Kenneth Dardick (NPI# 1316930266, PAC ID# 3274664305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316930266 |
| PAC ID by PECOS | 3274664305 |
| Professional Enrollment ID | I20101011000562 |
| Full Name | Kenneth Dardick |
| Organization Legal Name | MANSFIELD FAMILY PRACTICE LLC |
| Address |
34 Proffessional Park Rd Storrs Mansfield CT 06268-1659 |
| Phone Number | 8604870002109 |
| Gender | M |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1971 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2961433594 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070021 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 8604561311 | NATCHAUG HOSPITAL, INC |
| 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 | 8604870002109 | MANSFIELD FAMILY PRACTICE LLC |
| Organization Legal Name | MANSFIELD FAMILY PRACTICE LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Elaine Walikonis | Nurse Practitioner | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Sandra M Hughes | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Ross Winakor | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Tatyana Divino | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Maura Baker | Nurse Practitioner | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Ayaz T Madraswalla | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Michele Cooper | Physician Assistant | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Nelson C Walker Iii | Family Practice | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Street Address |
34 PROFFESSIONAL PARK RD |
| City | STORRS MANSFIELD |
| State | CT |
| Zip | 06268-1659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Elaine Walikonis | Nurse Practitioner | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Sandra M Hughes | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Ross Winakor | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Tatyana Divino | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Maura Baker | Nurse Practitioner | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Ayaz T Madraswalla | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Michele Cooper | Physician Assistant | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Nelson C Walker Iii | Family Practice | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew P Chella | Chiropractic | Loving Hands Chiropractic LLC | 1733 Storrs Rd, Suite 11, Storrs, CT 06268-1263 |
| Jennifer R Veit | Chiropractic | Loving Hands Chiropractic LLC | 1733 Storrs Rd, Suite 11, Storrs, CT 06268-1263 |
| Sarah Accorsi | Clinical Social Worker | 54 N Eagleville Rd, Storrs, CT 06268-1710 | |
| Charles A Shooks | Internal Medicine | Quarry St. Internal Medicine, LLC | 100 Warren Cir, Storrs, CT 06268-2074 |
| Corey L. Jokl | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Jennifer Quinn Mitchell | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Christopher C Tagliavini | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Jill E Fuller | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 1244 Storrs Rd, Storrs, CT 06268-2200 |
| Mary Benoit | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Jonica M Pagnucco | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Find all physicians in zip 06268 | |||
| City | STORRS MANSFIELD |
| Zip Code | 06268 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | STORRS MANSFIELD + FAMILY 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.