CENTRAL CONNECTICUT FOOTCARE CENTER, LLC (NPI# 1679655443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679655443 |
Entity Type | Organization |
Organization Name | CENTRAL CONNECTICUT FOOTCARE CENTER, LLC |
Practice Address |
807 Broad St. Meriden CT 06450-3802 |
Mailing Address |
807 Broad St Meriden CT 06450-4301 |
Practice Telephone | 2032383668 |
Practice Fax Number | 2032383670 |
Mailing Telephone | 2032383668 |
Mailing Fax Number | 2032383670 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2010-08-23 |
Authorized Official Name | DR. TINA ANNE BOUCHER (OWNER) |
Authorized Official Telephone | 2032383668 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
000805 | CT | Podiatric Medicine & Surgery Service Providers |
Street Address |
807 BROAD ST. |
City | MERIDEN |
State | CT |
Zip Code | 06450-3802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
Find all providers in zip 06450 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245386374 | David Michael Roccapriore | Podiatrist | 35 Pleasant St, Suite 2a, Meriden, CT 06450-5786 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306199351 | Starling Physicians PC | Podiatrist | 160 Hazard Ave, Enfield, CT 06082-3889 | 2012-10-15 |
1073887923 | Bruce M Backer | Podiatrist | 272 Charles Ct, Orange, CT 06477-1629 | 2012-02-23 |
1275617102 | Podiatric Medicine and Surgery of Fairfield County | Podiatrist | 49 Londonderry Dr, Greenwich, CT 06830-3508 | 2006-10-25 |
1689782401 | Chris Paul Kassaris | Podiatrist | 1881 Post Rd, Fairfield, CT 06824-5721 | 2006-08-29 |
1184632028 | Peter T Labarbera | Podiatrist | 389 Highland Ave, Waterbury, CT 06708 | 2006-08-04 |
1487684288 | Harvey D. Lederman | Podiatrist | 2531 Albany Ave, West Hartford, CT 06117-2308 | 2006-07-04 |
1588694764 | Luca Di Matteo | Podiatrist | 538 Hopmeadow St, Simsbury, CT 06070-2415 | 2006-07-04 |
1669421665 | Anthony Babigian | Podiatrist | 520 West Ave, Norwalk, CT 06850-4034 | 2006-05-08 |
1568427607 | Benedict Charles Valentine II | Podiatrist | 8 Independence Dr, Marlborough, CT 06447-1408 | 2006-04-20 |
1902870744 | Martin A Gavin | Podiatrist | 17 Brookdale Ave, Milford, CT 06460-5934 | 2006-02-16 |
Find all providers with the same taxonomy |
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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.