URGENT CARE OF GROTON, LLC (NPI# 1821411828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821411828 |
| Entity Type | Organization |
| Organization Name | URGENT CARE OF GROTON, LLC |
| Practice Address |
220 Route 12 Suite 16 & 17 Groton CT 06340-3414 |
| Mailing Address |
31 Old Route 7 Brookfield CT 06804-1711 |
| Practice Telephone | 2038850808 |
| Practice Fax Number | 2038850813 |
| Mailing Telephone | 2038850808 |
| Mailing Fax Number | 2038850813 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |
| Authorized Official Name | RALPH ROBERT ROHATSCH (CEO) |
| Authorized Official Telephone | 2038850808 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | URGENT CARE OF GROTON, LLC | 31 Old Route 7, Brookfield, CT 06804 |
| Street Address |
220 ROUTE 12 SUITE 16 & 17 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437253655 | David J Mccormick | Physician Assistant | 220 Route 12, Groton, CT 06340-3414 | 2006-09-08 |
| 1548784259 | John Marsella | Pharmacist | 220 Route 12, Groton, CT 06340-3414 | 2017-08-03 |
| 1902334089 | Timothy Edward Suarez | Pharmacist | 220 Route 12, Groton, CT 06340-3414 | 2017-06-01 |
| 1487063764 | Rodney Harvey | Military Health Care Provider | 220 Route 12, Suite 5, Groton, CT 06340-3414 | 2014-08-12 |
| 1659713683 | Katelyn Doran Jupin | Physician Assistant | 220 Route 12, Groton, CT 06340-3414 | 2013-07-18 |
| 1396186631 | Zachary J. Jupin | Physician Assistant | 220 Route 12, Groton, CT 06340-3414 | 2013-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804628 | Urgent Care of West Hartford, LLC | Clinic/Center | 21 N Main St Ste B, West Hartford, CT 06107-1939 | 2019-11-01 |
| 1467937268 | Ctuc01 | Clinic/Center | 1171 E Main St, Torrington, CT 06790-3963 | 2018-09-27 |
| 1972035657 | New England Urgent Care Enfield LLC | Clinic/Center | 370 Middle Tpke W, Manchester, CT 06040-3824 | 2017-03-31 |
| 1396276960 | Ctuc01 | Clinic/Center | 76 Newtown Rd., Suite C, Danbury, CT 06810 | 2017-03-24 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1134665698 | Bloomfield Urgent Care, LLC | Clinic/Center | 16 Mountain Ave, Bloomfield, CT 06002-2339 | 2017-01-09 |
| 1053856039 | Qmg3, LLC | Clinic/Center | 389 Bridgeport Ave, Shelton, CT 06824-5484 | 2016-12-29 |
| 1437546363 | Qmg2,llc | Clinic/Center | 1910 Black Rock Tpke, Fairfield, CT 06825-3543 | 2015-04-17 |
| 1629461116 | Urgent Care of Derby, LLC | Clinic/Center | 78 Pershing Dr, Derby, CT 06418-1433 | 2015-03-09 |
| 1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
| Find all providers with the same taxonomy | ||||
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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.