HARTFORD CLINICAL ASSOCIATES, PC (NPI# 1972883858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972883858 |
| Entity Type | Organization |
| Organization Name | HARTFORD CLINICAL ASSOCIATES, PC |
| Other Organization Name | HARTFORD SPECIALISTS |
| Practice Address |
65 Memorial Rd Suite 430 West Hartford CT 06107-2434 |
| 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 | 2011-08-23 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | 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 | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Hartford Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962783381 | Hartford Clinical Associates, PC | Podiatrist | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2011-08-30 |
| 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 |
| 1316227291 | Hartford Clinical Associates, PC | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2011-08-23 |
| Street Address |
65 MEMORIAL RD SUITE 430 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407718 | Mary W Chang | Dermatology | 65 Memorial Rd, Suite 450, West Hartford, CT 06107-2434 | 2005-06-17 |
| 1932619160 | Daniel Jones | Psychologist | 65 Memorial Rd, West Hartford, CT 06107-2434 | 2017-10-02 |
| 1609128016 | Hartford Healthcare Medical Group, Inc | Podiatrist | 65 Memorial Rd, Ste. 430, West Hartford, CT 06107-2434 | 2012-10-09 |
| 1467709097 | Andrea Dias Murphy | Nurse Practitioner | 65 Memorial Rd, Hartford Healthcare Headache Center, West Hartford, CT 06107-2434 | 2012-08-14 |
| 1598051674 | Elizabeth Dolan Holzhauer | Dentist | 65 Memorial Rd, Suite 400, West Hartford, CT 06107-2434 | 2011-06-27 |
| 1306038674 | Ricardo Taboada | Anesthesiology | 65 Memorial Rd, Suite 435, West Hartford, CT 06107-2434 | 2007-08-10 |
| 1932313863 | Kelly Su Lim | Massage Therapist | 65 Memorial Rd, Suite 410, West Hartford, CT 06107-2434 | 2007-05-10 |
| 1467588343 | Hartford Dermatology Associates PC | Dermatology | 65 Memorial Rd, Suite 450, West Hartford, CT 06107-2434 | 2007-02-26 |
| 1730240839 | Lee David Brauer | Psychiatry & Neurology | 65 Memorial Rd, Suite 440, West Hartford, CT 06107-2434 | 2006-12-12 |
| 1447337050 | Ob-gyn Associates of West Hartford, PC | Obstetrics & Gynecology | 65 Memorial Rd, Suite 550, West Hartford, CT 06107-2434 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| 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 |
|---|---|---|---|---|
| 1467011726 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 333 N Main St Ste 10, West Hartford, CT 06117-2512 | 2019-06-11 |
| 1215402433 | Apnot Better Sleep Centers, Pllc | Durable Medical Equipment & Medical Supplies | 1005 Farmington Ave Ste E, West Hartford, CT 06107-2127 | 2018-10-04 |
| 1093184293 | Mobility Access,llc | Durable Medical Equipment & Medical Supplies | 485 New Park Ave Ste F3, West Hartford, CT 06110-1333 | 2015-09-17 |
| 1316227796 | Tmed Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 141 South St Ste A, West Hartford, CT 06110-1963 | 2011-08-17 |
| 1942326806 | Rebecca A Filkoff | Durable Medical Equipment & Medical Supplies | 9 Oakwood Ave, West Hartford, CT 06119-2128 | 2007-03-22 |
| 1417086810 | Tonmar Enterprises LLC | Durable Medical Equipment & Medical Supplies | 66 Lasalle Rd, West Hartford, CT 06107-2303 | 2007-03-04 |
| 1760587505 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 978 Farmington Ave, West Hartford, CT 06107-2102 | 2006-09-14 |
| 1518061415 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1044 Boulevard, West Hartford, CT 06119-1801 | 2006-09-12 |
| 1629172531 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1240 Farmington Ave, West Hartford, CT 06107-2618 | 2006-09-12 |
| 1013011915 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1099 New Britain Ave, West Hartford, CT 06110-2418 | 2006-09-12 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
Please comment or provide details below to improve the information on HARTFORD CLINICAL ASSOCIATES, PC.
| 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.