Carlos I Mena-hurtado (NPI# 1205800273, PAC ID# 1951331032) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1205800273 |
| PAC ID by PECOS | 1951331032 |
| Professional Enrollment ID | I20050818000213 |
| Full Name | Carlos I Mena-hurtado |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
196 Pkwy S Suite 103 Waterford CT 06385 |
| Phone Number | 8604434383 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| 070018 | GREENWICH HOSPITAL ASSOCIATION - |
| Address | Phone | Organization |
|---|---|---|
| 84 N Main St, Branford, CT 06405-3061 | 2034838300 | YALE UNIVERSITY |
| 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2038633000 | YALE UNIVERSITY |
| 1450 Chapel St B, New Haven, CT 06511-4405 | 20386754204405 | YALE UNIVERSITY |
| 20 York St, New Haven, CT 06510-3220 | YALE UNIVERSITY | |
| 800 Howard Ave, New Haven, CT 06519-1369 | 2037852140 | YALE UNIVERSITY |
| 196 Pkwy S, Suite 103, Waterford, CT 06385 | 8604434383 | NORTHEAST MEDICAL GROUP INC |
| 25 Wells St, Westerly, RI 02891-2922 | 4015966000 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
196 PKWY S SUITE 103 |
| City | WATERFORD |
| State | CT |
| Zip | 06385 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian C Cambi | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Anthony D Quinn | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Costin Nicolae Ionescu | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Jude F Clancy | Cardiac Electrophysiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Peter J Gates | Family Medicine | Hartford Healthcare Medical Group Inc | 196 Pkwy S, Suite 201, Waterford, CT 06385-1234 |
| Richard A Fraser | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Rachelle Darout | Family Medicine | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| David F Crawley | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Mark Somers | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Jennifer M Felicelli | Physician Assistant | Hartford Healthcare Medical Group Inc | 196 Pkwy S, Waterford, CT 06385-1234 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie B Popkin | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Thomas C Cherry Jr. | Plastic and Reconstructive Surgery | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Elizabeth K Allard | Family Medicine | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| David Brill | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Steven H Schoenberger | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Brian S Ehrlich | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Juner M Colina Biscotto | Ophthalmology | Retina Group of New England PC | 174 Cross Rd, Waterford, CT 06385-1215 |
| Nauman Alam Chaudhry | Ophthalmology | Retina Group of New England PC | 174 Cross Rd, Waterford, CT 06385-1215 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Jane M Kanowitz | Hematology/oncology | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Find all physicians in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | WATERFORD + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Carlos I Mena-hurtado.
| 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.