David Blonder (NPI# 1841466430, PAC ID# 8729235049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1841466430 |
| PAC ID by PECOS | 8729235049 |
| Professional Enrollment ID | I20130711000133 |
| Full Name | David Blonder |
| Organization Legal Name | CONNECTICUT IMAGING PARTNERS, LLC |
| Address |
1260 Silas Deane Hwy 100 Wethersfield CT 06109-4363 |
| Phone Number | 860289337587099 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4183649098 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100084 | LEESBURG REGIONAL MEDICAL CENTER |
| 100290 | VILLAGES REGIONAL HOSPITAL, THE |
| Address | Phone | Organization |
|---|---|---|
| 130 Division St, Derby, CT 06418-1326 | 2037357421 | JEFFERSON RADIOLOGY PC |
| 399 Farmington Ave, Fl 1, Farmington, CT 06032-1936 | 8602893375 | FARMINGTON IMAGING CENTER LLC |
| 85 Seymour St, Suite 200, Hartford, CT 06106-5509 | 8602893375 | JEFFERSON RADIOLOGY PC |
| 320 Pomfret St, Putnam, CT 06260-1836 | 8609286541 | JEFFERSON RADIOLOGY PC |
| 941 Farmington Ave, West Hartford, CT 06107-2203 | 860289337588099 | JEFFERSON RADIOLOGY PC |
| 115 W Silver St, Westfield, MA 01085-3678 | 8602916572 | FARMINGTON IMAGING CENTER LLC |
| 115 W Silver St, Westfield, MA 01085-3628 | 4135682811 | JEFFERSON RADIOLOGY PC |
| 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | 8602893375 | JEFFERSON RADIOLOGY PC |
| 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 | 860289337587099 | CONNECTICUT IMAGING PARTNERS, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% |
| Organization Legal Name | CONNECTICUT IMAGING PARTNERS, LLC |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pallavi Nadendla | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Mrinal S. Mali | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 575 Beech St, Holyoke, MA 01040-2223 |
| Ronald J Rosenberg | Nuclear Medicine | Connecticut Imaging Partners, LLC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Stacey A Bass | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| John E Foster | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Stephen V Klein | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 575 Beech St, Holyoke, MA 01040-2223 |
| Werner Rosshirt | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 100 Simsbury Rd, Avon, CT 06001-3793 |
| Alice C Shea | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Sean M Richardson | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Anal C Patel | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Street Address |
1260 SILAS DEANE HWY 100 |
| City | WETHERSFIELD |
| State | CT |
| Zip | 06109-4363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pallavi Nadendla | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Alice C Shea | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Sean M Richardson | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Anal C Patel | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Gregory T Turner | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Payam I Sajedi | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Shanshan Bao | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Jean M Weigert | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 1260 Silas Deane Hwy 100, Wethersfield, CT 06109-4363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phuong Nguyen | Optometry | Dr Nguyen Associates LLC | 1402 Berlin Tpke, Wethersfield, CT 06109-1010 |
| Nicole A Colasurdo | Optometry | Optometric Specialty Group of Wethersfield, Pllc | 185 Silas Deane Hwy, Suite 1, Wethersfield, CT 06109-1219 |
| Andrew J Sokolik | Optometry | Optometric Specialty Group of Wethersfield, Pllc | 185 Silas Deane Hwy, Suite 1, Wethersfield, CT 06109-1219 |
| Rekha Ranade Kapur | Psychiatry | 185 Silas Deane Hwy, Suite 340, Wethersfield, CT 06109-1219 | |
| William C Mitchard | Podiatry | 185 Silas Deane Hwy, Wethersfield, CT 06109-1219 | |
| Christina Ruddy | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Guy Dc Carbone | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Melissa Tulisano | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Matthew J Carbone | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Andrew Crape | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Find all physicians in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WETHERSFIELD + DIAGNOSTIC RADIOLOGY |
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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.