Brandon C Stahl (NPI# 1104036136, PAC ID# 7315083359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104036136 |
| PAC ID by PECOS | 7315083359 |
| Professional Enrollment ID | I20131206000390 |
| Full Name | Brandon C Stahl |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Address |
330 Washington St Suite 350 Norwich CT 06360-2700 |
| Phone Number | 8608894991 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3173866241 |
| Number of Group Practice Members | 437 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070024 | WILLIAM W BACKUS HOSPITAL |
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| 070025 | HARTFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 330 Washington St, Suite 350, Norwich, CT 06360-2700 | 8608894991 | 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 |
330 WASHINGTON ST SUITE 350 |
| City | NORWICH |
| State | CT |
| Zip | 06360-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ankit Gupta | Pulmonary Disease | Pulmonary Physicians of Norwich PC | 330 Washington St, Suite 430, Norwich, CT 06360-2700 |
| Ricardo M Young | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 330 Washington St, Suite 410, Norwich, CT 06360-2700 |
| Kandhasam Jagathambal | Medical Oncology | Eastern Connecticut Hematology and Oncology Associates PC | 330 Washington St, Suite 220, Norwich, CT 06360-2700 |
| Franklin P Friedman | Urology | Hartford Healthcare Medical Group Specialists LLC | 330 Washington St, Suite 350, Norwich, CT 06360-2700 |
| Jose Angelo De Dios | Pulmonary Disease | Pulmonary Physicians of Norwich PC | 330 Washington St, Suite 430, Norwich, CT 06360-2700 |
| Donna M Romito | Pulmonary Disease | Pulmonary Physicians of Norwich PC | 330 Washington St, Suite 430, Norwich, CT 06360-2700 |
| Antoinette E Eng | Emergency Medicine | South Shore Health Express, Inc | 330 Washington St, Weymouth, MA 02188-2932 |
| Atul Palkar | Pulmonary Disease | Pulmonary Physicians of Norwich PC | 330 Washington St, Suite 430, Norwich, CT 06360-2700 |
| Gregory R Criscuolo | Neurosurgery | 330 Washington St, Suite 540, Norwich, CT 06360-2700 | |
| Sandra A Glenney | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 330 Washington St, Suite 350, Norwich, CT 06360-2700 |
| Find all physicians in the same address | |||
| 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 | UROLOGY |
| City + Specialty | NORWICH + UROLOGY |
Please comment or provide details below to improve the information on Brandon C Stahl.
| 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.