Socorro Vargas (NPI# 1588774244, PAC ID# 3678646221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1588774244 |
| PAC ID by PECOS | 3678646221 |
| Professional Enrollment ID | I20080716000031 |
| Full Name | Socorro Vargas |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Address |
175 W Rd Special Suite Ellington CT 06029-3730 |
| Phone Number | 8606484480 |
| Gender | F |
| Graduation Year | 1973 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 7416244496 |
| Number of Group Practice Members | 261 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070027 | MANCHESTER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 175 W Rd, Special Suite, Ellington, CT 06029-3730 | 8606484480 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| 460 Hartford Tpke, Suite A, Vernon, CT 06066-4847 | 8608964877 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Physicians | 222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eyone Jones | General Surgery | Prospect Ct Medical Foundation, Inc. | 18 Haynes St, Uppr Level, Manchester, CT 06040-4111 |
| Isaac Okyere Ampofo | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 629 Middle Tpke E, Manchester, CT 06040-3731 |
| Kelli A Harper | Family Medicine | Prospect Ct Medical Foundation, Inc. | 175 W Rd, Ellington, CT 06029-3730 |
| Marcy A Calsetta | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 520 Hartford Tpke, Suite M, Vernon, CT 06066-5044 |
| Michele P Barry | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Khadijat O Balogun | Gastroenterology | Prospect Ct Medical Foundation, Inc. | 353 Main St, Manchester, CT 06040-4145 |
| Juan Diego Holguin | General Surgery | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 |
| Michael D Waddington | Neurology | Prospect Ct Medical Foundation, Inc. | 29 Haynes St, Suite D, Manchester, CT 06040-4139 |
| Wendy S Garvin | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Charles A Mandelberg | Family Medicine | Prospect Ct Medical Foundation, Inc. | 28 Main St, East Hartford, CT 06118-3243 |
| Street Address |
175 W RD SPECIAL SUITE |
| City | ELLINGTON |
| State | CT |
| Zip | 06029-3730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelli A Harper | Family Medicine | Prospect Ct Medical Foundation, Inc. | 175 W Rd, Ellington, CT 06029-3730 |
| Matthew R Dukehart | General Surgery | Prospect Ct Medical Foundation, Inc. | 175 W Rd, Ellington, CT 06029-3730 |
| Kelsey R Devoe | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 175 W Rd, Ellington, CT 06029-3730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erum Shahab | Psychiatry | Waire LLC | 16 Main St, Ellington, CT 06029-3360 |
| Beverly J Smith | Clinical Social Worker | Waire LLC | 16 Main St, Ellington, CT 06029-3360 |
| Serita Smith | Nurse Practitioner | Waire LLC | 16 Main St, Ellington, CT 06029-3360 |
| Elizabeth H Webb | Addiction Medicine | Waire LLC | 16 Main St, Ellington, CT 06029-3360 |
| Christine Anthony | Physical Therapy | Integrated Rehabilitation Services, LLC | 12 Main St, Suite 7, Ellington, CT 06029-3361 |
| Robert Huyler | Physical Therapy | Integrated Rehabilitation Services, LLC | 12 Main St, Suite 7, Ellington, CT 06029-3361 |
| Catherine Salemi | Physical Therapy | Integrated Rehabilitation Services, LLC | 12 Main St, Suite 7, Ellington, CT 06029-3361 |
| Kelly Rider | Physical Therapy | Integrated Rehabilitation Services, LLC | 12 Main St, Suite 7, Ellington, CT 06029-3361 |
| Lindsey Perrotti | Physical Therapy | Integrated Rehabilitation Services, LLC | 12 Main St, Suite 7, Ellington, CT 06029-3361 |
| Jennifer Fritts | Physical Therapy | Integrated Rehabilitation Services, LLC | 12 Main St, Suite 7, Ellington, CT 06029-3361 |
| Find all physicians in zip 06029 | |||
| City | ELLINGTON |
| Zip Code | 06029 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | ELLINGTON + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Socorro Vargas.
| 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.