Kristofer A Bagdasarian (NPI# 1588848774, PAC ID# 0749446045) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1588848774 |
| PAC ID by PECOS | 0749446045 |
| Professional Enrollment ID | I20120731000330 |
| Full Name | Kristofer A Bagdasarian |
| Organization Legal Name | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Address |
580 Cottage Grove Rd Suite 205 Bloomfield CT 06002-3088 |
| Phone Number | 8602862996 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 0941113567 |
| Number of Group Practice Members | 399 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070002 | ST FRANCIS HOSPITAL & MEDICAL CENTER |
| 070029 | BRISTOL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 580 Cottage Grove Rd, Suite 205, Bloomfield, CT 06002-3088 | 8602862996 | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| 25 Newell Rd, D28, Bristol, CT 06010-5128 | 8605851560 | BRISTOL HOSPITAL MULTI SPECIALTY GROUP INC |
| 11 S Rd, Farmington, CT 06032-2483 | 8605222251 | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| 11 S Rd, Suite 200, Farmington, CT 06032-2483 | 8607142647 | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| 114 Woodland St, Hartford, CT 06105-1208 | 8607144097 | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| 94 Woodland St, Hartford, CT 06105-1217 | 8607144680 | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Organization Legal Name | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Physicians | 420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Graham Bittner | General Surgery | Trinity Health of New England Provider Network Organization Inc | 220 Farmington Ave, Farmington, CT 06032-1949 |
| Su Gym Kim | Physical Medicine and Rehabilitation | Trinity Health of New England Provider Network Organization Inc | 148 Hazard Ave, Enfield, CT 06082-4520 |
| Amarpreet Sanghera | Hospitalist | Trinity Health of New England Provider Network Organization Inc | 95 Woodland St, Hartford, CT 06105-1230 |
| Sampada Acharya | Rheumatology | Trinity Health of New England Provider Network Organization Inc | 11 S Rd, Farmington, CT 06032-2483 |
| Jesse M Kavumpurath | Nurse Practitioner | Trinity Health of New England Provider Network Organization Inc | 24 Battle St, Suite 1a, Somers, CT 06071-1629 |
| Christopher J Mozdzanowski | Emergency Medicine | Trinity Health of New England Provider Network Organization Inc | 140 Hazard Ave, Enfield, CT 06082-5424 |
| Sandra E Cordoba Vargas | Internal Medicine | Trinity Health of New England Provider Network Organization Inc | 500 Blue Hills Ave, Hartford, CT 06112-1500 |
| Richard A Cagna | Internal Medicine | Trinity Health of New England Provider Network Organization Inc | 2 Concorde Way, Bldg 2, Windsor Locks, CT 06096-1577 |
| Maria C Renna | Geriatric Medicine | Trinity Health of New England Provider Network Organization Inc | 7 Elm St, Enfield, CT 06082-3670 |
| Robert J Krug | Physical Medicine and Rehabilitation | Trinity Health of New England Provider Network Organization Inc | 490 Blue Hills Ave, Hartford, CT 06112-1513 |
| Street Address |
580 COTTAGE GROVE RD SUITE 205 |
| City | BLOOMFIELD |
| State | CT |
| Zip | 06002-3088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raul Mendelovici | Obstetrics/gynecology | Trinity Health of New England Provider Network Organization Inc | 580 Cottage Grove Rd, Suite 205, Bloomfield, CT 06002-3088 |
| Irina Muni | Internal Medicine | Collins Medical Associates 2 PC | 580 Cottage Grove Rd, Suite 107, Bloomfield, CT 06002-3088 |
| Eugene David Sullivan | Vascular Surgery | Trinity Health of New England Provider Network Organization Inc | 580 Cottage Grove Rd, Suite 205, Bloomfield, CT 06002-3088 |
| Brian W. Remes | Physician Assistant | Collins Medical Associates 2 PC | 580 Cottage Grove Rd, Suite 107, Bloomfield, CT 06002-3088 |
| Sandra C Palmer | Nurse Practitioner | Trinity Health of New England Provider Network Organization Inc | 580 Cottage Grove Rd, Suite 205, Bloomfield, CT 06002-3088 |
| Edwin Fierer | Internal Medicine | Collins Medical Associates 2 PC | 580 Cottage Grove Rd, Suite 107, Bloomfield, CT 06002-3088 |
| Sheila Silverman | Internal Medicine | Collins Medical Associates 2 PC | 580 Cottage Grove Rd, Suite 107, Bloomfield, CT 06002-3088 |
| Gary Cohen | Internal Medicine | Collins Medical Associates 2 PC | 580 Cottage Grove Rd, Suite 107, Bloomfield, CT 06002-3088 |
| Jacob Zamstein | Urology | Trinity Health of New England Provider Network Organization Inc | 580 Cottage Grove Rd, Suite 205, Bloomfield, CT 06002-3088 |
| Gary Last | Dermatology | 580 Cottage Grove Rd, Suite 207, Bloomfield, CT 06002-3088 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Lertora | Optometry | Family Optometric Care PC | 38 Tunxis Ave, Suite 1, Bloomfield, CT 06002-2034 |
| Susan L Neistein | Certified Clinical Nurse Specialist (cns) | 8 Warbler Circle, Bloomfield, CT 06002-2234 | |
| Rohini Ruth Becherl | Geriatric Medicine | Hartford Healthcare Medical Group Specialists LLC | 30 Loeffler Rd, Bloomfield, CT 06002-2256 |
| Jeffrey M Tencer | Podiatry | 10 Loeffler Rd, Bloomfield, CT 06002-2256 | |
| Frances Gonzalez | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 30 Loeffler Rd, Bloomfield, CT 06002-2256 |
| Sherifa Bello | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 30 Loeffler Rd, Bloomfield, CT 06002-2256 |
| Shatya Chittoori | Internal Medicine | Hartford Healthcare Medical Group Specialists LLC | 30 Loeffler Rd, Bloomfield, CT 06002-2256 |
| Jude V Lombardi | Chiropractic | 53 Wintonbury Mall, Bloomfield, CT 06002-2411 | |
| Jane P Srinivasan | Obstetrics/gynecology | 24 Seneca Rd, Bloomfield, CT 06002-2425 | |
| Lynda R Dunlop | Nurse Practitioner | 3 Barnard Ln, Bloomfield, CT 06002-2452 | |
| Find all physicians in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | BLOOMFIELD + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Kristofer A Bagdasarian.
| 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.