| Community Health Services, Inc. | |
|
500 Albany Ave Hartford CT 06120-2508 | |
| (860) 249-9625 | |
| (860) 808-1580 |
| Full Name | Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Albany Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Gregory Stanton (CEO) |
| Authorized Official Contact | 8602499625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Services, Inc. 500 Albany Ave Hartford CT 06120-2508 Ph: (860) 249-9625 | Community Health Services, Inc. 500 Albany Ave Hartford CT 06120-2508 Ph: (860) 249-9625 |
| NPI Number | 1730284605 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 09/16/2013 |
| Medicare PECOS PAC ID | 3870564172 |
|---|---|
| Medicare Enrollment ID | O20040802000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730284605 | NPI | - | NPPES |
| 004235570 | Medicaid | CT | |
| 004235588 | Medicaid | CT | |
| 008031197 | Medicaid | CT | |
| 008032239 | Medicaid | CT | |
| 004236099 | Medicaid | CT |
| Provider Name | Robert M Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487617635 PECOS PAC ID: 9234117664 Enrollment ID: I20040712000538 |
| Provider Name | Aliya Shamsi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134224728 PECOS PAC ID: 8628106713 Enrollment ID: I20100511000647 |
| Provider Name | Michael C Trager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811961014 PECOS PAC ID: 9638164791 Enrollment ID: I20100928000522 |
| Provider Name | Gurender S Sahani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609890995 PECOS PAC ID: 8426238569 Enrollment ID: I20110208000098 |
| Provider Name | Cynthia C Elis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720287261 PECOS PAC ID: 7416130562 Enrollment ID: I20110326000062 |
| Provider Name | Carla R Gunn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447443494 PECOS PAC ID: 8628252830 Enrollment ID: I20110413000529 |
| Provider Name | Swati J Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336317478 PECOS PAC ID: 2668631292 Enrollment ID: I20120316000573 |
| Provider Name | Nneka O Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740528678 PECOS PAC ID: 3577701580 Enrollment ID: I20130604000201 |
| Provider Name | Rahul Anand |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740487784 PECOS PAC ID: 8325170319 Enrollment ID: I20130626000383 |
| Provider Name | Avninder Upadhyay |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992955835 PECOS PAC ID: 8022250018 Enrollment ID: I20130802000845 |
| Provider Name | Letriece C Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528396181 PECOS PAC ID: 4587807060 Enrollment ID: I20130902000006 |
| Provider Name | Simone N Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174872469 PECOS PAC ID: 9436383809 Enrollment ID: I20131018000727 |
| Provider Name | Barbara A Dune |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255644811 PECOS PAC ID: 2961638366 Enrollment ID: I20131113000482 |
| Provider Name | Zeev Harel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821042037 PECOS PAC ID: 5496773400 Enrollment ID: I20131115000669 |
| Provider Name | Sarah Macdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023301355 PECOS PAC ID: 9739310053 Enrollment ID: I20140328001557 |
| Provider Name | Laura M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104234038 PECOS PAC ID: 8820217698 Enrollment ID: I20140910001870 |
| Provider Name | Tylor Vaillancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255733127 PECOS PAC ID: 7416270079 Enrollment ID: I20160415000260 |
| Provider Name | Elke Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033452586 PECOS PAC ID: 6507150604 Enrollment ID: I20160812000666 |
| Provider Name | Victoria Zuckerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255857298 PECOS PAC ID: 0042584559 Enrollment ID: I20170922000033 |
| Provider Name | Olubukola O Awe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104114149 PECOS PAC ID: 2062687759 Enrollment ID: I20170925000124 |
| Provider Name | Kelly S Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205348810 PECOS PAC ID: 8820350267 Enrollment ID: I20180322001074 |
| Provider Name | Deneisha Tamara Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487131462 PECOS PAC ID: 2860742186 Enrollment ID: I20180907001482 |
| Provider Name | Chengping Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710537063 PECOS PAC ID: 5496187973 Enrollment ID: I20191121002349 |
| Provider Name | Oksana Roytburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699317412 PECOS PAC ID: 6507291556 Enrollment ID: I20200121001587 |
| Provider Name | Laura Beth Troy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962047498 PECOS PAC ID: 3375970833 Enrollment ID: I20200221001043 |
| Provider Name | Daniel Llerena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013102813 PECOS PAC ID: 0749607976 Enrollment ID: I20200902000580 |
| Provider Name | Cheryl Denise Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326640848 PECOS PAC ID: 0446662290 Enrollment ID: I20201218001931 |
| Provider Name | Magilta Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619589975 PECOS PAC ID: 5698180362 Enrollment ID: I20210211001045 |
| Provider Name | Elena Pevar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386213445 PECOS PAC ID: 1052715745 Enrollment ID: I20210803000478 |
| Provider Name | Anne Fern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649988197 PECOS PAC ID: 9739559089 Enrollment ID: I20221230001436 |
| Provider Name | Samantha Czaja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114678943 PECOS PAC ID: 4981069416 Enrollment ID: I20230504002877 |
| Provider Name | Tiffany Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336847466 PECOS PAC ID: 8820454341 Enrollment ID: I20230525000337 |
| Provider Name | Claudette Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912688243 PECOS PAC ID: 5092177303 Enrollment ID: I20230818001380 |
| Provider Name | Kozeta Jano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306578356 PECOS PAC ID: 9537517347 Enrollment ID: I20231204002290 |
| Provider Name | Zipporiah T Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134806326 PECOS PAC ID: 3678924099 Enrollment ID: I20240110003481 |
| Provider Name | Valerie Rash |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902823669 PECOS PAC ID: 9335104686 Enrollment ID: I20240118004024 |
| Provider Name | Junelle Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427765791 PECOS PAC ID: 6103279690 Enrollment ID: I20240131004276 |
| Provider Name | Jeffrey Marzian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497772255 PECOS PAC ID: 9739144072 Enrollment ID: I20240215003053 |
| Provider Name | Danielle Darley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093296998 PECOS PAC ID: 4688010838 Enrollment ID: I20240310000032 |
| Provider Name | Brenda Castillo Jiminian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265275531 PECOS PAC ID: 6305385337 Enrollment ID: I20240822001282 |
| Provider Name | Chedene A Ewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831749209 PECOS PAC ID: 5294268645 Enrollment ID: I20241024000911 |
| Provider Name | Shellion Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295550374 PECOS PAC ID: 0244767150 Enrollment ID: I20241217000746 |
| Provider Name | Roy Forrest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790863587 PECOS PAC ID: 6204800626 Enrollment ID: I20241219003979 |
| Provider Name | Ketania Marie Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528897022 PECOS PAC ID: 2163950601 Enrollment ID: I20250110001840 |
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