DISABILITY DETERMINATION SERVICES (NPI# 1780958884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780958884 |
| Entity Type | Organization |
| Organization Name | DISABILITY DETERMINATION SERVICES |
| Other Organization Name | DEPARTMENT OF REHABILITATIVE SERVICES |
| Practice Address |
309 Wawarme Ave Hartford CT 06114-1509 |
| Mailing Address |
20 Westwood Dr New Britain CT 06052-1016 |
| Practice Telephone | 8604666302 |
| Mailing Telephone | 8602234694 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | DR. KURSHID KHAN (MEDICAL CONSULTANT) |
| Authorized Official Telephone | 8604666302 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
012934 | CT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Department of Rehabilitative Services | Other Name - Individual/Organization |
| Street Address |
309 WAWARME AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06114-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902088446 | Carol Ruth Honeychurch | Psychiatry & Neurology | 309 Wawarme Ave, Hartford, CT 06114-1509 | 2007-11-27 |
| 1760776165 | Barbara Fisher Coughlin | Pediatrics | 309 Wawarme Ave, Hartford, CT 06114-1509 | 2011-06-02 |
| 1396039855 | Maria Lourdes Tantengco Lorenzo | Internal Medicine | 309 Wawarme Ave, Hartford, CT 06114-1509 | 2011-06-01 |
| 1447543343 | Firooz Golkar-sisani | Emergency Medicine | 309 Wawarme Ave, Hartford, CT 06114-1509 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912846 | Ann-marie Brown | Counselor | One Congress Street, Suite 210, Hartford, CT 06114 | 2018-05-17 |
| 1154847044 | Na Won Lee | Dentist | 191 Franklin Ave., Care Dental Center, Hartford, CT 06114 | 2017-08-22 |
| 1386188522 | Poised Ondemand | Case Management | 41 Bond Street, Apt 3w, Hartford, CT 06114 | 2016-12-07 |
| 1619377348 | Morgan Anamoah Arhin | Social Worker | 331 Wethersfield Avenue, The Village for Families & Children, Inc., Hartford, CT 06114 | 2014-08-29 |
| 1972835254 | Eduardo Rosa | Counselor | 90 Webster Street, Hartford, CT 06114 | 2010-02-11 |
| 1134314651 | Ellen R Bent | Counselor | 407 Wethersfield Avenue, Hartford, CT 06114 | 2007-09-07 |
| 1124241963 | Hemal Vaishnav | Physical Therapist | 419 Franklin Avenue, Hartford, CT 06114 | 2007-04-10 |
| 1124143003 | Nalini Y Masih | Pathology | Disability Determination Services, 309 Wawarme Ave, Hartford, CT 06114 | 2007-03-20 |
| 1720121122 | Virginia Howell Rittner | Pediatrics | Ssa, 309 Wawarme Ave, Hartford, CT 06114 | 2007-02-15 |
| 1851432355 | Maybelle E Mercado | Counselor | 901 Wethersfield Ave 2nd Floor, Suite 2l, Hartford, CT 06114 | 2007-02-09 |
| Find all providers in zip 06114 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1942423488 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-11 |
| 1922121797 | Hartford Dispensary | Clinic/Center | 12-14 Weston Street, Hartford, CT 06120-1504 | 2007-04-09 |
| 1043823487 | Zen Wellness Care | Clinic/Center | 556 Zion St, Hartford, CT 06106-2348 | 2020-08-25 |
| 1770014656 | Ct Optimal Wellness, LLC | Clinic/Center | 100 Pearl St, 12 Floor, Hartford, CT 06103 | 2017-03-23 |
| 1679011803 | Community Health Services | Clinic/Center | 500 Albany Ave, Hartford, CT 06120-2508 | 2017-02-08 |
| 1386085850 | Burgdorf Bank of America Health Center | Clinic/Center | 131 Coventry St, 2nd Floor Administration, Hartford, CT 06112-1548 | 2013-07-12 |
| 1306168398 | Corporate Health Demensions, Inc | Clinic/Center | 151 Farmington Ave., Reaw, Hartford, CT 06156 | 2010-02-18 |
| 1629225842 | Aetna Inc., Wellness Works Center | Clinic/Center | 151 Farmington Ave, Hartford, CT 06156-0001 | 2008-08-19 |
| 1093930539 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-17 |
| 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.