Jesse M Kavumpurath (NPI# 1427451004, PAC ID# 3971825027) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427451004 |
| PAC ID by PECOS | 3971825027 |
| Professional Enrollment ID | I20141201001437 |
| Full Name | Jesse M Kavumpurath |
| Organization Legal Name | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Address |
24 Battle St Suite 1a Somers CT 06071-1629 |
| Phone Number | 8602363000 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941113567 |
| Number of Group Practice Members | 399 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070008 | JOHNSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 24 Battle St, Suite 1a, Somers, CT 06071-1629 | 8602363000 | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Organization Legal Name | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Physicians | 420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Graham Bittner | General Surgery | Trinity Health of New England Provider Network Organization Inc | 220 Farmington Ave, Farmington, CT 06032-1949 |
| Su Gym Kim | Physical Medicine and Rehabilitation | Trinity Health of New England Provider Network Organization Inc | 148 Hazard Ave, Enfield, CT 06082-4520 |
| Amarpreet Sanghera | Hospitalist | Trinity Health of New England Provider Network Organization Inc | 95 Woodland St, Hartford, CT 06105-1230 |
| Sampada Acharya | Rheumatology | Trinity Health of New England Provider Network Organization Inc | 11 S Rd, Farmington, CT 06032-2483 |
| Christopher J Mozdzanowski | Emergency Medicine | Trinity Health of New England Provider Network Organization Inc | 140 Hazard Ave, Enfield, CT 06082-5424 |
| Sandra E Cordoba Vargas | Internal Medicine | Trinity Health of New England Provider Network Organization Inc | 500 Blue Hills Ave, Hartford, CT 06112-1500 |
| Richard A Cagna | Internal Medicine | Trinity Health of New England Provider Network Organization Inc | 2 Concorde Way, Bldg 2, Windsor Locks, CT 06096-1577 |
| Maria C Renna | Geriatric Medicine | Trinity Health of New England Provider Network Organization Inc | 7 Elm St, Enfield, CT 06082-3670 |
| Robert J Krug | Physical Medicine and Rehabilitation | Trinity Health of New England Provider Network Organization Inc | 490 Blue Hills Ave, Hartford, CT 06112-1513 |
| Raul Mendelovici | Obstetrics/gynecology | Trinity Health of New England Provider Network Organization Inc | 580 Cottage Grove Rd, Suite 205, Bloomfield, CT 06002-3088 |
| Street Address |
24 BATTLE ST SUITE 1A |
| City | SOMERS |
| State | CT |
| Zip | 06071-1629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian S Tucker | Family Medicine | Trinity Health of New England Provider Network Organization Inc | 24 Battle St, Suite 1a, Somers, CT 06071-1629 |
| Timothy Robert Silvis I | Internal Medicine | 24 Battle St, Somers, CT 06071-1629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven R Squillace | Optometry | 48 S Rd Rte, Suite 8, Somers, CT 06071 | |
| Karen B Christensen | Clinical Social Worker | Solstice Healthcare LLC | 53 Bailey Ln, Somers, CT 06071-1686 |
| Stephanie R Settevendemie | Nurse Practitioner | Solstice Healthcare LLC | 53 Bailey Ln, Somers, CT 06071-1686 |
| Sultan A Quraishi | General Surgery | Stafford Medical Group LLC | 146 Main St, Somers, CT 06071-1825 |
| Jennifer Anne Briggs | Nurse Practitioner | Stafford Medical Group LLC | 146 Main St, Somers, CT 06071-1825 |
| City | SOMERS |
| Zip Code | 06071 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOMERS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jesse M Kavumpurath.
| 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.