Ivelisse Rivera Godreau (NPI# 1407881626, PAC ID# 7416955695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1407881626 |
| PAC ID by PECOS | 7416955695 |
| Professional Enrollment ID | I20081208000200 |
| Full Name | Ivelisse Rivera Godreau |
| Organization Legal Name | PROHEALTH PHYSICIANS PC |
| Address |
21 S Rd Farmington CT 06032-2482 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1355246950 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070027 | MANCHESTER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 21 S Rd, Farmington, CT 06032-2482 | PROHEALTH PHYSICIANS PC | |
| 320 Western Blvd, Glastonbury, CT 06033-1276 | PROHEALTH PHYSICIANS PC | |
| 320 Western Blvd Ext, Suite 105, Glastonbury, CT 06033-1276 | 8606575955 | PROHEALTH PHYSICIANS PC |
| 515 Middle W Turnpike, Manchester, CT 06040-3816 | PROHEALTH PHYSICIANS PC | |
| 950 Yale Ave, Wallingford, CT 06492-1858 | PROHEALTH PHYSICIANS PC | |
| 631 Quaker S Ln, West Hartford, CT 06110-1026 | 8602316130 | PROHEALTH PHYSICIANS PC |
| 115 Spencer St, Winsted, CT 06098-1140 | 8607385814 | PROHEALTH PHYSICIANS PC |
| Organization Legal Name | PROHEALTH PHYSICIANS PC |
| Physicians | 401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Afsaneh Sharsan | Internal Medicine | Prohealth Physicians PC | 146 Danbury Rd A, New Milford, CT 06776-3427 |
| Stephanie Evette Kilburn | Nurse Practitioner | Prohealth Physicians PC | 631 Quaker S Ln, West Hartford, CT 06110-1026 |
| Jeffrey Goodsell | Family Medicine | Prohealth Physicians PC | 415 Killingworth Rd, Higganum, CT 06441-4370 |
| Isis Sacramento Ferreira | Internal Medicine | Prohealth Physicians PC | 8 D Canal Ct, Avon, CT 06001-3747 |
| Sara Cathleen Reynolds | Nurse Practitioner | Prohealth Physicians PC | 330 Pomfret St, Putnam, CT 06260-1854 |
| Julia Wells | Nurse Practitioner | Prohealth Physicians PC | 52 Peck Rd, Torrington, CT 06790-6107 |
| Lindsey E Quinn | Nurse Practitioner | Prohealth Physicians PC | 116 Washington Ave, Suite 2, North Haven, CT 06473-1721 |
| Holly A Fitzgerald | Nurse Practitioner | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Margaret T Rush | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Sarah Corrigan | Nurse Practitioner | Prohealth Physicians PC | 4 Farm Springs Rd, Farmington, CT 06032-2573 |
| Street Address |
21 S RD |
| City | FARMINGTON |
| State | CT |
| Zip | 06032-2482 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hyoungsup Park | Family Medicine | Prohealth Physicians PC | 21 S Rd, Suite 110, Farmington, CT 06032-2482 |
| Kimberley D Rutherford | Otolaryngology | Prohealth Physicians PC | 21 S Rd, Suite 112, Farmington, CT 06032-2482 |
| Hailun Wang | Otolaryngology | Prohealth Physicians PC | 21 S Rd, Suite 112, Farmington, CT 06032-2482 |
| Teresa Domack | Family Medicine | Prohealth Physicians PC | 21 S Rd, Suite 110, Farmington, CT 06032-2482 |
| Tessa Marie Smolinski | Qualified Audiologist | Prohealth Physicians PC | 21 S Rd, Suite 112, Farmington, CT 06032-2482 |
| Nina Ester Kashanian | Qualified Audiologist | Prohealth Physicians PC | 21 S Rd, Farmington, CT 06032-2410 |
| Michael S Karasik | Gastroenterology | Connecticut Gi PC | 21 S Rd, Suite 100, Farmington, CT 06032-2410 |
| Thomas Feldman | Internal Medicine | Connecticut Gi PC | 21 S Rd, Suite 100, Farmington, CT 06032-2410 |
| Annette Eppler | Nurse Practitioner | Prohealth Physicians PC | 21 S Rd, Farmington, CT 06032-2410 |
| Karl M Dauphinais | Internal Medicine | Prohealth Physicians PC | 21 S Rd, Farmington, CT 06032-2482 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter G Walden | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
| Paul R Mitchell | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Farmington, CT 06032 |
| Majida Gaffar | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
| Mary Ellen Campbell | Registered Dietitian Or Nutrition Professional | 5 Eastview Dr, Farmington, CT 06032-1231 | |
| Carrie L Lukens | Clinical Psychologist | Hartford Hospital | 20 Devonwood Dr, Farmington, CT 06032-1417 |
| Kurt Fuchs | Clinical Social Worker | 2 Forest Park Dr, Farmington, CT 06032-1445 | |
| Sandra R Summer | Clinical Social Worker | 6 Forest Park Dr, Suite 2, Farmington, CT 06032-1467 | |
| Christopher A Wallace | Pathology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
| Diane M Hoss | Dermatology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
| Gerard M Nolan | Ophthalmology | 1 Forest Park Dr, Farmington, CT 06032-1487 | |
| Find all physicians in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FARMINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ivelisse Rivera Godreau.
| 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.