MICHAEL ANTHONY ASCENZIA (NPI# 1932351673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932351673 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY ASCENZIA |
| Credential | P.A.-C |
| Practice Address |
360 Tolland Tpke Ste 1a Manchester CT 06042-1759 |
| Mailing Address |
68 Quarry Farms Meriden CT 06451-2085 |
| Practice Telephone | 8605536551 |
| Mailing Telephone | 2034401496 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
002060 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002060 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | COMMUNITY HEALTH NETWORK | 06-1406459 | 01 |
| CT | MULTIPLAN | 06-1406459 | 01 |
| CT | PIONEER | 06-1406459 | 01 |
| CT | NORTHEAST HEALTH DIRECT | 06-1406459 | 01 |
| CT | ANTHEM BCBS OF CT | 290002060CT01 | 01 |
| CT | HEALTH NET | 3V1079 | 01 |
| CT | PRIVATE HEALTHCARE SYSTEMS | 06-1406459 | 01 |
| CT | CONNECTICARE | 206000 | 01 |
| CT | GREAT WEST HEALTHCARE | 06-1406459 | 01 |
| CT | TRICARE | 06-1406459 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1450 Chapel St., New Haven, CT 06511 | 2037893152 | 2038675457 |
| Street Address |
360 TOLLAND TPKE STE 1A |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831734987 | Megan Joan Feehan | Nurse Practitioner | 360 Tolland Tpke Ste 1a, Manchester, CT 06042-1759 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548743875 | Sarah Ann Soifert | Physician Assistant | 100 Mcgregor St, Manchester, NH 03102-3770 | 2018-09-12 |
| 1215458740 | Felicia F Mingrone | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2017-07-06 |
| 1598211948 | Jamie M. Gumb | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101 | 2016-08-26 |
| 1770933541 | Alyssa Olsen | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2016-06-13 |
| 1356716302 | Mason Dunn-mcdonagh | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-12-02 |
| 1093195182 | Pamela Frappier | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-06-03 |
| 1134511595 | Nicole A. Wizeman | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-02-23 |
| 1053702845 | Andrea Lynch | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-02-14 |
| 1164812418 | Michael P Cacciola | Physician Assistant | 185 Queen City Ave, Elliot Orthopaedic Surgery, Manchester, NH 03101-7121 | 2015-01-26 |
| 1003228479 | Lauren Jean Welton | Physician Assistant | 100 Hitchcock Way, D-h Manchester, General Surgery, Manchester, NH 03104-4125 | 2014-05-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
Please comment or provide details below to improve the information on MICHAEL ANTHONY ASCENZIA.
| 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.