Richard J Whitehead (NPI# 1487630919, PAC ID# 7517979123) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1487630919 |
| PAC ID by PECOS | 7517979123 |
| Professional Enrollment ID | I20060626000033 |
| Full Name | Richard J Whitehead |
| Organization Legal Name | MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC |
| Address |
410 Saybrook Rd Suite 201 Middletown CT 06457-4777 |
| Phone Number | 8603474620 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5597657627 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070020 | MIDDLESEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 | 8603474620 | MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC |
| Organization Legal Name | MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mario Q Ricci | Gastroenterology | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Stanislaus Opalacz | Gastroenterology | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Michael A Mcdonald | Physician Assistant | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Edmund Y Chung | Gastroenterology | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Nicole C Tino | Physician Assistant | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Nadeem Hussain | Gastroenterology | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Ryan Oconnor | Gastroenterology | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Gregor John Koobatian | Gastroenterology | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Lucian F Gorgan | Gastroenterology | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Martha L Mccrann | Physician Assistant | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Street Address |
410 SAYBROOK RD SUITE 201 |
| City | MIDDLETOWN |
| State | CT |
| Zip | 06457-4777 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Giordano | Physician Assistant | Middlesex Orthopedic Surgeons PC | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4780 |
| Lawrence H Hennessy | Anesthesiology | Anesthesiologists of Middletown, P.C. | 410 Saybrook Rd, Middletown, CT 06457-4777 |
| Maria Moreno | Physical Therapy | Middlesex Orthopedic Surgeons PC | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4780 |
| Doreen Nicoletti | Certified Registered Nurse Anesthetist (crna) | Anesthesiologists of Middletown, P.C. | 410 Saybrook Rd, Middletown, CT 06457-4777 |
| Mario Q Ricci | Gastroenterology | Middlesex Gastroenterology Associates, LLC | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 |
| Christine E Franzen | Physician Assistant | Middlesex Orthopedic Surgeons PC | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4780 |
| Jennifer B Kubrynski | Physical Therapy | Middlesex Orthopedic Surgeons PC | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4780 |
| Gregory Anderson | Physical Therapy | Middlesex Orthopedic Surgeons PC | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4780 |
| Jonathan C Glenney | Physical Therapy | Middlesex Orthopedic Surgeons PC | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4780 |
| Matthew Fernandez | Physician Assistant | Middlesex Orthopedic Surgeons PC | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4780 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lewis R Labbadia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Candito C Carroccia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| William F Weiss | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Janet S Shapiro-weiss | Psychiatry | 7 Spring St, Middletown, CT 06457-2238 | |
| Paige Abby Mcmullen | Clinical Social Worker | 136 Lincoln St, Middletown, CT 06457-2641 | |
| Tiffany T Perri | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jola Rzegocki | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jenny Y Cha | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Michael Vajda | Chiropractic | 761 Washington St, Middletown, CT 06457-2903 | |
| Jyoti Mittal | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Find all physicians in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MIDDLETOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Richard J Whitehead.
| 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.