Samantha Dane (NPI# 1144367913, PAC ID# 0042351918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1144367913 |
| PAC ID by PECOS | 0042351918 |
| Professional Enrollment ID | I20100114000329 |
| Full Name | Samantha Dane |
| Organization Legal Name | URGENT CARE MEDICAL ASSOCIATES, LLC |
| Address |
78 Pershing Dr Derby CT 06418-1433 |
| Phone Number | 2035165307 |
| Gender | F |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1996 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7214107515 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 78 Pershing Dr, Derby, CT 06418-1433 | 2035165307 | URGENT CARE MEDICAL ASSOCIATES, LLC |
| 900 Main St S, Suite 100, Southbury, CT 06488-4213 | 2032621911 | URGENT CARE MEDICAL ASSOCIATES, LLC |
| Organization Legal Name | URGENT CARE MEDICAL ASSOCIATES, LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna L Konigsmark | Physician Assistant | Urgent Care Medical Associates, LLC | 1019 Trapelo Rd, Waltham, MA 02452-4843 |
| Tamikque Escourse | Nurse Practitioner | Urgent Care Medical Associates, LLC | 920 Wolcott St, Suite 19, Waterbury, CT 06705-1300 |
| Daniela Shvetsov | Physician Assistant | Urgent Care Medical Associates, LLC | 220 Route 12, Groton, CT 06340-3414 |
| Christie E Roberts | Emergency Medicine | Urgent Care Medical Associates, LLC | 266 S Main St, Newtown, CT 06470-6706 |
| Steven Berger | Emergency Medicine | Urgent Care Medical Associates, LLC | 346 Main Ave, Norwalk, CT 06851-1592 |
| Joshua D Dumoch | Physician Assistant | Urgent Care Medical Associates, LLC | 900 Main St S, Suite 100, Southbury, CT 06488-4213 |
| Daniel Hana Halpren-ruder | Emergency Medicine | Urgent Care Medical Associates, LLC | 211 University Ave, Westwood, MA 02090-2333 |
| Bonnie F Cohen | Family Medicine | Urgent Care Medical Associates, LLC | 4110 Mystic Valley Pkwy, Suite 2, Medford, MA 02155-6916 |
| Hon H Yee | Emergency Medicine | Urgent Care Medical Associates, LLC | 1210 Boylston St, Chestnut Hill, MA 02467-2109 |
| Jeannie M Kenkare | Family Medicine | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
| Street Address |
78 PERSHING DR |
| City | DERBY |
| State | CT |
| Zip | 06418-1433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia B Relihan | Internal Medicine | Urgent Care Medical Associates, LLC | 78 Pershing Dr, Derby, CT 06418-1433 |
| Jessyca Lyn Ammerman | Physician Assistant | Urgent Care Medical Associates, LLC | 78 Pershing Dr, Derby, CT 06418-1433 |
| Julie A Hirokawa | Physician Assistant | Urgent Care Medical Associates, LLC | 78 Pershing Dr, Derby, CT 06418-1433 |
| Kayla N Kennedy | Physician Assistant | Urgent Care Medical Associates, LLC | 78 Pershing Dr, Derby, CT 06418-1433 |
| Annmarie Shabazian | Physician Assistant | Urgent Care Medical Associates, LLC | 78 Pershing Dr, Derby, CT 06418-1433 |
| Affan Mohiuddin | Physician Assistant | Urgent Care Medical Associates, LLC | 78 Pershing Dr, Derby, CT 06418-1433 |
| O Tina Rose | Pediatric Medicine | Urgent Care Medical Associates, LLC | 78 Pershing Dr, Derby, CT 06418-1433 |
| Saeed Ahghari | Emergency Medicine | Urgent Care Medical Associates, LLC | 78 Pershing Dr, Derby, CT 06418-1433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Harrison | Nurse Practitioner | The Griffin Hospital | 130 Division St, Derby, CT 06418-1326 |
| Krithika Srinivasan | Emergency Medicine | Ct Emergency Medicine Specialists, LLC | 130 Division St, Derby, CT 06418-1326 |
| Samuel Buck | Emergency Medicine | Ct Emergency Medicine Specialists, LLC | 130 Division St, Derby, CT 06418-1326 |
| Richard P Salzano | Thoracic Surgery | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Stephen Woodworth | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 130 Division St, Derby, CT 06418-1326 |
| Gerald G Fette | Internal Medicine | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Andrea H Lynch | Physician Assistant | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Jonathan Meldrum | Emergency Medicine | Ct Emergency Medicine Specialists, LLC | 130 Division St, Derby, CT 06418-1326 |
| Howard L Quentzel | Infectious Disease | 130 Division St, Derby, CT 06418-1326 | |
| Gregory D Bell | Emergency Medicine | Ct Emergency Medicine Specialists, LLC | 130 Division St, Derby, CT 06418-1326 |
| Find all physicians in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DERBY + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.