Loretta Hallock (NPI# 1881960201, PAC ID# 7517254766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1881960201 |
| PAC ID by PECOS | 7517254766 |
| Professional Enrollment ID | I20161003000966 |
| Full Name | Loretta Hallock |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
4 Corporate Dr Suite 286 Shelton CT 06484-6241 |
| Phone Number | 2039299000 |
| Gender | F |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4 Corporate Dr, Suite 286, Shelton, CT 06484-6241 | 2039299000 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
4 CORPORATE DR SUITE 286 |
| City | SHELTON |
| State | CT |
| Zip | 06484-6241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Digiacomo | Nurse Practitioner | Northeast Medical Group Inc | 4 Corporate Dr, Suite 394, Shelton, CT 06484-6240 |
| Brittany Craiglow | Dermatology | Connecticut Skinhealth LLP | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6240 |
| Swati Joshi | Internal Medicine | Northeast Medical Group Inc | 4 Corporate Dr, Suite 394, Shelton, CT 06484-6240 |
| Chhavi Rai | Family Medicine | Northeast Medical Group Inc | 4 Corporate Dr, Suite 394, Shelton, CT 06484-6240 |
| Piotr W Baginski | Internal Medicine | 4 Corporate Dr, Suite 283, Shelton, CT 06484-6264 | |
| Daniel Lax | Obstetrics/gynecology | Physicians for Women's Health, LLC | 4 Corporate Dr, Suite 484, Shelton, CT 06484-6241 |
| Kenneth J Shulman | Pathology | Connecticut Skinhealth LLP | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6240 |
| Julie L Cantatore-francis | Dermatology | Connecticut Skinhealth LLP | 4 Corporate Dr, Suite 386, Shelton, CT 06484-6240 |
| Joseph L Sokol | Ophthalmology | Connecticut Eye Specialists LLC | 4 Corporate Dr, Suite 380, Shelton, CT 06484-6266 |
| Donna M Doxsey-mcgrew | Nurse Practitioner | Northeast Medical Group Inc | 4 Corporate Dr, Suite 100, Shelton, CT 06484-6258 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph A Saracco | Podiatry | Northeast Medical Group Inc | 175 Sherman Ave, Shelton, CT 06484 |
| Ernest D Moritz | Hospice/palliative Care | Northeast Medical Group Inc | 175 Sherman Ave, Shelton, CT 06484 |
| Suzanne B Guerrucci | Clinical Social Worker | 163 Leavenworth Rd, Shelton, CT 06484-2112 | |
| Donna A Nickdow | Clinical Social Worker | 476 Howe Ave, Suite 4, Shelton, CT 06484-3153 | |
| Anthony G Infantino | Physical Medicine and Rehabilitation | National Health Rehabilitation LLC | 45 Maltby St, Shelton, CT 06484-3328 |
| Joseph S Madrak | Optometry | Dr Joseph S Madrak Od LLC | 190 Coram Ave, Shelton, CT 06484-3347 |
| Howard R Cohen | Optometry | Dr Joseph S Madrak Od LLC | 190 Coram Ave, Shelton, CT 06484-3347 |
| Ballard Glenn Blair | Podiatry | 375 Bridgeport Ave, Shelton, CT 06484-3844 | |
| Stephanie G Pettingle | Nurse Practitioner | Griffin Faculty Physicians Inc | 330 Bridgeport Ave, Shelton, CT 06484-3861 |
| John G Strugar | Neurosurgery | Neurosurgery Orthopaedics and Spine Specialists PC | 330 Bridgeport Ave, Shelton, CT 06484-3861 |
| Find all physicians in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SHELTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Loretta Hallock.
| 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.