DR. ROBERT JOSEPH BUNDY (NPI# 1962400630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962400630 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JOSEPH BUNDY |
| Credential | M.D. |
| Practice Address |
112 Mansfield Ave Pulmonary Dept., Hatch Wing Willimantic CT 06226-2041 |
| Practice Telephone | 8604567279 |
| Practice Fax Number | 8604500269 |
| Mailing Telephone | 8604567279 |
| Mailing Fax Number | 8604500269 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25147 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001251479 | 05 | |
| CT | NPI | 1962400630 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770132235 | Robert Bundy | Counselor | 380 W Palmer Lake Dr, Pueblo West, CO 81007-2879 | 2019-09-08 |
| 1871933853 | Robert Keith Bundy | Dentist | 155 N 24th St, Ashland, NE 68003-1504 | 2013-07-05 |
| 1518946458 | Robert Bundy Jr. | Family Medicine | 106 Corporate Park Dr., Suite 200 & 300, Mooresville, NC 28117-7134 | 2006-01-10 |
| 1881104990 | Robert Bundy | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2017-10-03 |
| 1952446635 | Robert F Bundy Jr. | Dentist | 11 Wilbur Rd, Thiells, NY 10984 | 2007-02-21 |
| 1972681575 | Robert D. Bundy | Pain Medicine | 2200 Ofarrell St, San Francisco, CA 94115-3357 | 2006-11-01 |
| 1770557241 | Robert V Bundy Jr. | Internal Medicine | 44 Blaine Ave, Bedford, OH 44146-2709 | 2006-02-14 |
| Street Address |
112 MANSFIELD AVE PULMONARY DEPT., HATCH WING |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744289 | Lori Bernier | Social Worker | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2020-03-09 |
| 1720620065 | Alisa B Bray | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2019-10-08 |
| 1194387431 | Marissa Clark | Physician Assistant | 112 Mansfield Ave, Willimantic, CT 06226-2040 | 2019-07-08 |
| 1003301136 | Bethany Joy Kennedy | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226 | 2018-07-01 |
| 1629475371 | Windham Community Memorial Hospital | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2014-11-24 |
| 1952708794 | Windham Community Memorial Hospital | Hospitalist | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2014-11-21 |
| 1174931687 | Melissa Bohan-hallenbeck | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2014-07-28 |
| 1689081085 | Prenatal Clinic | General Acute Care Hospital | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2014-07-17 |
| 1730477761 | Karin E Grann | Registered Nurse | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2011-07-12 |
| 1699062505 | Christopher Desmond | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2011-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1154399558 | Margaret E. Woznica | Internal Medicine | 112 Mansfield Ave, Hatch Wing, Willimantic, CT 06226-2045 | 2006-03-10 |
| 1003892829 | Marlene Schwartz | Internal Medicine | 112 Mansfield Ave, Pulmonary Disease Division, Hatch Wing, Willimantic, CT 06226-2045 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356761290 | Issahar Ben-dov | Internal Medicine | 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 | 2014-04-18 |
| 1669710216 | Arthur Christian Degraff Jr. | Internal Medicine | 160 Hunter Dr, West Hartford, CT 06107-1017 | 2013-01-16 |
| 1215287214 | Craig Stephen Conoscenti | Internal Medicine | 199 Gregory Blvd, Unit I5, Norwalk, CT 06855-2640 | 2012-09-17 |
| 1396024980 | Johan Van Jaarsveld | Internal Medicine | 81 Deer Run Rd, Woodbridge, CT 06525-1907 | 2011-08-12 |
| 1215143953 | Kaiser Toosy | Internal Medicine | 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 | 2007-05-16 |
| 1477675098 | A. Joel Papowitz | Internal Medicine | 179 Pine Creek Ave, Fairfield, CT 06824-6341 | 2007-04-04 |
| 1639293186 | Thinesh Dahanayake | Internal Medicine | 330 Washington St Ste 430, Norwich, CT 06360-2700 | 2007-03-19 |
| 1104910215 | Christopher Edward Manfredi | Internal Medicine | 30 Stevens Street, Suite C, Norwalk, CT 06850 | 2006-10-03 |
| 1598869596 | Kanagaratnam Jegathesan Md PC | Internal Medicine | 2271 East Main St, Waterbury, CT 06705 | 2006-09-11 |
| 1497859409 | Kanagaratnam Jegathesan | Internal Medicine | 2271 East Main Street, Waterbury, CT 06705 | 2006-09-11 |
| Find all providers with the same taxonomy | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
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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.