Samuel C Pan (NPI# 1871728741, PAC ID# 6901192970) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
Nation Provider ID (NPI) | 1871728741 |
PAC ID by PECOS | 6901192970 |
Professional Enrollment ID | I20180720000562 |
Full Name | Samuel C Pan |
Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
Address |
160 Robbins St Waterbury CT 06708-2652 |
Phone Number | 2035737284 |
Gender | M |
Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
Graduation Year | 2002 |
Primary Specialty | INFECTIOUS DISEASE |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 7416244496 |
Number of Group Practice Members | 261 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070005 | WATERBURY HOSPITAL |
Address | Phone | Organization |
---|---|---|
160 Robbins St, Waterbury, CT 06708-2652 | 2035737284 | 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 |
160 ROBBINS ST |
City | WATERBURY |
State | CT |
Zip | 06708-2652 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrea M Dean | Oral Surgery | Spectra Dental LLC | 160 Robbins St, Suite 200, Waterbury, CT 06708-2652 |
Ruth E Weissberger | Internal Medicine | Prospect Ct Medical Foundation, Inc. | 160 Robbins St, Waterbury, CT 06708-2652 |
Yuliya V Riat | Geriatric Medicine | Prospect Ct Medical Foundation, Inc. | 160 Robbins St, Waterbury, CT 06708-2652 |
Angela Jeeyun Kang | Internal Medicine | Prospect Ct Medical Foundation, Inc. | 160 Robbins St, Waterbury, CT 06708-2652 |
Yelena N Titko | Internal Medicine | Prospect Ct Medical Foundation, Inc. | 160 Robbins St, Waterbury, CT 06708-2652 |
Christine Lathuras | Oral Surgery | Spectra Dental LLC | 160 Robbins St, Suite 200, Waterbury, CT 06708-2652 |
Enrique J Pacheco Sumoza | Internal Medicine | Prospect Ct Medical Foundation, Inc. | 160 Robbins St, Waterbury, CT 06708-2652 |
Jadwiga M Stepczynski | Internal Medicine | Prospect Ct Medical Foundation, Inc. | 160 Robbins St, Waterbury, CT 06708-2652 |
Jeremiah Stitham | Internal Medicine | Prospect Ct Medical Foundation, Inc. | 160 Robbins St, Waterbury, CT 06708-2652 |
Maen D Abou Ziki | Internal Medicine | Prospect Ct Medical Foundation, Inc. | 160 Robbins St, Waterbury, CT 06708-2652 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Annette A Burton | Qualified Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
Allison Phipps | Qualified Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
Kay Yanagisawa | Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
John Peirce Byram | Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
Trudy Tamara Pearson | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
Brittney R Jackson | Clinical Social Worker | Step Up Care PC LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
Sarah J Jacob | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
Christine Leah Shapter | Psychiatry | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
Kimberly A Gagnon | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
Jaclyn M Sylvia | Physician Assistant | Westwood Ear, Nose and Throat, P.C. | 60 Westwood Ave, Waterbury, CT 06708-2460 |
Find all physicians in zip 06708 |
City | WATERBURY |
Zip Code | 06708 |
Specialty | INFECTIOUS DISEASE |
City + Specialty | WATERBURY + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Samuel C Pan.
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.