Daniela M La Rosa (NPI# 1558730630, PAC ID# 3072813500) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558730630 |
| PAC ID by PECOS | 3072813500 |
| Professional Enrollment ID | I20170824001157 |
| Full Name | Daniela M La Rosa |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
23 Liberty Dr Suite A Hebron CT 06248-1553 |
| Phone Number | 8602281119 |
| Gender | F |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070021 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 | 8602281119 | 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 |
| 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 |
| Colleen Sherkow | Internal Medicine | Hartford Healthcare Medical Group Inc | 1781 Highland Ave, Suite 106, Cheshire, CT 06410-1254 |
| Street Address |
23 LIBERTY DR SUITE A |
| City | HEBRON |
| State | CT |
| Zip | 06248-1553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah C Hilding | Family Medicine | Hartford Healthcare Medical Group Inc | 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 |
| Vanessa M Thomas | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 |
| Kristin S Gildersleeve | Internal Medicine | Hartford Healthcare Medical Group Inc | 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence Berson | Orthopedic Surgery | Middlesex Orthopedic Surgeons PC | 117 Main St, Hebron, CT 06248-1519 |
| David N Steinberg | Chiropractic | 23 B Liberty Dr, Hebron, CT 06248-1553 |
| City | HEBRON |
| Zip Code | 06248 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HEBRON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Daniela M La Rosa.
| 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.