DR. MICHAEL JIMENEZ (NPI# 1831101443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831101443 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JIMENEZ |
| Credential | MD |
| Practice Address |
631 South Quaker Ln West Hartford CT 06110-1026 |
| Mailing Address |
4 Farm Springs Rd Prohealth Physicians Farmington CT 06032-2573 |
| Practice Telephone | 8602335133 |
| Practice Fax Number | 8602335212 |
| Mailing Telephone | 8602845200 |
| Mailing Fax Number | 8602845333 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 023566 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679766331 | Michael Angel Jimenez | Surgery | 1064 Delaware Ave, Apt 2, Fountain Hill, PA 18015-2509 | 2007-08-24 |
| 1023143575 | Michael S Jimenez | Military Health Care Provider | 754 Rambur St, Chula Vista, CA 91911-6929 | 2007-02-23 |
| 1922609460 | Michael Jimenez | Perfusionist | 45211 Helm St, Plymouth, MI 48170-6023 | 2020-11-02 |
| 1518503440 | Michael Jimenez | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2019-11-26 |
| 1508395724 | Michael Jimenez | Dentist | 327 Nw Loop 410 Ste 101, San Antonio, TX 78216-5304 | 2017-06-09 |
| 1700831765 | Michael John Jimenez | Physical Therapist | 6011 N Fresno St, Fresno, CA 93710-5237 | 2006-05-24 |
| Street Address |
631 SOUTH QUAKER LN |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1962903492 | Mitchell Graham | Chiropractor | 121 Talcott Rd, West Hartford, CT 06110 | 2018-02-21 |
| 1417302829 | Kaitlyn Roggi | Behavioral Analyst | 101 South St Fl 2, West Hartford, CT 06110 | 2016-05-04 |
| 1487036802 | Nino Gigauri | Internal Medicine | 114 Woodlawn St, Hartford, CT 06110 | 2015-06-22 |
| 1093082174 | Shital Makati | Pharmacist | 940 South Quaker Lane, West Hartford, CT 06110 | 2011-11-17 |
| 1376842948 | Kenneth Reeve | Pediatrics | 1459a New Britain Ave, West Hartford, CT 06110 | 2011-03-22 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| 1821200957 | Advocate Community Care Agency, Inc. | Home Delivered Meals | 1086 New Britain Ave, West Hartford, CT 06110 | 2007-05-03 |
| 1730257155 | Catherine Ann Staunton | Physical Therapist | 1350 Chapel Street, New Haven, CT 06110 | 2006-12-01 |
| 1689750002 | Pamela M Matuszewski | Optometrist | 1445 New Britain Ave, W Hartford, CT 06110 | 2006-10-27 |
| Find all providers in zip 06110 | ||||
| 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 |
|---|---|---|---|---|
| 1609495134 | West Hartford Primary Care, LLC | Internal Medicine | 9 Ellsworth Rd, West Hartford, CT 06107-2302 | 2020-04-14 |
| 1275178642 | Real Life Medical LLC | Internal Medicine | 1245 Farmington Ave # 226, West Hartford, CT 06107-2667 | 2019-11-09 |
| 1407210016 | Christine Najjar | Internal Medicine | 125 Lasalle Rd Ste 208, West Hartford, CT 06107-2311 | 2016-04-09 |
| 1821212382 | Steven A Weisman | Internal Medicine | 41 Crossroads Plz, Unit 213, West Hartford, CT 06117-2402 | 2007-04-13 |
| 1073685905 | William James Pickering | Internal Medicine | 1064 Farmington Ave, West Hartford, CT 06107 | 2006-11-15 |
| 1194818013 | John D. Rixon | Internal Medicine | 55 Webster Hill Blvd, 555 Willard Ave, West Hartford, CT 06107-3458 | 2006-10-02 |
| 1043317340 | Varalakshmi Niranjan | Internal Medicine | 65 Kane Street, West Hartford, CT 06119-2110 | 2006-09-20 |
| 1891718763 | Herbert Saul Hoffman | Internal Medicine | 1170 New Britain Ave, West Hartford, CT 06110-2410 | 2006-07-25 |
| 1508887290 | Murray Isaac Wellner | Internal Medicine | 10 Dale St, West Hartford, CT 06107-1815 | 2006-07-21 |
| 1376569392 | Sally Ann Ardolino | Internal Medicine | 1007 Farmington Avenue, Ste 9, West Hartford, CT 06107 | 2006-07-14 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06110 |
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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.