MR. LESZEK A KOLODZIEJCZAK (NPI# 1689600561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689600561 |
| Entity Type | Individual |
| Full Name | MR. LESZEK A KOLODZIEJCZAK |
| Credential | MD |
| Practice Address |
162 Mansfield Ave. B Willimantic CT 06226 |
| Mailing Address |
5 Founders St Ste 102 Willimantic CT 06226-2050 |
| Practice Telephone | 8604235000 |
| Practice Fax Number | 8604234838 |
| Mailing Telephone | 8604235000 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 032557 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CARE FAMILY PLAN | 001325572 | 01 |
| CT | HEALTHNET | 030946 | 01 |
| CT | CONNECTICARE | 767225 | 01 |
| CT | CHN | P04569 | 01 |
| CT | 001325572 | 05 | |
| CT | AETNA / US HEALTHCARE | 0811232 | 01 |
| CT | ANTHEM BC / BS | 010032557CT01 | 01 |
| CT | CIGNA | 9079072002 | 01 |
| CT | OXFORD | P469467 | 01 |
| Street Address |
162 MANSFIELD AVE. B |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114907029 | Regina K Stuart | Surgery | 5 Founders St Ste 102, Willimantic, CT 06226-2050 | 2006-01-18 |
| 1568468213 | Francis Siracusa | Surgery | 90 Quarry St, Willimantic, CT 06226-1225 | 2005-06-27 |
| 1548405871 | Huseyin Nail Aydin | Surgery | 5 Founders St Ste 102, Willimantic, CT 06226-2050 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168177 | Rebecca Pritchard | Surgery | 23 Woodside Ter, Milford, CT 06460-4252 | 2019-05-03 |
| 1518319458 | Muhammad Umer Afzaal | Surgery | 267 Grant St Fl St4, Bridgeport, CT 06610-2805 | 2016-07-04 |
| 1093175085 | Nicholas Mario Passarelli | Surgery | 88 Notch Hill Rd. Apt 183s, North Branford, CT 06471-1861 | 2016-03-03 |
| 1275912818 | David Christopher Aughton | Surgery | 538 Litchfield St Ste 201, Torrington, CT 06790-6669 | 2015-05-28 |
| 1174931463 | Jennifer Berry Matthesen | Surgery | 118 Good Hill Rd, Weston, CT 06883-2809 | 2014-07-30 |
| 1316378615 | Artem Dyatlov | Surgery | 2660 Main St Ste 110, Bridgeport, CT 06606-5301 | 2013-12-11 |
| 1669805974 | Robert John Mulcare | Surgery | 9 Cedarwood Dr, Greenwich, CT 06830-3904 | 2013-08-11 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1164764510 | William Stubenbord | Surgery | 25 Sunset Rd, Old Saybrook, CT 06475-2000 | 2013-03-25 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 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.