TRUSTEES OF TRINITY COLLEGE (NPI# 1891196309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891196309 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF TRINITY COLLEGE |
| Other Organization Name | TRINITY COLLEGE SPORTS MEDICINE |
| Practice Address |
300 Summit St Ferris Athletic Center Hartford CT 06106-3100 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 8602972575 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-10-16 |
| Authorized Official Name | MICHAEL D. RENWICK (DIRECTOR OF ATHLETICS) |
| Authorized Official Telephone | 8602972055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Trinity College Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467897462 | Trustees of Trinity College | Clinic/Center | 300 Summit St, Wheaton Hall, Hartford, CT 06106-3100 | 2013-05-03 |
| Street Address |
300 SUMMIT ST FERRIS ATHLETIC CENTER |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441865 | Justin Richard Leduc | Specialist | 300 Summit St, Ferris Athletic Center, Hartford, CT 06106-3100 | 2005-10-18 |
| 1033575204 | Leyla Kuz-dworzak | Specialist/Technologist | 300 Summit St, Hartford, CT 06106-3100 | 2016-01-04 |
| 1467897462 | Trustees of Trinity College | Clinic/Center | 300 Summit St, Wheaton Hall, Hartford, CT 06106-3100 | 2013-05-03 |
| 1053660498 | Sarah Anne Raskin | Clinical Neuropsychologist | 300 Summit St, Hartford, CT 06106-3100 | 2012-08-30 |
| 1396005989 | John V. Carlson | Psychologist | 300 Summit St, Hartford, CT 06106-3100 | 2012-05-17 |
| 1952593782 | Martha Shamy Maniscalco | Registered Nurse | 300 Summit St, Hartford, CT 06106-3100 | 2007-08-15 |
| 1275732794 | Randolph M Lee | Psychologist | 300 Summit St, Trinity College Counseling Center, Hartford, CT 06106-3100 | 2007-07-14 |
| 1275753162 | Ernest Hallbach | Specialist/Technologist | 300 Summit St, Hartford, CT 06106-3100 | 2007-04-26 |
| 1669483939 | Stephanie Taylor | Registered Nurse | 300 Summit St, Trinity College Health Center, Hartford, CT 06106-3100 | 2006-08-11 |
| 1629049465 | Kathleen M. Hayes | Nurse Practitioner | 300 Summit St, Hartford, CT 06106-3100 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992098123 | Amanda Fantry | Orthopaedic Surgery | 1000 Asylum Ave Ste 2126, Hartford, CT 06105 | 2011-05-20 |
| 1518256452 | Collins Medical Associates 2 PC | Orthopaedic Surgery | 1000 Asylum Ave Ste 3218, Hartford, CT 06105-1702 | 2011-03-31 |
| 1437294576 | Select Orthopedics, LLC | Orthopaedic Surgery | 40 Woodland St, Hartford, CT 06105-2327 | 2007-02-20 |
| 1851319826 | William A. Lohrer | Orthopaedic Surgery | Hartford Orthopedic Medicine - 100 Wells Street, Suite 1b, Hartford, CT 06103 | 2006-07-18 |
| 1851398614 | John C Grady-benson | Orthopaedic Surgery | 31 Seymour St Ste 100, Hartford, CT 06106-5501 | 2005-07-07 |
| 1457357733 | Michael Aronow | Orthopaedic Surgery | 31 Seymour St, Ste 100, Hartford, CT 06106-5521 | 2005-06-22 |
| 1851920029 | Prism Sports Medicine, LLC | Orthopaedic Surgery | 31 Seymour Street, Suite 204, Hartford, CT 06106 | 2020-04-08 |
| 1235642158 | Connecticut Hand and Orthopedics Pllc | Orthopaedic Surgery | 1000 Asylum Ave Ste 3220, Hartford, CT 06105-1702 | 2017-11-14 |
| 1316366792 | Matthew J Grosso | Orthopaedic Surgery | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1719 | 2014-04-14 |
| 1073807335 | Hanbing Zhou | Orthopaedic Surgery | 31 Seymour Street, Suite 100, Hartford, CT 06106 | 2011-06-04 |
| 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.