Street, Suite 201, Hartford, CT 06106 2013-04-10
1083951602 Hartford Orthopaedic Plastic & Hand Surgeons Inc. Occupational Therapist 31 Seymour Street, Suite 203, Hartford, CT 06106-3300 2013-01-16
1073807335 Hanbing Zhou Orthopaedic Surgery 31 Seymour Street, Suite 100, Hartford, CT 06106 2011-06-04
1174813554 Christopher Harry Judson Orthopaedic Surgery 31 Seymour Street, Suite 100, Hartford, CT 06106 2011-04-19
1619090396 James Kristopher Ware Orthopaedic Surgery 31 Seymour Street, Suite 100, Hartford, CT 06106-5501 2007-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
1316501687 Rafae Shaikh Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-04-23
1437643715 Lucas Bensa Social Worker 421 Washington St., Apt C1, Hartford, CT 06106 2018-06-19
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1619460581 Bryan F Stringer Student in an Organized Health Care Education/Training Program 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 2018-06-14
1083103972 Margret Sigurdardottir Blondal Student in an Organized Health Care Education/Training Program 282 Washington Street, Ste 4h, Hartford, CT 06106 2018-05-07
1265920995 Rudra Ramanathan Student in an Organized Health Care Education/Training Program 79 Retreat Ave Brown Stone, Hartford, CT 06106 2018-04-27
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1134536311 Allyson E Kubasek Physician Assistant 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 2014-07-19
1063037091 Andrew Jon Mccarthy Physician Assistant 80 Seymour St, Hartford, CT 06106-3315 2020-06-16
1417570722 Leah Pawelczyk Physician Assistant 80 Seymour St, Hartford, CT 06102-8000 2020-05-20
1164044947 Marena Josephine Harrison Physician Assistant 114 Woodland St, Hartford, CT 06105-1208 2020-05-14
1528688132 Tess B Repaci Physician Assistant 80 Seymour St, Hartford, CT 06106-3300 2020-04-23
1588283584 Dana Wells Mcpherson Physician Assistant 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 2020-04-10
1407486277 Ashley Weisse Physician Assistant 80 Seymour St, Hartford, CT 06102-8000 2020-01-21
1053954222 Nicole Ann Dietzel Physician Assistant 282 Washington St, Hartford, CT 06106-3322 2019-10-21
1952951121 Lindsay Nicole Palma Physician Assistant 80 Seymour St, Hartford, CT 06102-8000 2019-09-18
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Competitor

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City HARTFORD
Zip Code 06106

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Dataset Information

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.

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