Hartford Healthcare Urgent Care Centers, Llc | |
385 W Main St Avon CT 06001-4357 | |
(860) 696-2150 | |
(860) 696-2160 |
Full Name | Hartford Healthcare Urgent Care Centers, Llc |
---|---|
Speciality | Clinic/Center |
Location | 385 W Main St, Avon, Connecticut |
Authorized Official Name and Position | Vincent Dibattista (PRESIDENT) |
Authorized Official Contact | 8609729168 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hartford Healthcare Urgent Care Centers, Llc 1290 Silas Deane Hwy Wethersfield CT 06109-4337 Ph: (860) 972-6977 | Hartford Healthcare Urgent Care Centers, Llc 385 W Main St Avon CT 06001-4357 Ph: (860) 696-2150 |
NPI Number | 1093239683 |
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Provider Enumeration Date | 07/26/2017 |
Last Update Date | 03/27/2023 |
Certification Date | 03/27/2023 |
Medicare PECOS PAC ID | 7618242777 |
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Medicare Enrollment ID | O20170929001464 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093239683 | NPI | - | NPPES |
Provider Name | Cynthia Marie Grindle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982682092 PECOS PAC ID: 5991602336 Enrollment ID: I20031215000715 |
Provider Name | Jeffrey A Finkelstein |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1245281914 PECOS PAC ID: 9931000239 Enrollment ID: I20040120000100 |
Provider Name | Beverly Jean Carolan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235198128 PECOS PAC ID: 8426041484 Enrollment ID: I20040406000307 |
Provider Name | Maria Bianchi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437116753 PECOS PAC ID: 0749261444 Enrollment ID: I20040527001260 |
Provider Name | Janet K Kranes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568575843 PECOS PAC ID: 9133103104 Enrollment ID: I20040616001148 |
Provider Name | Kenneth R Larsen |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1003894940 PECOS PAC ID: 0345229449 Enrollment ID: I20040714000130 |
Provider Name | Mansoor Sheikh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235173170 PECOS PAC ID: 2466426010 Enrollment ID: I20040820000588 |
Provider Name | Lorissa R Heath |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619040417 PECOS PAC ID: 6305891888 Enrollment ID: I20050317000416 |
Provider Name | Judith Deshpande |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528008489 PECOS PAC ID: 4981647245 Enrollment ID: I20050607001116 |
Provider Name | James Walden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992779912 PECOS PAC ID: 4082678792 Enrollment ID: I20050824000301 |
Provider Name | Maria Cristofaro |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336251495 PECOS PAC ID: 5092737437 Enrollment ID: I20051228000433 |
Provider Name | Stephenie C Thurber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144209560 PECOS PAC ID: 4183647209 Enrollment ID: I20060104000401 |
Provider Name | Gregory D Bell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073552774 PECOS PAC ID: 0345255808 Enrollment ID: I20060221000083 |
Provider Name | Jill M Arcari-couture |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528044062 PECOS PAC ID: 5395743942 Enrollment ID: I20061122000038 |
Provider Name | Hartmut A Doerwaldt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265496046 PECOS PAC ID: 6800866872 Enrollment ID: I20070609000075 |
Provider Name | Dmitry Aleks Drapach |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669487542 PECOS PAC ID: 9032205331 Enrollment ID: I20071018000123 |
Provider Name | Mary B Mackessy |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366637084 PECOS PAC ID: 3274622139 Enrollment ID: I20071130000350 |
Provider Name | Thomas J Holmes |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093898611 PECOS PAC ID: 7517010168 Enrollment ID: I20090730000127 |
Provider Name | Elizabeth C Hathaway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992037188 PECOS PAC ID: 0042345944 Enrollment ID: I20100317000687 |
Provider Name | Maureen Worley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346575438 PECOS PAC ID: 0345378725 Enrollment ID: I20100505000410 |
Provider Name | Maritza D Holder |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1649449364 PECOS PAC ID: 2365570462 Enrollment ID: I20100511000760 |
Provider Name | Megan M Cosentino |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609841675 PECOS PAC ID: 6507050440 Enrollment ID: I20101104000420 |
Provider Name | Michael D Shea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447371596 PECOS PAC ID: 6002095072 Enrollment ID: I20110122000069 |
Provider Name | Maurice E Defina |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1588749055 PECOS PAC ID: 3274616107 Enrollment ID: I20110204000074 |
Provider Name | Ali Saniee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356421242 PECOS PAC ID: 6002720679 Enrollment ID: I20110207000605 |
Provider Name | Walter Kupson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1679657100 PECOS PAC ID: 6709068109 Enrollment ID: I20110307000400 |
Provider Name | Sharon Kandro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528181716 PECOS PAC ID: 0648455659 Enrollment ID: I20110505000801 |
Provider Name | Marcin Jaremko |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396943080 PECOS PAC ID: 6103012331 Enrollment ID: I20110823000989 |
Provider Name | Ali C Torabzadeh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710176631 PECOS PAC ID: 7810062163 Enrollment ID: I20110921000399 |
Provider Name | Kelly J Morse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982989653 PECOS PAC ID: 4688847775 Enrollment ID: I20111107000152 |
Provider Name | Fred Robert Fenton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568572667 PECOS PAC ID: 4486828175 Enrollment ID: I20111115000224 |
Provider Name | Henry Puciato |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801183827 PECOS PAC ID: 0446418883 Enrollment ID: I20120215000110 |
Provider Name | Lisa Marie Bergeron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366715179 PECOS PAC ID: 0143480350 Enrollment ID: I20120327000056 |
Provider Name | Jessica M Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134350432 PECOS PAC ID: 7719026293 Enrollment ID: I20120418000273 |
Provider Name | Lindsay S Roberts |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1770743643 PECOS PAC ID: 8123151495 Enrollment ID: I20120627000033 |
Provider Name | Cristina M Tellechea |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679736169 PECOS PAC ID: 5294983870 Enrollment ID: I20120925000079 |
Provider Name | Robert G Dinwoodie |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1457358475 PECOS PAC ID: 1153321203 Enrollment ID: I20121108000286 |
Provider Name | Todd A Bickmore |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952315632 PECOS PAC ID: 7315840469 Enrollment ID: I20130322000064 |
Provider Name | Lisa Moriarty Kirschner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275867301 PECOS PAC ID: 3375688443 Enrollment ID: I20130701000653 |
Provider Name | Jason Kurtzman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093035883 PECOS PAC ID: 3476794132 Enrollment ID: I20130724000004 |
Provider Name | Alison Riley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891129953 PECOS PAC ID: 2668600792 Enrollment ID: I20140116000825 |
Provider Name | Laura C Gezelman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336574953 PECOS PAC ID: 8426288283 Enrollment ID: I20140224001151 |
Provider Name | Nicole M Kirley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447672233 PECOS PAC ID: 7719118546 Enrollment ID: I20140320001027 |
Provider Name | Vanessa Colon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346670437 PECOS PAC ID: 4587887542 Enrollment ID: I20140520000141 |
Provider Name | Alina Marie Schneider |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922445402 PECOS PAC ID: 5698902344 Enrollment ID: I20140919000041 |
Provider Name | John Kouch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801024476 PECOS PAC ID: 5294955787 Enrollment ID: I20141006000255 |
Provider Name | Lisa Decarlo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528467016 PECOS PAC ID: 5496078560 Enrollment ID: I20141222000166 |
Provider Name | Jacklyn Obeng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114328507 PECOS PAC ID: 0143544114 Enrollment ID: I20150122000323 |
Provider Name | Kim N Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336549898 PECOS PAC ID: 3870819246 Enrollment ID: I20150302000841 |
Provider Name | Sarah E Dean |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083002307 PECOS PAC ID: 4486972494 Enrollment ID: I20150422001927 |
Provider Name | Claudette Faucher Charles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124403415 PECOS PAC ID: 2264749233 Enrollment ID: I20150923003138 |
Provider Name | Abhijay Karandikar |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1992920276 PECOS PAC ID: 5890859797 Enrollment ID: I20151106000078 |
Provider Name | Samara Ambrosio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255700696 PECOS PAC ID: 4880994995 Enrollment ID: I20151121000204 |
Provider Name | Kipp Vanmeter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013145101 PECOS PAC ID: 6800113804 Enrollment ID: I20151201001261 |
Provider Name | Leah Marie Fasolo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174992739 PECOS PAC ID: 2961703095 Enrollment ID: I20151215001716 |
Provider Name | Jennifer A Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083087142 PECOS PAC ID: 5991007635 Enrollment ID: I20160112001643 |
Provider Name | Nadine S Caron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487027678 PECOS PAC ID: 4082919097 Enrollment ID: I20160229000853 |
Provider Name | Tamikque Escourse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760623185 PECOS PAC ID: 8820266703 Enrollment ID: I20160505000928 |
Provider Name | Carly M Odesina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548610959 PECOS PAC ID: 6204122054 Enrollment ID: I20160906000669 |
Provider Name | Sarah C Hilding |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821382961 PECOS PAC ID: 2668600545 Enrollment ID: I20161011001047 |
Provider Name | Victor D Calhoun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366991796 PECOS PAC ID: 1153600820 Enrollment ID: I20161121001407 |
Provider Name | Melissa W Breton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588942924 PECOS PAC ID: 1456631852 Enrollment ID: I20161130001715 |
Provider Name | Lauren Vo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134674591 PECOS PAC ID: 0345520409 Enrollment ID: I20161206002232 |
Provider Name | Claudette M Thyme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457731812 PECOS PAC ID: 5092096537 Enrollment ID: I20161221001643 |
Provider Name | Jennifer Jerome |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134661531 PECOS PAC ID: 8729361845 Enrollment ID: I20170215000203 |
Provider Name | Kamyar Nabegh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215376694 PECOS PAC ID: 5193010601 Enrollment ID: I20170801000488 |
Provider Name | Michael Marchetti |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1316384613 PECOS PAC ID: 7214253459 Enrollment ID: I20170906002116 |
Provider Name | Ho H Yoo |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871598367 PECOS PAC ID: 5496731416 Enrollment ID: I20170908000462 |
Provider Name | Alisa Da Costa-rodrigues |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053603118 PECOS PAC ID: 0941575773 Enrollment ID: I20171004002969 |
Provider Name | Mary B Shafer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699290718 PECOS PAC ID: 2567738628 Enrollment ID: I20171018001073 |
Provider Name | Sarah Bussolari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851819601 PECOS PAC ID: 4981970746 Enrollment ID: I20171023000785 |
Provider Name | Kristen J Fontaine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992220925 PECOS PAC ID: 0941566152 Enrollment ID: I20171103001494 |
Provider Name | Karen A Zott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831601228 PECOS PAC ID: 3779841887 Enrollment ID: I20171219001985 |
Provider Name | Jennifer M Hagberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194236547 PECOS PAC ID: 6002174919 Enrollment ID: I20171226001829 |
Provider Name | Jennifer Lagosz Conboy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295251254 PECOS PAC ID: 2466712823 Enrollment ID: I20180202000226 |
Provider Name | Khalilah Dann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558522300 PECOS PAC ID: 2860662541 Enrollment ID: I20180419001503 |
Provider Name | Megan Mackenzie Zitting |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770034845 PECOS PAC ID: 9537441399 Enrollment ID: I20180423000472 |
Provider Name | Colin D Stack |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1477715571 PECOS PAC ID: 8022162825 Enrollment ID: I20180424001687 |
Provider Name | Sabina A Rebis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134515299 PECOS PAC ID: 7113275637 Enrollment ID: I20180731002136 |
Provider Name | Kaitlyn G Lemieux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851885529 PECOS PAC ID: 3577813146 Enrollment ID: I20180830003202 |
Provider Name | Nicholas Desorbo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285150946 PECOS PAC ID: 5092072413 Enrollment ID: I20181001002030 |
Provider Name | Victoria A Bergeson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447730916 PECOS PAC ID: 6800148693 Enrollment ID: I20181005000126 |
Provider Name | Tarannum Malwat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982192209 PECOS PAC ID: 5698027357 Enrollment ID: I20181008000488 |
Provider Name | Christina Nicole Mule |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376025098 PECOS PAC ID: 5395097729 Enrollment ID: I20181011002244 |
Provider Name | Sarah M Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063994812 PECOS PAC ID: 7416200266 Enrollment ID: I20181025001063 |
Provider Name | Stephanie Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467946152 PECOS PAC ID: 4789937194 Enrollment ID: I20181101002377 |
Provider Name | Maria Elena Slajda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194209213 PECOS PAC ID: 3870847932 Enrollment ID: I20181108002477 |
Provider Name | Danielle Marie Gould |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538584123 PECOS PAC ID: 5698999761 Enrollment ID: I20181109001583 |
Provider Name | Anna C Devitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396022091 PECOS PAC ID: 7416100540 Enrollment ID: I20181115001408 |
Provider Name | Ryan P Keenan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447739859 PECOS PAC ID: 1254675291 Enrollment ID: I20181203002361 |
Provider Name | Amanda Spence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437624087 PECOS PAC ID: 9335484757 Enrollment ID: I20181212003638 |
Provider Name | Geneva Nicole Beresford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942713656 PECOS PAC ID: 3577808245 Enrollment ID: I20181227001968 |
Provider Name | Eric Walsh |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1588689715 PECOS PAC ID: 8921297417 Enrollment ID: I20190320000634 |
Provider Name | Chinwendu Jennifer Chukwudike |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982176020 PECOS PAC ID: 0840531182 Enrollment ID: I20190415000365 |
Provider Name | Juliana Lima |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346721768 PECOS PAC ID: 8022356989 Enrollment ID: I20190513001140 |
Provider Name | Jennifer Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417459025 PECOS PAC ID: 5890059745 Enrollment ID: I20190514000415 |
Provider Name | Erin Hannan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003274556 PECOS PAC ID: 3870883754 Enrollment ID: I20190517002054 |
Provider Name | Michael Moriarty |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881075372 PECOS PAC ID: 5294081626 Enrollment ID: I20190730003863 |
Provider Name | Arthur Yazhemskiy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902251937 PECOS PAC ID: 8921352543 Enrollment ID: I20190812002405 |
Provider Name | Chiquana Allman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417501115 PECOS PAC ID: 0042542730 Enrollment ID: I20191030000860 |
Provider Name | Jennifer Marie Genta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093024432 PECOS PAC ID: 1951565449 Enrollment ID: I20191205000708 |
Provider Name | Kate-lyn Birchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134782485 PECOS PAC ID: 0244660470 Enrollment ID: I20200430001192 |
Provider Name | Eileen Mary Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194913210 PECOS PAC ID: 8729403589 Enrollment ID: I20200811000464 |
Provider Name | Irina S Bratan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114567922 PECOS PAC ID: 9436576402 Enrollment ID: I20200908000196 |
Provider Name | Angela Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295348449 PECOS PAC ID: 5294146841 Enrollment ID: I20201202003238 |
Provider Name | Autumn Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972143352 PECOS PAC ID: 7416369533 Enrollment ID: I20201215000876 |
Provider Name | Eartha Marquis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144834870 PECOS PAC ID: 1052723962 Enrollment ID: I20201217002925 |
Provider Name | Mafe Duyan Rato |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003417452 PECOS PAC ID: 6103239405 Enrollment ID: I20210105002828 |
Provider Name | Lisa Kise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922257278 PECOS PAC ID: 7315007226 Enrollment ID: I20210303001245 |
Provider Name | Mary Daly England |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871046383 PECOS PAC ID: 9335429141 Enrollment ID: I20210414002254 |
Provider Name | Bonnie Simmons |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629047832 PECOS PAC ID: 5991764235 Enrollment ID: I20210427000090 |
Provider Name | Mary Brock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851773865 PECOS PAC ID: 1355656919 Enrollment ID: I20210503002085 |
Provider Name | Azra Alagic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891394219 PECOS PAC ID: 3274942263 Enrollment ID: I20210504000005 |
Provider Name | Jason Shapiro |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1598720062 PECOS PAC ID: 6608858170 Enrollment ID: I20210729002005 |
Provider Name | Jonathan Zipkin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144596578 PECOS PAC ID: 0840422945 Enrollment ID: I20210827002289 |
Provider Name | Wei Li |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568994432 PECOS PAC ID: 7113261355 Enrollment ID: I20210901001277 |
Provider Name | Macie Boni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255001913 PECOS PAC ID: 7719384676 Enrollment ID: I20210921001332 |
Provider Name | Nohemi Torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972276558 PECOS PAC ID: 5395143069 Enrollment ID: I20211011001189 |
Provider Name | Erica J Bencivenga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851912299 PECOS PAC ID: 7012330590 Enrollment ID: I20211014001421 |
Provider Name | Emily Jordan Kopas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942809512 PECOS PAC ID: 1759770019 Enrollment ID: I20211109000197 |
Provider Name | Ashisna Khadka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699342931 PECOS PAC ID: 3072902584 Enrollment ID: I20211122001517 |
Provider Name | Ysabelle Stuard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902574379 PECOS PAC ID: 0941691968 Enrollment ID: I20211230002020 |
Provider Name | Sandra Marie Pullo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427728476 PECOS PAC ID: 3274924121 Enrollment ID: I20220103001299 |
Provider Name | Miguel Filipe Rosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548933765 PECOS PAC ID: 3476945452 Enrollment ID: I20220125001724 |
Provider Name | Lauren Marie Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336808096 PECOS PAC ID: 9335532266 Enrollment ID: I20220216002786 |
Provider Name | Travis Pyka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699388728 PECOS PAC ID: 9739573601 Enrollment ID: I20220219000062 |
Provider Name | Kathryn M Reinmann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255086864 PECOS PAC ID: 0345634721 Enrollment ID: I20220301000793 |
Provider Name | Francise Lamothe |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1902303084 PECOS PAC ID: 9537417613 Enrollment ID: I20220311001938 |
Provider Name | Katie R Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790243921 PECOS PAC ID: 5597008060 Enrollment ID: I20220325001886 |
Provider Name | Sheila Wilkey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174833834 PECOS PAC ID: 6608045216 Enrollment ID: I20220613002548 |
Provider Name | Ashley Goulet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871226480 PECOS PAC ID: 9739565532 Enrollment ID: I20221003000140 |
Provider Name | Amelia Crespo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154040541 PECOS PAC ID: 0840666996 Enrollment ID: I20221014001986 |
Provider Name | Annalisa Biceglia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477273985 PECOS PAC ID: 5597131136 Enrollment ID: I20221021002032 |
Provider Name | Heather Elizabeth Trompeter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629648464 PECOS PAC ID: 4486023827 Enrollment ID: I20221207001716 |
Provider Name | Kim Oanh Le |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134745581 PECOS PAC ID: 3072928423 Enrollment ID: I20221229002214 |
Provider Name | Freddie Dayao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447967559 PECOS PAC ID: 8022489699 Enrollment ID: I20230118000571 |
Provider Name | Naa Torshie Torto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639882020 PECOS PAC ID: 2365815107 Enrollment ID: I20230227001689 |
Provider Name | Haley Kennedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073228714 PECOS PAC ID: 5092188474 Enrollment ID: I20230306001843 |
Provider Name | Samira Quraishi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831804566 PECOS PAC ID: 9335512474 Enrollment ID: I20230310000884 |
Provider Name | David Yarbrough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043910284 PECOS PAC ID: 5294108346 Enrollment ID: I20230310001153 |
Provider Name | Alyssa Renee Mattison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417662156 PECOS PAC ID: 4082088638 Enrollment ID: I20230321002629 |
Provider Name | Jennifer Anne Miner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336854843 PECOS PAC ID: 4385018860 Enrollment ID: I20230323002632 |
Provider Name | Colleen Mary Wilcox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174220867 PECOS PAC ID: 6002281110 Enrollment ID: I20230403001622 |
Provider Name | Lina M Arango-martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215620141 PECOS PAC ID: 7214390855 Enrollment ID: I20230829003458 |
Provider Name | Taryn Bishop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942736293 PECOS PAC ID: 9931465697 Enrollment ID: I20230913000784 |
Provider Name | Kiersten Brienne Duncan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598549735 PECOS PAC ID: 2961866264 Enrollment ID: I20230919002444 |
Provider Name | Adrian Durham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760845739 PECOS PAC ID: 4284921958 Enrollment ID: I20230921002821 |
Provider Name | Amber Michele Newman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508557398 PECOS PAC ID: 7214383371 Enrollment ID: I20231025002125 |
Provider Name | Rosemary Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548906449 PECOS PAC ID: 0941656698 Enrollment ID: I20231101000597 |
Provider Name | Mabedia Moreno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720771611 PECOS PAC ID: 5991152712 Enrollment ID: I20231115002051 |
Provider Name | Chelsea Kendall Cross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235869702 PECOS PAC ID: 4385092139 Enrollment ID: I20231205000220 |
Provider Name | Kathryn Landreneau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992227029 PECOS PAC ID: 3870852379 Enrollment ID: I20231208002675 |
Provider Name | Sheri Ann Gruner |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780156802 PECOS PAC ID: 5395197826 Enrollment ID: I20240119001691 |
Provider Name | Stephanie Miles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467061440 PECOS PAC ID: 5991144891 Enrollment ID: I20240411001647 |
Provider Name | Andrea Marcela Caceres-autunno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922869858 PECOS PAC ID: 4789023615 Enrollment ID: I20240411003248 |
Provider Name | Joanna Sainvil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588259899 PECOS PAC ID: 8729497227 Enrollment ID: I20240423001059 |
Provider Name | Jennifer A Delucia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336902709 PECOS PAC ID: 5698115665 Enrollment ID: I20240425000068 |
Provider Name | Katherine Warner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720841885 PECOS PAC ID: 8123468717 Enrollment ID: I20240430001788 |
Provider Name | Kerryann Daley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477026201 PECOS PAC ID: 8426412883 Enrollment ID: I20240531002167 |
Provider Name | Jacqueline Deens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932806494 PECOS PAC ID: 5496297855 Enrollment ID: I20240613000138 |
Counseling Ap Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Avon Meadow Ln Bldg 40, Avon, CT 06001 Phone: 860-944-1700 | |
Helena E Gagnon Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W Main St, Avon, CT 06001 Phone: 413-486-0981 Fax: 413-707-1032 | |
Liberty Treatment Of Virginia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Great Meadow Ln, Avon, CT 06001 Phone: 959-226-8411 | |
U Are Heard Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St Ste 201, Avon, CT 06001 Phone: 860-836-3821 | |
Jennifer M. Lapenta, Lcsw, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Avon Meadow Ln, Suite 6, Avon, CT 06001 Phone: 860-761-3896 | |
Rahel K. Saroff Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Towpath Lane, Avon, CT 06001 Phone: 860-335-6707 |