Michael M Deren (NPI# 1972596534, PAC ID# 2264518844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1972596534 |
| PAC ID by PECOS | 2264518844 |
| Professional Enrollment ID | I20080324000414 |
| Full Name | Michael M Deren |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
111 Salem Tpke Norwich CT 06360-7403 |
| Phone Number | 8604258700 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | THORACIC SURGERY |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 489 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070024 | WILLIAM W BACKUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 111 Salem Tpke, Norwich, CT 06360-7403 | 8604258700 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 | 8602765144 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Physicians | 230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kefah Raed A Al-ramahi | Internal Medicine | Hartford Healthcare Medical Group Inc | 2 Northwestern Dr, Bloomfield, CT 06002-3480 |
| Laura Celeste Black | Internal Medicine | Hartford Healthcare Medical Group Inc | 336 N Main St, West Hartford, CT 06117-2675 |
| Surayda J Herrera | Internal Medicine | Hartford Healthcare Medical Group Inc | 5 Founders Dr, Willimantic, CT 06226-2048 |
| Aimee C Eaton | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 39 Kennedy Dr, Suite D, Putnam, CT 06260-1957 |
| Daniela M La Rosa | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 |
| Lori D Lerner | Family Medicine | Hartford Healthcare Medical Group Inc | 1060 Day Hill Rd, Suite 202, Windsor, CT 06095-5720 |
| Kulsoom H Maudoodi | Internal Medicine | Hartford Healthcare Medical Group Inc | 100 Hazard Ave, Suite 101, Enfield, CT 06082-5447 |
| Sarah J Robertson | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Sarah Louise Tyler | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 324 Flanders Rd, East Lyme, CT 06333-1735 |
| Manju M John | Internal Medicine | Hartford Healthcare Medical Group Inc | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 |
| Street Address |
111 SALEM TPKE |
| City | NORWICH |
| State | CT |
| Zip | 06360-7403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Bakaysa | Obstetrics/gynecology | William W Backus Hospital | 111 Salem Tpke, Norwich, CT 06360-7403 |
| Wayne Joseph Overman Ii | Dermatology | Advanced Dermatology LLC | 111 Salem Tpke, Suite 7, Norwich, CT 06360-7403 |
| Johannah Valentine | Dermatology | Advanced Dermatology LLC | 111 Salem Tpke, Suite 7, Norwich, CT 06360-7403 |
| Jacqueline E Baumgartner | Physician Assistant | Advanced Dermatology LLC | 111 Salem Tpke, Suite 7, Norwich, CT 06360-7403 |
| Catherine Elizabeth Chace | Nurse Practitioner | Advanced Dermatology LLC | 111 Salem Tpke, Suite 7, Norwich, CT 06360-7403 |
| Christy Socha | Nurse Practitioner | Advanced Dermatology LLC | 111 Salem Tpke, Suite 7, Norwich, CT 06360-7403 |
| Radford D Tanksley | Dermatology | Advanced Dermatology LLC | 111 Salem Tpke, Suite 7, Norwich, CT 06360-7403 |
| Kirkland Lau | Dermatology | Advanced Dermatology LLC | 111 Salem Tpke, Suite 7, Norwich, CT 06360-7403 |
| Howard W Rogers | Dermatology | Advanced Dermatology LLC | 111 Salem Tpke, Suite 7, Norwich, CT 06360-7403 |
| Darlene A Saucier | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 111 Salem Tpke, Norwich, CT 06360-7403 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jai Chakrabarti | Cardiovascular Disease (cardiology) | Norwich Cardiac Medicine LLC | 130 New London Turnpike, Norwich, CT 06360 |
| Amarillys Rodriguez | Family Practice | American Current Care Pa | 10 Connecticut Ave, Norwich, CT 06360-1502 |
| Edward S Lim | Ophthalmology | 40 Connecticut Ave, Norwich, CT 06360-1502 | |
| Angela L. Allen-peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Michela Muggeo | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Caleb P Peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Amy Masse | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Carol M Lahan | Clinical Social Worker | 276 Scotland Rd, Norwich, CT 06360-1600 | |
| Clifford D Stirba | Internal Medicine | 7 Cuprak Rd, Norwich, CT 06360-2007 | |
| Mahmoud S Okasha | Psychiatry | Comprehensive Psychiatric Care PC | 200 W Town St, Norwich, CT 06360-2112 |
| Find all physicians in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| Specialty | THORACIC SURGERY |
| City + Specialty | NORWICH + THORACIC SURGERY |
Please comment or provide details below to improve the information on Michael M Deren.
| 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.