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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
111 Founders Plz, #300 C/o Ipms, East Hartford, CT 061083212 | 8602824137 | 8602820170 |
Street Address |
31 SEYMOUR STREET SUITE 201 |
City | HARTFORD |
State | CT |
Zip Code | 06106 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 06106 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
Find all providers in HARTFORD |
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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.