STATE OF CONNECITUT HEALTH CENTER


Address: 263 Farmington Ave, Human Genetics Associates, Farmington, CT 06030-0001
Phone: 8606797503

STATE OF CONNECITUT HEALTH CENTER (NPI# 1649452947) 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) 1649452947
Entity Type Organization
Organization Name STATE OF CONNECITUT HEALTH CENTER
Other Organization Name GENETICS
Practice Address 263 Farmington Ave
Human Genetics Associates
Farmington
CT 06030-0001
Mailing Address 263 Farmington Ave
Provider Enrollment - Dowling South
Farmington
CT 06030-2212
Practice Telephone 8606797503
Practice Fax Number 8606791610
Mailing Telephone 8606797503
Mailing Fax Number 8606791610
Enumeration Date 2007-11-29
Last Update Date 2012-06-14
Authorized Official Name DENIS C LAFRENIERE (MEDICAL DIRECTOR)
Authorized Official Telephone 8606797503
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name STATE OF CONNECITUT HEALTH CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics ========= CT Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Genetics Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013199314 State of Connecitut Health Center Internal Medicine 263 Farmington Ave, Infectious Diseases Associates, Farmington, CT 06030-0001 2007-11-29
1558543850 State of Connecitut Health Center Pediatrics 263 Farmington Ave, Neonatology Associates, Farmington, CT 06030-0001 2007-11-29
1659553949 State of Connecitut Health Center Internal Medicine 263 Farmington Ave, Pulmonary Medicine, Farmington, CT 06030-0001 2007-11-29
1568644862 State of Connecitut Health Center Internal Medicine 263 Farmington Ave, Nephrology Associates, Farmington, CT 06030-0001 2007-11-29
1730361031 State of Connecitut Health Center Neurological Surgery 263 Farmington Ave, Neurosurgery Associates, Farmington, CT 06030-0001 2007-11-29

Office Location

Street Address 263 FARMINGTON AVE
HUMAN GENETICS ASSOCIATES
City FARMINGTON
State CT
Zip Code 06030-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609879519 Michael Joseph Giordano Neurological Surgery 263 Farmington Ave, Farmington, CT 06030-0001 2005-05-24
1891394995 Ewa Jaszczolt Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2020-10-20
1295333458 Brianne Catherine Bischoff Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2020-10-10
1023622073 Michael John Arciszewski Perfusionist 263 Farmington Ave, Farmington, CT 06030-0002 2020-09-06
1073126199 Esha Bhatt Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06032-1956 2020-08-28
1689286932 Margaret Darin Physician Assistant 263 Farmington Ave, Farmington, CT 06030-0001 2020-08-18
1174133656 Rosa Raquel Huivin Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-08-09
1336758051 Sahar Zamani Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0002 2020-07-28
1083222954 Gabriela Maria Parra Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-07-16
1780292680 Bastian Andres Rojas Espinoza Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-07-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821617606 David Wozny Student in an Organized Health Care Education/Training Program General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 2020-04-13
1508495185 Zachary Boivin Student in an Organized Health Care Education/Training Program Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 2020-04-06
1063903730 Agura Afiari Student in an Organized Health Care Education/Training Program Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 2018-05-29
1750879474 Areeba Siddiqui Student in an Organized Health Care Education/Training Program 263 Farmington Avenue Mc1921, Farmington, CT 06030 2018-04-27
1508362013 Arya Saniee I Student in an Organized Health Care Education/Training Program 264 Farmington Ave, Farmington, CT 06030 2018-04-03
1679828594 Randall Morera Student in an Organized Health Care Education/Training Program 262 Farmington Ave, Farmington, CT 06030 2012-07-17
1750644365 Ugonna Ijeoma Student in an Organized Health Care Education/Training Program 260 Farmington Ave, Farmington, CT 06030 2012-06-19
1407018419 Julia Marie Toto Plastic Surgery University Physicians, 263 Farmington Avenue, Farmington, CT 06030 2008-06-30
1851456495 Jeffrey Gross Anesthesiology 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 2006-12-26
1649225269 Julian Nieves Internal Medicine 263 Famrington Avenue, Farmington, CT 06030 2006-05-23
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801247861 John Frederick Harper Pediatrics 175 Scott Swamp Rd, Farmington, CT 06032-3124 2016-06-30
1497094924 Frederic Taylor Mauck Pediatrics 12 Porter Rd, Farmington, CT 06032-2221 2013-02-04
1497046049 Bradley J. Scoggins Pediatrics 407 S Schwartz Ave Ste 102, Farmington, NM 87401-5925 2011-04-29
1053637389 Alyssa S Bennett Pediatrics 505 Farmington Ave Fl 2, Farmington, CT 06032-1901 2010-04-12
1831338128 Nordie Anne Bilbao Pediatrics 505 Farmington Ave Ste 1s, Farmington, CT 06032 2009-02-11
1790705804 Barbara Ziogas Pediatrics 1 Forest Park Dr, Route 4, Farmington, CT 06032-1487 2006-07-20
1255363149 Richard Grenville Diedrich Pediatrics 1001 D W. Broadway, Farmington, NM 87401 2006-07-07
1902837701 John C Hickey Pediatrics 181 Franklin Health Cmns, Farmington, ME 04938-6144 2006-07-06
1912949645 Nasreen Merchant Pediatrics 23133 Orchard Lake Rd, Suite 100, Farmington, MI 48336-3268 2006-06-10
1093777948 Deepa Limaye Pediatrics 200 Mountain Rd, Farmington, CT 06032-2479 2006-04-05
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 06030

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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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