Ashley Shattuck (NPI# 1750683991, PAC ID# 5890026538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1750683991 |
| PAC ID by PECOS | 5890026538 |
| Professional Enrollment ID | I20191011000250 |
| Full Name | Ashley Shattuck |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Address |
676 Hebron Ave Suite 1 Glastonbury CT 06033-2410 |
| Phone Number | 8606962250 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3173866241 |
| Number of Group Practice Members | 437 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 676 Hebron Ave, Suite 1, Glastonbury, CT 06033-2410 | 8606962250 | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| 1244 Storrs Rd, Road, Storrs, CT 06268-2200 | 8607242579 | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Koral Z Ben-simon | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 1559 Sullivan Ave, South Windsor, CT 06074-2766 |
| Laurie Giemza | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 42 Town St, Suite 300, Norwich, CT 06360-2339 |
| Corey L. Jokl | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Regina K Stuart | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 5 Founders St, Suite 102, Willimantic, CT 06226-2050 |
| Marko Lujic | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 183 N Mountain Rd, New Britain, CT 06053-4325 |
| Rebecca L. Russo | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 339 W Main St, Avon, CT 06001-4322 |
| Marybeth A Moore | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Jillian M Kalinchak | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 164 Otrobando Ave, Norwich, CT 06360-2116 |
| John P Tauro | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Kathleen Kurowski | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 12 Case St, Suite 313, Norwich, CT 06360-2222 |
| Street Address |
676 HEBRON AVE SUITE 1 |
| City | GLASTONBURY |
| State | CT |
| Zip | 06033-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah J Robertson | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Cara D Riddle | Internal Medicine | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Laurinda L Santos | Internal Medicine | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Laura Sievering | Physician Assistant | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Cory A Guenette | Internal Medicine | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Pamela L Neumann | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Patricia L Lampugnale | Family Medicine | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Molk | Ophthalmology | 257 New London Tnpk, Glastonbury, CT 06033 | |
| Jeannie M Kenkare | Family Medicine | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
| David J Mccormick | Physician Assistant | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
| Alissa Umstead | Physician Assistant | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
| Riccardo I Ambrogio | Maxillofacial Surgery | 2928 Main St, Glastonbury, CT 06033-1007 | |
| David Kennedy | Physician Assistant | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
| Timothy L Durant | Physical Therapy | Timothy Durant Physical Therapy LLC | 2928 Main St, Suite 2, Glastonbury, CT 06033-1007 |
| Michael V Maiorino | Physical Therapy | Timothy Durant Physical Therapy LLC | 2928 Main St, Suite 2, Glastonbury, CT 06033-1007 |
| Justyna Pachowska | Physician Assistant | Ali Banki, D.o., P.C. | 2928 Main St, Suite 200, Glastonbury, CT 06033-1007 |
| Siobhan Collins | Dermatology | 2928 Main St, Suite 100, Glastonbury, CT 06033-1007 | |
| Find all physicians in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GLASTONBURY + CLINICAL SOCIAL WORKER |
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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.