FOOTHILLS FAMILY CARE LLC (NPI# 1952514986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952514986 |
Entity Type | Organization |
Organization Name | FOOTHILLS FAMILY CARE LLC |
Practice Address |
780 Litchfield St Torrington CT 06790-6268 |
Practice Telephone | 8606268859 |
Practice Fax Number | 8604897250 |
Mailing Telephone | 8606268859 |
Mailing Fax Number | 8604897250 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2007-10-18 |
Authorized Official Name | DR. DMITRY ALEX DRAPACH (OWNER) |
Authorized Official Telephone | 8606268859 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 044942 | CT | Ambulatory Health Care Facilities |
Street Address |
780 LITCHFIELD ST |
City | TORRINGTON |
State | CT |
Zip Code | 06790-6268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760464903 | Jean K Evangelisti | Nurse Practitioner | 780 Litchfield St, Suite 200, Torrington, CT 06790-6268 | 2005-11-15 |
1841854874 | Hannah Catherine Schnepp | Physician Assistant | 780 Litchfield St, Torrington, CT 06790-6268 | 2019-04-25 |
1003362989 | Katie L Tichenor | Physician Assistant | 780 Litchfield St, Torrington, CT 06790 | 2016-08-30 |
1043504756 | Corey Michelle Teagarden | Obstetrics & Gynecology | 780 Litchfield St, Torrington, CT 06790-6268 | 2011-05-31 |
1699067314 | David J Ohotnicky | Nurse Practitioner | 780 Litchfield St, Torrington, CT 06790-6268 | 2011-05-13 |
1588810055 | George Sunny Pazhayattil | Internal Medicine | 780 Litchfield St, Suite 200, Torrington, CT 06790-6268 | 2008-08-14 |
1962560458 | Nephrology Associates of Northwestern Connecticut LLP | Internal Medicine | 780 Litchfield St, Suite 200, Torrington, CT 06790-6268 | 2006-12-05 |
1407944689 | Diabetes and Endocrinology of Northwestern Connecticut | Internal Medicine | 780 Litchfield St, Torrington, CT 06790-6268 | 2006-10-11 |
1619065976 | Egils Knuts Bogdanovics | Internal Medicine | 780 Litchfield St, Torrington, CT 06790-6268 | 2006-10-11 |
1306812771 | Dva Renal Healthcare Inc | Clinic/Center | 780 Litchfield St, Ste 100, Torrington, CT 06790 | 2006-02-27 |
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1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
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1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1083778203 | Community Health & Wellness Center of Greater Torrington | Clinic/Center | 157 Litchfield St, Torrington, CT 06790-6427 | 2006-12-21 |
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City | TORRINGTON |
Zip Code | 06790 |
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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.