Kenrick E Hom (NPI# 1447262498, PAC ID# 3971409822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1447262498 |
| PAC ID by PECOS | 3971409822 |
| Professional Enrollment ID | I20100617000378 |
| Full Name | Kenrick E Hom |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
55 Meriden Ave Suite 1d Southington CT 06489-3239 |
| Phone Number | 8602765144 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070011 | CHARLOTTE HUNGERFORD HOSPITAL |
| 070005 | WATERBURY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 | 8602765144 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 540 Litchfield St, Torrington, CT 06790-6679 | CHARLOTTE HUNGERFORD HOSPITAL |
| 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 |
55 MERIDEN AVE SUITE 1D |
| City | SOUTHINGTON |
| State | CT |
| Zip | 06489-3239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivien A Iloeje | Internal Medicine | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| Lynne M Whitney | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| Glenell L Morris | Physician Assistant | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| William B Spector | Internal Medicine | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| Adriana Shea Godfrey | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| Barbara L Phillips | Family Medicine | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| John M Greeley | Family Medicine | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| Nicole Hettrich | Physician Assistant | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| Stacy Taylor | Family Medicine | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| Siena R Chevalier | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nirmala Panwar | General Practice | 1783 Meriden Waterbury Tpke, M13, Southington, CT 06489 | |
| Christina Ford | Chiropractic | 1850 W St, Suite 2, Southington, CT 06489-1029 | |
| Li Zhu | Family Medicine | 1271 Flanders Rd, Southington, CT 06489-1614 | |
| Jose R Orellana | Internal Medicine | Hartford Healthcare Medical Group Inc | 462 Queen St, Southington, CT 06489-1801 |
| Lori M De La Portilla | Endocrinology | Hartford Healthcare Medical Group Specialists LLC | 462 Queen St, Suite 303, Southington, CT 06489-1801 |
| Terrence K Donahue | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 462 Queen St, Suite 201, Southington, CT 06489-1801 |
| Brian Wong | Neurology | Hartford Healthcare Medical Group Specialists LLC | 462 Queen St, Suite 201, Southington, CT 06489-1801 |
| Michael A Sposato | Physician Assistant | Hartford Healthcare Medical Group Inc | 462 Queen St, Southington, CT 06489-1801 |
| Apeksha Vachhani | Family Medicine | Hartford Healthcare Medical Group Inc | 462 Queen St, Southington, CT 06489-1801 |
| Lindsay Osborne | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 462 Queen St, Southington, CT 06489-1801 |
| Find all physicians in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SOUTHINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenrick E Hom.
| 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.