| Healthdrive Podiatry Group | |
|
101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 | |
| (888) 964-6681 | |
| (888) 662-0859 |
| Full Name | Healthdrive Podiatry Group |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 101 Centerpoint Dr Ste 215, Middletown, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770514101 | NPI | - | NPPES |
| 004124682 | Medicaid | CT | |
| CA5925 | Other | CT | MEDICARE RAILROAD |
| 50HEALTHPODCT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Christina V Urbano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629081831 PECOS PAC ID: 3870565534 Enrollment ID: I20040812000167 |
| Provider Name | Katherine C Attong-jackson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255349973 PECOS PAC ID: 6901834670 Enrollment ID: I20050803000224 |
| Provider Name | Shilpa P Kothary |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689683377 PECOS PAC ID: 0547299968 Enrollment ID: I20060419000457 |
| Provider Name | Michael D A Cicero |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063670016 PECOS PAC ID: 2365510591 Enrollment ID: I20081001000357 |
| Provider Name | Katy C Mcallister |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255369724 PECOS PAC ID: 0042251043 Enrollment ID: I20090227000471 |
| Provider Name | Japheth O Mongare |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922303361 PECOS PAC ID: 8527233352 Enrollment ID: I20111207000014 |
| Provider Name | Bruce M Backer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073887923 PECOS PAC ID: 4587882022 Enrollment ID: I20140826000958 |
| Provider Name | Faysal Siddiqui |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326454877 PECOS PAC ID: 9436436854 Enrollment ID: I20170726000316 |
| Provider Name | Ankur Ashok Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760862445 PECOS PAC ID: 2264768225 Enrollment ID: I20190729002711 |
| Provider Name | Nathan B Jennato |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487691267 PECOS PAC ID: 5395758262 Enrollment ID: I20191210000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthdrive Podiatry Group 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 Ph: (617) 964-6681 | Healthdrive Podiatry Group 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 Ph: (888) 964-6681 |
Dr. Ayman Maurice Latif, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 535 Saybrook Rd, Middletown, CT 06457 Phone: 860-346-5226 Fax: 860-347-6280 | |
Michael D A Cicero, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 101 Centerpoint Dr Ste 215, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859 | |
Dr. Katherine Carol Attong-jackson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 438 Main St, Suite 204, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859 | |
Dr. Adebola Adeleke, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 512 Saybrook Rd, Ste 100, Middletown, CT 06457 Phone: 860-347-7636 Fax: 860-894-1882 | |
Deborah Waterman, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 210 S Main St, Suite A, Middletown, CT 06457 Phone: 860-638-4671 Fax: 860-638-4673 | |
Dr. Christina Vasiuki Urbano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 438 Main St, Suite 204, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859 | |
Dr. Shilpa Piyush Kothary, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 438 Main St, Suite 204, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859 |