Daniel D Fottrell (NPI# 1841232295, PAC ID# 6901810340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1841232295 |
| PAC ID by PECOS | 6901810340 |
| Professional Enrollment ID | I20070920000416 |
| Full Name | Daniel D Fottrell |
| Organization Legal Name | URGENT CARE MEDICAL ASSOCIATES, LLC |
| Address |
900 Main St S Suite 100 Southbury CT 06488-4213 |
| Phone Number | 2032621911 |
| Gender | M |
| Credential | PA |
| Medical School | MERCY COLLEGE |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214107515 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330273 | PUTNAM HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10 S St, Suite 101, Ridgefield, CT 06877-4125 | 2034314600 | URGENT CARE MEDICAL ASSOCIATES, LLC |
| 900 Main St S, Suite 100, Southbury, CT 06488-4213 | 2032621911 | URGENT CARE MEDICAL ASSOCIATES, LLC |
| Organization Legal Name | URGENT CARE MEDICAL ASSOCIATES, LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna L Konigsmark | Physician Assistant | Urgent Care Medical Associates, LLC | 1019 Trapelo Rd, Waltham, MA 02452-4843 |
| Tamikque Escourse | Nurse Practitioner | Urgent Care Medical Associates, LLC | 920 Wolcott St, Suite 19, Waterbury, CT 06705-1300 |
| Daniela Shvetsov | Physician Assistant | Urgent Care Medical Associates, LLC | 220 Route 12, Groton, CT 06340-3414 |
| Christie E Roberts | Emergency Medicine | Urgent Care Medical Associates, LLC | 266 S Main St, Newtown, CT 06470-6706 |
| Steven Berger | Emergency Medicine | Urgent Care Medical Associates, LLC | 346 Main Ave, Norwalk, CT 06851-1592 |
| Samantha Dane | Emergency Medicine | Urgent Care Medical Associates, LLC | 78 Pershing Dr, Derby, CT 06418-1433 |
| Joshua D Dumoch | Physician Assistant | Urgent Care Medical Associates, LLC | 900 Main St S, Suite 100, Southbury, CT 06488-4213 |
| Daniel Hana Halpren-ruder | Emergency Medicine | Urgent Care Medical Associates, LLC | 211 University Ave, Westwood, MA 02090-2333 |
| Bonnie F Cohen | Family Medicine | Urgent Care Medical Associates, LLC | 4110 Mystic Valley Pkwy, Suite 2, Medford, MA 02155-6916 |
| Hon H Yee | Emergency Medicine | Urgent Care Medical Associates, LLC | 1210 Boylston St, Chestnut Hill, MA 02467-2109 |
| Street Address |
900 MAIN ST S SUITE 100 |
| City | SOUTHBURY |
| State | CT |
| Zip | 06488-4213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Dumoch | Physician Assistant | Urgent Care Medical Associates, LLC | 900 Main St S, Suite 100, Southbury, CT 06488-4213 |
| Kyle Bonura | Physician Assistant | Urgent Care Medical Associates, LLC | 900 Main St S, Suite 100, Southbury, CT 06488-4213 |
| Kimberly Carr | Nurse Practitioner | Urgent Care Medical Associates, LLC | 900 Main St S, Suite 100, Southbury, CT 06488-4213 |
| Kristin Michelle Aponte | Physician Assistant | Orthoconnecticut PC | 900 Main St S, Southbury, CT 06488-4237 |
| Emily Jane Uy | Nurse Practitioner | Urgent Care Medical Associates, LLC | 900 Main St S, Suite 100, Southbury, CT 06488-4213 |
| Philip J Mulieri | Orthopedic Surgery | Orthoconnecticut PC | 900 Main St S, Southbury, CT 06488-4237 |
| Laura Anne Manta | Physician Assistant | Urgent Care Medical Associates, LLC | 900 Main St S, Suite 100, Southbury, CT 06488-4213 |
| John Sakowich | Physician Assistant | Orthoconnecticut PC | 900 Main St S, Southbury, CT 06488-4237 |
| Bhumi Dodson | Physician Assistant | Urgent Care Medical Associates, LLC | 900 Main St S, Suite 100, Southbury, CT 06488-4213 |
| Kevin E Wood | Physician Assistant | Urgent Care Medical Associates, LLC | 900 Main St S, Suite 100, Southbury, CT 06488-4213 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Barberie | Psychiatry | State of Connecticut | 1461 S Britain Rd, Southbury, CT 06488-1139 |
| Denise M Casavant | Clinical Social Worker | 519 Heritage Rd, Suite 1c1, Southbury, CT 06488-1699 | |
| Howard M Lee | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Paul Mcguire | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Mark Glicklich | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Gregory Nevsky | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Peter N Waxman | Diagnostic Radiology | Diagnostic Imaging of Southbury | 385 Main St, Southbury, CT 06488-1805 |
| Sunil Saxena | Psychiatry | Spectrum Behavioral PC | 1287 Strongtown Rd, Southbury, CT 06488-1948 |
| Caroline L Larosa | Dermatology | Dermatology Associates of Western Connecticut, PC | 77 Main N St, Suite 107, Southbury, CT 06488-2200 |
| Anthony S. Comunale | Psychologist, Clinical | 77 Main St N, Suite 206, Southbury, CT 06488-2200 | |
| Find all physicians in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SOUTHBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Daniel D Fottrell.
| 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.