VINCENT I. MACANDREW JR. (NPI# 1669420899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669420899 |
| Entity Type | Individual |
| Full Name | VINCENT I. MACANDREW JR. |
| Credential | M.D. |
| Practice Address |
150 Mansfield Ave Willimantic CT 06226-2026 |
| Practice Telephone | 8604563997 |
| Practice Fax Number | 8604507323 |
| Mailing Telephone | 8604563997 |
| Mailing Fax Number | 8604507323 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
044039 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
150 MANSFIELD AVE |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992161558 | Nicole Monahan | Nurse Practitioner | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2016-01-12 |
| 1174908289 | Windham Gi, LLC | Internal Medicine | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2015-07-30 |
| 1740695766 | Erica Forsythe | Registered Nurse | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2014-06-28 |
| 1336441161 | Jeanne C Abrahamian | Occupational Therapist | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2010-11-30 |
| 1356586945 | Susan J. Mancuso | Occupational Therapist | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2008-12-10 |
| 1225221724 | Jennifer Iacampo | Physical Therapist | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2007-08-20 |
| 1780614313 | Julie A. Bousquet | Occupational Therapist | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2006-07-03 |
| 1962438143 | Ajit J Kokkat | Internal Medicine | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2006-06-23 |
| 1851335244 | Janice Shopland Bryant | Physical Therapist | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2006-06-15 |
| 1952359515 | Stephen F. Scarangella | Orthopaedic Surgery | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609186485 | The Sports Centre, LLC | Orthopaedic Surgery | 5 Founders St Ste 204, Willimantic, CT 06226-2057 | 2010-10-14 |
| 1194773382 | Connecticut Orthopaedic and Hand Surgery Center, P.C. | Orthopaedic Surgery | 5 Founders St., Suite 202, Willimantic, CT 06226 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467745679 | Sports Medicine and Orthopedic Surgery | Orthopaedic Surgery | 100 Gerber Dr, Suite 2a, Tolland, CT 06084-2851 | 2011-05-20 |
| 1164713681 | Paul Matthew Tomaszewski | Orthopaedic Surgery | 900 Main St S Ste 3, Southbury, CT 06488-4214 | 2011-05-02 |
| 1639149073 | Barry N. Messinger | Orthopaedic Surgery | 9 Bruce Rd, Manchester, CT 06040-7008 | 2006-01-26 |
| 1609867407 | Joel Howard Eisenberg | Orthopaedic Surgery | 6515 Main St, Suite 2, Trumbull, CT 06611-1354 | 2005-10-31 |
| 1982602868 | Michael Edward Joyce | Orthopaedic Surgery | 84 Glastonbury Blvd, Blvd, Glastonbury, CT 06033-4468 | 2005-07-13 |
| 1679578462 | Craig D. Tifford | Orthopaedic Surgery | 31 Strawberry Hill Ave, Stamford, CT 06902-2608 | 2005-06-17 |
| 1518438829 | Health Quest Medical Practice, PC | Orthopaedic Surgery | 50 Hospital Hill Rd, Sharon, CT 06069-2096 | 2018-12-13 |
| 1588079487 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 199 Whitney Ave, New Haven, CT 06511-3786 | 2014-06-30 |
| 1174943369 | Andrew Jimenez | Orthopaedic Surgery | 263 Farmington Ave, Farmington, CT 06030-2827 | 2014-04-26 |
| 1417376344 | Nathan Lewis Grimm | Orthopaedic Surgery | 263 Farmington Ave, Farmington, CT 06030-4699 | 2014-04-08 |
| Find all providers with the same taxonomy | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
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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.