CONNCARE INC (NPI# 1700962040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700962040 |
| Entity Type | Organization |
| Organization Name | CONNCARE INC |
| Other Organization Name | BACKUS HEALTH CENTERS |
| Practice Address |
163 Broadway St Colchester CT 06415-1022 |
| Mailing Address |
112 Lafayette St Norwich CT 06360-2737 |
| Practice Telephone | 8605374601 |
| Practice Fax Number | 8605376935 |
| Mailing Telephone | 8604258715 |
| Mailing Fax Number | 8604258707 |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | DANIEL LOHR (VICE PRESIDENT) |
| Authorized Official Telephone | 8608898331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004167864 | 05 |
| Other Name | Type Code |
|---|---|
| Backus Health Centers | Other Name - Individual/Organization |
| Street Address |
163 BROADWAY ST |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124272 | Stephen J Kaye | Internal Medicine | 163 Broadway St, Colchester, CT 06415-1022 | 2005-09-15 |
| 1033602230 | Micaela Rae Gobeille | Optometrist | 163 Broadway St, Colchester, CT 06415-1022 | 2018-06-12 |
| 1215387493 | Laura Kwon | Internal Medicine | 163 Broadway St, Colchester, CT 06415-1022 | 2016-06-17 |
| 1265855068 | Kathi Jean Karp | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2014-01-29 |
| 1427308105 | Alexandra Anna Sadanowicz | Optometrist | 163 Broadway St, Colchester, CT 06415-1022 | 2012-09-11 |
| 1033489984 | Backus Health Centers | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2012-01-10 |
| 1891072757 | Community Medical Partners, Inc. | Colon & Rectal Surgery | 163 Broadway St, Colchester, CT 06415-1022 | 2011-11-07 |
| 1124215546 | Janine Fonfara | Social Worker | 163 Broadway St, Colchester, CT 06415-1022 | 2007-09-30 |
| 1487869442 | Colchester Eye Care, LLC | Optometrist | 163 Broadway St, Colchester, CT 06415-1022 | 2007-05-13 |
| 1982706990 | Laura C Popeleski | Physician Assistant | 163 Broadway St, Colchester, CT 06415-1022 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225553571 | Coleman Pediatric Therapy LLC | Occupational Therapist | 155 Boretz Rd, Colchester, CT 06415 | 2017-08-08 |
| 1811346224 | Katie Coleman | Occupational Therapist | 155 Boretz Road, Colchester, CT 06415 | 2016-06-07 |
| 1104217637 | Beyond Autism Counseling Services and Supportive Guidance | Community/Behavioral Health | 85 Broadway Street, Colchester, CT 06415 | 2015-02-05 |
| 1235488701 | Jennifer Grandpre | Physical Therapist | 7 Park Avenue Suite 4, Colchester, CT 06415 | 2012-08-30 |
| 1174781660 | Mark Cahill | Acupuncturist | 79b Norwich Ave, Colchester, CT 06415 | 2008-05-30 |
| 1417166232 | Shelly Lynn Ceceri | Physical Therapy Assistant | 59 Harirington Court, Colchester, CT 06415 | 2007-05-21 |
| 1134341142 | Susan Gene Pugatch | Physical Therapist | 59 Harrington Court, Colchester, CT 06415 | 2007-05-02 |
| 1669699377 | Janice K. Loomis | Marriage & Family Therapist | 244 South Main St, Colchester, CT 06415 | 2007-04-20 |
| 1952439176 | Dona Gioco Hoff | Social Worker | 139 Mill Hill Rd, Colchester, CT 06415 | 2007-03-01 |
| 1194875294 | Mary-margaret Ellen Freier | Psychologist | 4 Van Cedarfield Rd., Colchester, CT 06415 | 2007-01-11 |
| Find all providers in zip 06415 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1669523197 | Karen Nepveu | Internal Medicine | 792 College Pkwy Ste 303, Arthritis & Rheumatology Center, Plc, Colchester, VT 05446-3052 | 2007-01-12 |
| 1689648222 | James George Bucci | Internal Medicine | 199 Old Hartford Rd, Unit #6, Colchester, CT 06415-2739 | 2006-02-13 |
| 1235124272 | Stephen J Kaye | Internal Medicine | 163 Broadway St, Colchester, CT 06415-1022 | 2005-09-15 |
| 1215387493 | Laura Kwon | Internal Medicine | 163 Broadway St, Colchester, CT 06415-1022 | 2016-06-17 |
| 1285736090 | Kathryn Gonzalez | Internal Medicine | 162 Hegeman Ave, #100, Colchester, VT 05446-3156 | 2006-09-02 |
| 1083716203 | Colchester Internal Medicine, LLC | Internal Medicine | 199 Old Hartford Rd, Unit #6, Colchester, CT 06415-2739 | 2006-09-01 |
| 1336152339 | Jonathan Samuel Cohen | Internal Medicine | 162 Hegeman Ave, Colchester, VT 05446-3156 | 2006-08-14 |
| 1194746792 | Dennis Dwight Woods | Internal Medicine | 790 College Pkwy, Colchester, VT 05446-3007 | 2006-07-21 |
| 1417985946 | Priya Tandon | Internal Medicine | 7 Park Ave, Suite 1, Colchester, CT 06415-1128 | 2006-06-30 |
| 1003876368 | Alan Landau | Internal Medicine | 875 Roosevelt Hwy Ste 132, Colchester, VT 05446 | 2006-03-23 |
| Find all providers in COLCHESTER | ||||
| City | COLCHESTER |
| Zip Code | 06415 |
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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.