Kelly Lorraine Mead (NPI# 1275607855, PAC ID# 5496736480) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1275607855 |
PAC ID by PECOS | 5496736480 |
Professional Enrollment ID | I20170627000161 |
Full Name | Kelly Lorraine Mead |
Organization Legal Name | INTEGRATED DERMATOLOGY OF ENFIELD, LLC |
Address |
113 Elm St Suite 304 Enfield CT 06082-3700 |
Phone Number | 8607412225 |
Gender | F |
Credential | PA |
Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1992 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 6305061912 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
113 Elm St, Suite 304, Enfield, CT 06082-3700 | 8607412225 | INTEGRATED DERMATOLOGY OF ENFIELD, LLC |
Organization Legal Name | INTEGRATED DERMATOLOGY OF ENFIELD, LLC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael J Payette | Dermatology | Integrated Dermatology of Enfield, LLC | 714 Hopmeadow St, Suite 5, Simsbury, CT 06070-2234 |
Brandon Tibbitts | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
Michael R Lund | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
Lenore S Crosson | Nurse Practitioner | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
Meagen M Mccusker | Dermatology | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
Street Address |
113 ELM ST SUITE 304 |
City | ENFIELD |
State | CT |
Zip | 06082-3700 |
Name | Specialty | Organization | Address |
---|---|---|---|
Priyanka Deb | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
Michael P Habeeb | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
Thomas J Anderson | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
Alena V Kreychman | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
Brandon Tibbitts | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
Folashade O Ajegba | Diagnostic Radiology | Radiology and Imaging, Inc. | 113 Elm St, Suite 206, Enfield, CT 06082-3738 |
Beth A Lemek | Physician Assistant | Connecticut Gi PC | 113 Elm St, Suite 303, Enfield, CT 06082-3739 |
Michael R Lund | Physician Assistant | Integrated Dermatology of Enfield, LLC | 113 Elm St, Suite 304, Enfield, CT 06082-3700 |
Leah K Ehle | Nurse Practitioner | Connecticut Gi PC | 113 Elm St, Suite 303, Enfield, CT 06082-3739 |
Kara A Kireyczyk | Physician Assistant | Connecticut Gi PC | 113 Elm St, Suite 303, Enfield, CT 06082-3739 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kara Marie Sawyer | Nurse Practitioner | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
Julie Marie Wondolowski | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
Kaitlin Grant Pulito | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
Dominic Louis Demello | Rheumatology | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
Claudia Artime | Internal Medicine | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
Alana C Rebollo | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
Scott M Cato | Chiropractic | 701 Enfield St, Suite 170, Enfield, CT 06082-2961 | |
Kyle A Richards | Cardiovascular Disease (cardiology) | Pioneer Valley Cardiology Associates, Inc | 701 Enfield St, Enfield, CT 06082-2961 |
Thomas P Misiewicz | Optometry | 25 N Main St, Enfield, CT 06082-3327 | |
Shadana Smith-grant | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 875 Enfield St, Enfield, CT 06082-3617 |
Find all physicians in zip 06082 |
City | ENFIELD |
Zip Code | 06082 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | ENFIELD + PHYSICIAN ASSISTANT |
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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.