JONATHAN HARRISON (NPI# 1710040399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710040399 |
| Entity Type | Individual |
| Full Name | JONATHAN HARRISON |
| Practice Address |
Uconn Medical Group 263 Farmington Ave Farmington CT 06030-0001 |
| Practice Telephone | 8606792100 |
| Practice Fax Number | 8606794815 |
| Mailing Telephone | 8606792100 |
| Mailing Fax Number | 8606794815 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
MA70045 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
054844 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8089302 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053739821 | Jonathan Harrison | Internal Medicine | U of U Hospital 30 N 1900 E, Salt Lake City, UT 84132 | 2014-03-31 |
| 1538358791 | Jonathan Dennis Harrison | Occupational Therapist | 210 S 11th Ave Ste 41, Yakima, WA 98902-3221 | 2007-10-23 |
| 1184153546 | Jonathan Harrison | Pharmacist | 4951 Business Park Blvd, Anchorage, AK 99503-7174 | 2017-06-08 |
| 1326331133 | Jonathan Harrison | Internal Medicine | 2020 Palomino Ln Ste 100, Las Vegas, NV 89106-4894 | 2011-05-26 |
| 1366630188 | Jonathan Harrison | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2007-10-05 |
| Street Address |
UCONN MEDICAL GROUP 263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922069 | Courtney Danielle Holmes | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2005-06-16 |
| 1487101465 | Luriza Glynn | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-09-07 |
| 1871040287 | Diane Cichy | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-09-01 |
| 1023460789 | Alexandra Shaw | Physician Assistant | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-07-06 |
| 1700233327 | Hillary Kathleen Siddons | Audiologist | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-6228 | 2016-05-24 |
| 1518312321 | Denise Desimone | Social Worker | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-04-29 |
| 1811368194 | Lauren Brennan | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2015-10-13 |
| 1346633435 | Elizabeth Ann Connole-pond | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2015-03-12 |
| 1912315201 | Britta Lucretia Shute | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2014-07-30 |
| 1164846226 | Vinutha Maregowda | Internal Medicine | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962799775 | Sardar Zakariya Imam | Internal Medicine | 2325 E 30th St, Farmington, NM 87401-8900 | 2011-06-30 |
| 1801972518 | Jeffrey D Neidhart | Internal Medicine | 735 W. Animas Street, Farmington, NM 87401 | 2006-10-27 |
| 1407898208 | Farmington Missouri Hospital Company LLC | Internal Medicine | 1212 Weber Road, Farmington, MO 63640 | 2006-06-13 |
| 1811314263 | Ritika Vankina | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-1442 | 2014-03-24 |
| 1053660225 | Sara Naureen Dost | Internal Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2012-09-04 |
| 1225383359 | Ankit Anand | Internal Medicine | 2325 E 30th St, Farmington, NM 87401-8900 | 2012-07-15 |
| 1629398904 | Yueming Chang | Internal Medicine | 263 Farmington Ave, Uconn Health Center, Farmington, CT 06030-0001 | 2010-06-09 |
| 1396935136 | Biree Andemariam | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2007-07-27 |
| 1992868061 | Karen Marie Hook | Internal Medicine | 263 Farmington Ave, Division of Hematology/oncology, Farmington, CT 06030-0001 | 2006-12-19 |
| 1881770493 | James A Neidhart | Internal Medicine | 735 W Animas St, Farmington, NM 87401-5616 | 2006-10-27 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.