PODIATRYCARE, PC (NPI# 1972990117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972990117 |
| Entity Type | Organization |
| Organization Name | PODIATRYCARE, PC |
| Practice Address |
1350 Sullivan Ave South Windsor CT 06074-2760 |
| Mailing Address |
1379 Enfield St Enfield CT 06082-5524 |
| Practice Telephone | 8606446525 |
| Practice Fax Number | 8607415644 |
| Mailing Telephone | 8607413041 |
| Mailing Fax Number | 8607415644 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | DR. ROBERT E MARRA (PRESIDENT) |
| Authorized Official Telephone | 8607413041 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | DME | 0240710002 | 01 |
| Street Address |
1350 SULLIVAN AVE |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487669909 | Anne Elizabeth Zimbelman | Physical Therapist | 1350 Sullivan Ave, South Windsor, CT 06074-2760 | 2006-07-31 |
| 1487265757 | Jennifer C Fannon | Physical Therapist | 1350 Sullivan Ave, South Windsor, CT 06074-2760 | 2020-08-11 |
| 1851867642 | Rachel Burke | Physical Therapist | 1350 Sullivan Ave, South Windsor, CT 06074-2760 | 2018-10-18 |
| 1194240333 | Caitlyn S Holik | Physical Therapist | 1350 Sullivan Ave, South Windsor, CT 06074-2760 | 2017-08-09 |
| 1063964021 | Kathryn Michelle Perrone | Physical Therapist | 1350 Sullivan Ave, South Windsor, CT 06074 | 2016-10-25 |
| 1427313683 | Kristen Ann Wulfing | Physical Therapist | 1350 Sullivan Ave, South Windsor, CT 06074-2760 | 2012-07-12 |
| 1134210115 | Pinnacle Rehabilitation Network, LLC | Physical Therapist | 1350 Sullivan Ave, South Windsor, CT 06074-2713 | 2006-09-27 |
| 1760494090 | Colleen Cronin Sullivan | Physical Therapist | 1350 Sullivan Ave, South Windsor, CT 06074-2713 | 2006-08-13 |
| 1144232547 | Jennifer Lynn Wilson | Physical Therapist | 1350 Sullivan Ave, South Windsor, CT 06074-2760 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672722 | Hartford Orthopedic Surgeons, PC | Podiatrist | 9 Cranbrook Blvd Fl 2, Enfield, CT 06082-3889 | 2020-09-04 |
| 1538530571 | Connecticut Podiatry Group | Podiatrist | 31 Washington Ave, North Haven, CT 06473-2355 | 2015-10-16 |
| 1972974830 | Connecticut Podiatry Group,p.c. | Podiatrist | 128 Saltonstall Pkwy, East Haven, CT 06512-2425 | 2015-10-16 |
| 1760862445 | Ankur Ashok Patel | Podiatrist | 168 New Milford Tpke Unit 1a, New Preston Marble Dale, CT 06777-1601 | 2015-06-08 |
| 1194103200 | Sean Wayne Lazarus Dpm LLC | Podiatrist | 920 Little Meadow Rd, Guilford, CT 06437-1649 | 2015-05-08 |
| 1790172930 | Rachel Hannah Albright | Podiatrist | 800 Post Rd Ste 302, Darien, CT 06820-4622 | 2015-04-24 |
| 1023403102 | Andrew H Litchfield | Podiatrist | 1111 Cromwell Ave Bldg 4, Rocky Hill, CT 06067-3449 | 2015-04-05 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1245658681 | Chelsea Viola | Podiatrist | 350 Center Rock Grn Ste 3, Oxford, CT 06478-3170 | 2014-04-02 |
| 1871848382 | Core Podiatry LLC | Podiatrist | 1753 Meriden-waterbury Tpke, Southington, CT 06489-0770 | 2012-07-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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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.