STEVEN C SHIFREEN (NPI# 1871663328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871663328 |
| Entity Type | Individual |
| Full Name | STEVEN C SHIFREEN |
| Credential | MD |
| Practice Address |
645 Farmington Ave Hartford CT 06105 |
| Practice Telephone | 8605703400 |
| Practice Fax Number | 8605700750 |
| Mailing Telephone | 8605703400 |
| Mailing Fax Number | 8605700750 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 025728 | CT | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 025728 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001257286 | 05 |
| Street Address |
645 FARMINGTON AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910638 | Nutribridge LLC | Dietitian, Registered | 645 Farmington Ave, Hartford, CT 06105-2907 | 2019-03-06 |
| 1639636525 | Bridget Anne Sutherland | Dietitian, Registered | 645 Farmington Ave, Hartford, CT 06105-2907 | 2019-02-27 |
| 1851771273 | Musculoskeletal Medicine & Pain Management Associates, PC | Chiropractor | 645 Farmington Ave, Hartford, CT 06105-2907 | 2015-06-01 |
| 1669862058 | Joette Melissa Johnson | Social Worker | 645 Farmington Ave, First Floor, Hartford, CT 06105-2907 | 2015-01-23 |
| 1134537327 | Marcia Annmarie Watson | Social Worker | 645 Farmington Ave, Hartford, CT 06105-2907 | 2014-07-31 |
| 1023426624 | Unlimited Family Services LLC | Community/Behavioral Health | 645 Farmington Ave, Floor 1, Hartford, CT 06105-2907 | 2014-07-27 |
| 1497198907 | Rebecca Ramos | Social Worker | 645 Farmington Ave, Hartford, CT 06105-2907 | 2013-04-15 |
| 1063753580 | Kathleen Hayles Service | Social Worker | 645 Farmington Ave, Floor 1, Hartford, CT 06105-2907 | 2013-03-07 |
| 1720343924 | Pablo Varela IIi | Counselor | 645 Farmington Ave, Hartford, CT 06105-2907 | 2012-07-12 |
| 1407148232 | Janette Isaac | Counselor | 645 Farmington Ave, Hartford, CT 06105-2907 | 2011-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029773 | Medexpress Primary Care Texas, P.a. | General Practice | 185 Asylum Street, City Place 1, Hartford, CT 06103-3408 | 2019-08-22 |
| 1285903666 | Chs Health Services, Inc | General Practice | 68600 Red Arrow Hwy, Hartford, MI 49057-9718 | 2011-12-14 |
| 1497065163 | Sharron Lee Laplante | General Practice | 177 Weston Street, Hartford, CT 06120 | 2010-10-15 |
| 1235529868 | Our Journey LLC | General Practice | 707 N Main St, Hartford, WI 53027-1233 | 2015-02-03 |
| 1326326588 | James Dewitt Cross | General Practice | 151 Farmington Ave # Re52, Hartford, CT 06156-0001 | 2011-07-21 |
| 1285948463 | Subhaschandra R Ravi Md Pllc | General Practice | 30 W Main St, Hartford, MI 49057-1005 | 2010-07-30 |
| 1043379803 | Subhaschandra Reddy Ravi | General Practice | 30 W Main St, Hartford, MI 49057-1005 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510571 | David Warren Boxwell | General Practice | 67 Church St., Suite 300, Norwich, CT 06360-0636 | 2018-09-04 |
| 1407234685 | Adrian Kenneth Wyllie | General Practice | 4 Research Pkwy, Wallingford, CT 06492-1929 | 2015-05-08 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| 1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
| 1811237142 | Jose Buhain | General Practice | 19 Judson Ave Apt 5d, Woodbury, CT 06798-2844 | 2013-02-23 |
| 1548520661 | Cynthia Zywocinski | General Practice | 92 Everit St, New Haven, CT 06511-1321 | 2012-05-23 |
| 1093071631 | Roger Joseph Branson | General Practice | 12 Woodcreek Rd, Bethlehem, CT 06751-1705 | 2012-04-09 |
| 1427323401 | Kevin David Wolter | General Practice | 43 Oxford Ct, Mystic, CT 06355-1705 | 2012-03-09 |
| 1144590191 | Richard John Annulli | General Practice | 1037 Valley Rd, New Canaan, CT 06840-2818 | 2012-01-09 |
| 1578831525 | Alan Jule Ranhosky | General Practice | 2874 Long Ridge Rd, Stamford, CT 06903-1119 | 2011-12-06 |
| 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.