HARTFORD HEALTHCARE MEDICAL GROUP, INC (NPI# 1619211182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619211182 |
Entity Type | Organization |
Organization Name | HARTFORD HEALTHCARE MEDICAL GROUP, INC |
Practice Address |
1025 Silas Deane Hwy Wethersfield CT 06109-4229 |
Mailing Address |
Po Box 417695 Boston MA 02241-7695 |
Practice Telephone | 8606962400 |
Enumeration Date | 2012-11-21 |
Last Update Date | 2017-12-18 |
Authorized Official Name | ROCCO ORLANDO III (SECRETARY) |
Authorized Official Telephone | 8602634155 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164768255 | Hartford Healthcare Medical Group, Inc | Urology | 100 Hazard Ave, Ste. 206, Enfield, CT 06082-5446 | 2012-12-18 |
1033461454 | Hartford Healthcare Medical Group, Inc | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2012-10-09 |
1336491752 | Hartford Healthcare Medical Group, Inc | Urology | 455 Lewis Ave, Ste. 210, Meriden, CT 06451-2121 | 2012-10-09 |
1609128016 | Hartford Healthcare Medical Group, Inc | Podiatrist | 65 Memorial Rd, Ste. 430, West Hartford, CT 06107-2434 | 2012-10-09 |
1588916993 | Hartford Healthcare Medical Group, Inc | Podiatrist | 201 N Mountain Rd, Plainville, CT 06062-1848 | 2012-10-09 |
1780936104 | Hartford Healthcare Medical Group, Inc | Podiatrist | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2012-10-09 |
1851643258 | Hartford Healthcare Medical Group, Inc | Podiatrist | 85 Seymour St, Ste. 409, Hartford, CT 06106-5501 | 2012-10-09 |
1568714970 | Hartford Healthcare Medical Group, Inc | Podiatrist | 330 Western Blvd, Glastonbury, CT 06033-4383 | 2012-10-09 |
1043561301 | Hartford Healthcare Medical Group, Inc | Psychiatry & Neurology | 1290 Silas Deane Hwy, Attn: Linda Straka, Wethersfield, CT 06109-4337 | 2012-09-27 |
1720140221 | Hartford Healthcare Medical Group, Inc | Plastic Surgery | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2006-12-14 |
Street Address |
1025 SILAS DEANE HWY |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109-4229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972504116 | Cheryl A. Drezek | Physician Assistant | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2005-08-10 |
1821641093 | Hartford Healthcare Medical Group Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223 | 2019-07-17 |
1881075372 | Michael Moriarty | Family Medicine | 1025 Silas Deane Hwy, Wethersfield, CT 06109 | 2015-06-10 |
1902217870 | Taslima Shaikh | Family Medicine | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223 | 2014-05-14 |
1780936104 | Hartford Healthcare Medical Group, Inc | Podiatrist | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2012-10-09 |
1093969404 | Nicole L Hettrich | Physician Assistant | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2008-11-12 |
1457484487 | Debra Ann Pachucki | Emergency Medicine | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2007-03-13 |
1225195563 | Lindsay B Knapp | Social Worker | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4223 | 2007-01-03 |
1669568432 | Cindy A Saraceno | Physician Assistant | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2006-10-05 |
1811097520 | Lisa M Vanty | Physician Assistant | 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 | 2006-09-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
1336775485 | Lance Morton | Hearing Instrument Specialist | Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 | 2020-03-20 |
1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
1659806404 | Lauren M Mcgrath | Physical Therapist | 672 Silas Deane Highway, Wethersfield, CT 06109 | 2017-04-28 |
1851824858 | A Plus Senior Home Care LLC | In Home Supportive Care | 183 Clearfield Rd, Wethersfield, CT 06109 | 2017-04-06 |
1801270707 | Dr.matthew Carbone Family Chiropractic | Chiropractor | 15 Country Club Rd, Wethersfield, CT 06109 | 2015-07-10 |
1629455910 | Melanie Anne Parker | Physical Therapist | 850 Silas Deane Hwy #2, Wethersfield, CT 06109 | 2015-05-06 |
1508271875 | Integrated Procare Services | Counselor | 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 | 2014-06-25 |
1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
1285925651 | Steven Warren Young | Pharmacist | 657 Silas Deane Highway, Rite Aid Pharmacy, Wethersfield, CT 06109 | 2011-04-20 |
Find all providers in zip 06109 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407409899 | Urgent Care of Wethersfield, LLC | Clinic/Center | 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 | 2019-07-24 |
1255997334 | Ctuc01 | Clinic/Center | 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 | 2019-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548804628 | Urgent Care of West Hartford, LLC | Clinic/Center | 21 N Main St Ste B, West Hartford, CT 06107-1939 | 2019-11-01 |
1467937268 | Ctuc01 | Clinic/Center | 1171 E Main St, Torrington, CT 06790-3963 | 2018-09-27 |
1972035657 | New England Urgent Care Enfield LLC | Clinic/Center | 370 Middle Tpke W, Manchester, CT 06040-3824 | 2017-03-31 |
1396276960 | Ctuc01 | Clinic/Center | 76 Newtown Rd., Suite C, Danbury, CT 06810 | 2017-03-24 |
1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
1134665698 | Bloomfield Urgent Care, LLC | Clinic/Center | 16 Mountain Ave, Bloomfield, CT 06002-2339 | 2017-01-09 |
1053856039 | Qmg3, LLC | Clinic/Center | 389 Bridgeport Ave, Shelton, CT 06824-5484 | 2016-12-29 |
1437546363 | Qmg2,llc | Clinic/Center | 1910 Black Rock Tpke, Fairfield, CT 06825-3543 | 2015-04-17 |
1629461116 | Urgent Care of Derby, LLC | Clinic/Center | 78 Pershing Dr, Derby, CT 06418-1433 | 2015-03-09 |
1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
Find all providers with the same taxonomy |
City | WETHERSFIELD |
Zip Code | 06109 |
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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.