CONNECTICUT GASTROENTEROLOGY ASSOC PC (NPI# 1700917523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700917523 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT GASTROENTEROLOGY ASSOC PC |
| Other Organization Name | CONNECTICUT GASTROENTEROLOGY ASSOCIATES PC |
| Practice Address |
1000 Asylum Ave Suite 3212 Hartford CT 06105 |
| Mailing Address |
1000 Asylum Ave Suite 3212 Hartford CT 06105-1770 |
| Practice Telephone | 8605221171 |
| Practice Fax Number | 8604936524 |
| Mailing Telephone | 8605221171 |
| Mailing Fax Number | 8604936524 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | DR. MICHAEL BUTENSKY (PRESIDENT) |
| Authorized Official Telephone | 8605221171 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE GROUP NUMBER | C00203 | 01 |
| CT | 004065934 | 05 |
| Other Name | Type Code |
|---|---|
| Connecticut Gastroenterology Associates PC | Doing Business As Name - Organization |
| Street Address |
1000 ASYLUM AVE SUITE 3212 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283779 | Emmanuel Javier | Internal Medicine | 1000 Asylum Ave, Suite 4310, Hartford, CT 06105-1770 | 2005-05-23 |
| 1992329544 | Akosua Adzenyah | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2020-05-29 |
| 1851911689 | Stephanie Vu | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2020-04-22 |
| 1760021539 | Diane Graham | Nurse Practitioner | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-12-27 |
| 1831735414 | Christie Ann Tuttle | Physician Assistant | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-11-19 |
| 1548819899 | Elizabeth Joann Delbuono | Genetic Counselor, MS | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-09-10 |
| 1235784554 | Giovanna Craveiro-setaro | Registered Nurse | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-08-04 |
| 1881250629 | Karyn Eleanor Elaine Threet | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-05-16 |
| 1750844288 | Belinda Nwagbara | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Hartford, CT 06105-1770 | 2019-04-11 |
| 1114480555 | David Cheng-yao Wu | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, Suite 1004, Hartford, CT 06105 | 2019-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417063025 | Nancy F Arena | Internal Medicine | 85 Seymour Street, Suite 700, Hartford, CT 06106 | 2006-08-23 |
| 1114954203 | Michael Aaron Selden | Internal Medicine | 85 Seymour St Ste 1000, Hartford, CT 06106-5529 | 2006-06-26 |
| 1548262918 | Charles W Riccio | Internal Medicine | 112 E Mcmurtry Ave, Hartford, KY 42347-1634 | 2005-08-15 |
| 1720375090 | Nihal Patel | Internal Medicine | 85 Seymour St Ste 1000, Hartford, CT 06106 | 2011-07-06 |
| 1316193055 | David M Chaletsky | Internal Medicine | 85 Seymour Street, Suite 1000, Hartford, CT 06106 | 2008-08-13 |
| 1033300728 | Maria Elena Johnson | Internal Medicine | 85 Seymour St, Suite 1000, Hartford, CT 06106-5501 | 2007-08-07 |
| 1881891703 | Jonathan Blair Williamson | Internal Medicine | 85 Seymour St, Suite 1000, Hartford, CT 06106-5501 | 2007-07-03 |
| 1801015854 | Kristin J Marcous | Internal Medicine | 85 Seymour St, Suite 1000, Hartford, CT 06106-5501 | 2007-04-25 |
| 1275653933 | Lisa Rossi | Internal Medicine | 1000 Asylum Ave, Suite 3212, Hartford, CT 06105-1770 | 2007-03-29 |
| 1275637886 | Jeffry L Nestler | Internal Medicine | 85 Seymour Street, Suite 1000, Hartford, CT 06106 | 2006-09-12 |
| Find all providers in HARTFORD | ||||
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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.