Nikole J Henderson (NPI# 1497064356, PAC ID# 7012194079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1497064356 |
| PAC ID by PECOS | 7012194079 |
| Professional Enrollment ID | I20110601000094 |
| Full Name | Nikole J Henderson |
| Organization Legal Name | CONNCARE INC |
| Address |
112 Lafayette St Norwich CT 06360-2737 |
| Phone Number | 8604258735 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537079884 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070024 | WILLIAM W BACKUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 112 Lafayette St, Norwich, CT 06360-2737 | 8604258735 | CONNCARE INC |
| Organization Legal Name | CONNCARE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janine Fonfara | Clinical Social Worker | Conncare Inc | 112 Lafayette St, Norwich, CT 06360-2737 |
| Bethany L Miller | Physician Assistant | Conncare Inc | 112 Lafayette St, Norwich, CT 06360-2737 |
| Abhijay P Karandikar | Preventative Medicine | Conncare Inc | 42 Town St, Suite 300, Norwich, CT 06360-2339 |
| Andrea L Rickard | Nurse Practitioner | Conncare Inc | 112 Lafayette St, Norwich, CT 06360-2737 |
| Street Address |
112 LAFAYETTE ST |
| City | NORWICH |
| State | CT |
| Zip | 06360-2737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Rajkumar | Infectious Disease | Hartford Healthcare Medical Group Specialists LLC | 112 Lafayette St, Suite 2, Norwich, CT 06360-2737 |
| Janine Fonfara | Clinical Social Worker | Conncare Inc | 112 Lafayette St, Norwich, CT 06360-2737 |
| Bethany L Miller | Physician Assistant | Conncare Inc | 112 Lafayette St, Norwich, CT 06360-2737 |
| Andrea L Rickard | Nurse Practitioner | Conncare Inc | 112 Lafayette St, Norwich, CT 06360-2737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jai Chakrabarti | Cardiovascular Disease (cardiology) | Norwich Cardiac Medicine LLC | 130 New London Turnpike, Norwich, CT 06360 |
| Amarillys Rodriguez | Family Practice | American Current Care Pa | 10 Connecticut Ave, Norwich, CT 06360-1502 |
| Edward S Lim | Ophthalmology | 40 Connecticut Ave, Norwich, CT 06360-1502 | |
| Angela L. Allen-peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Michela Muggeo | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Caleb P Peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Amy Masse | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Carol M Lahan | Clinical Social Worker | 276 Scotland Rd, Norwich, CT 06360-1600 | |
| Clifford D Stirba | Internal Medicine | 7 Cuprak Rd, Norwich, CT 06360-2007 | |
| Mahmoud S Okasha | Psychiatry | Comprehensive Psychiatric Care PC | 200 W Town St, Norwich, CT 06360-2112 |
| Find all physicians in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NORWICH + 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.