HARTFORD CLINICAL ASSOCIATES, PC (NPI# 1962783381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962783381 |
| Entity Type | Organization |
| Organization Name | HARTFORD CLINICAL ASSOCIATES, PC |
| Other Organization Name | HARTFORD SPECIALISTS |
| Practice Address |
85 Seymour St Suite 409 Hartford CT 06106-5501 |
| Mailing Address |
17 Talcott Notch Rd Farmington CT 06032-1818 |
| Practice Telephone | 8605470616 |
| Practice Fax Number | 8605242655 |
| Mailing Telephone | 8605242626 |
| Mailing Fax Number | 8606775029 |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2013-03-28 |
| Authorized Official Name | MR. JOHN L FUNDOCK (VICE PRESIDENT) |
| Authorized Official Telephone | 8605457188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 208800000X | Urology | CT | Allopathic & Osteopathic Physicians | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Hartford Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689954661 | Hartford Clinical Associates, PC | Podiatrist | 339 W Main St, Avon, CT 06001-4322 | 2011-08-23 |
| 1407136484 | Hartford Clinical Associates, PC | Urology | 100 Hazard Ave, Suite 206, Enfield, CT 06082-5446 | 2011-08-23 |
| 1346520228 | Hartford Clinical Associates, PC | Urology | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2011-08-23 |
| 1629358601 | Hartford Clinical Associates, PC | Podiatrist | 1 Liberty Sq, New Britain, CT 06051-2636 | 2011-08-23 |
| 1386924264 | Hartford Clinical Associates, PC | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2011-08-23 |
| 1275813156 | Hartford Clinical Associates, PC | Podiatrist | 330 Western Blvd, Glastonbury, CT 06033-4383 | 2011-08-23 |
| 1972883858 | Hartford Clinical Associates, PC | Podiatrist | 65 Memorial Rd, Suite 430, West Hartford, CT 06107-2434 | 2011-08-23 |
| 1316227291 | Hartford Clinical Associates, PC | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2011-08-23 |
| Street Address |
85 SEYMOUR ST SUITE 409 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586471 | Daniel Bruce Fram | Internal Medicine | 85 Seymour St, Ste 821, Hartford, CT 06106 | 2005-05-27 |
| 1255841714 | Danielle Montufar Gleason | Psychologist | 85 Seymour St, Hartford, CT 06106-5501 | 2017-10-10 |
| 1164946760 | Christopher John Krupa-schayer | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2017-07-26 |
| 1902349251 | Courtney Leigh Davis | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2016-11-18 |
| 1669927703 | Hartford Healthcare Retail Pharmacy | Pharmacy | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-08-18 |
| 1013360254 | Praveen Jayapal | Student in an Organized Health Care Education/Training Program | 85 Seymour St, Hartford, CT 06106-5501 | 2016-07-22 |
| 1457702193 | Kevin Rooney | Physician Assistant | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2016-06-23 |
| 1922455211 | Molly Nathanson | Midwife | 85 Seymour St, Suite 1019, Hartford, CT 06106 | 2016-05-17 |
| 1386090124 | Allyson Rossi | Occupational Therapist | 85 Seymour St, Suite 604, Hartford, CT 06106-5501 | 2016-05-11 |
| 1639539554 | Daniel Gleason | Pharmacist | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-03-04 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405485 | Hanger Medical | Durable Medical Equipment & Medical Supplies | 100 Retreat Ave Ste 800, Hartford, CT 06106-2528 | 2020-07-29 |
| 1083233779 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 331 Wethersfield Ave Rm 149, Hartford, CT 06114-1420 | 2020-04-13 |
| 1689184350 | Jamaro Edwards | Durable Medical Equipment & Medical Supplies | 1465 Albany Ave, Hartford, CT 06112-2110 | 2017-10-06 |
| 1962928093 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 56 Coventry St Ste B, Hartford, CT 06112-1524 | 2017-08-21 |
| 1740727577 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 45 Wadsworth St Ste P, Hartford, CT 06106-7108 | 2017-01-31 |
| 1952646739 | Hartford Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 469 Park St, Hartford, CT 06106-1519 | 2012-12-04 |
| 1417243452 | Lcse Services LLC | Durable Medical Equipment & Medical Supplies | 241 Asylum St, Hartford, CT 06103-1515 | 2011-06-28 |
| 1528367182 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1135 Us Highway 231 S., Hartford, KY 42347-1872 | 2011-03-22 |
| 1073715140 | Arrow Prescription Center #12 | Durable Medical Equipment & Medical Supplies | 100 Woodland Street, Hartford, CT 06105 | 2007-06-01 |
| 1750592564 | Avon Medical Pharmacy | Durable Medical Equipment & Medical Supplies | Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 | 2007-05-24 |
| 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.