| Asylum Hill Family Medicine Center Inc | |
|
99 Woodland St Hartford CT 06105-1207 | |
| (860) 714-4212 | |
| (860) 714-8080 |
| Full Name | Asylum Hill Family Medicine Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 99 Woodland St, Hartford, Connecticut |
| Authorized Official Name and Position | Lisa A Sobchuk (PRACTICE SUPERVISOR) |
| Authorized Official Contact | 8607146594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asylum Hill Family Medicine Center Inc 99 Woodland St Hartford CT 06105-1207 Ph: (860) 714-4212 | Asylum Hill Family Medicine Center Inc 99 Woodland St Hartford CT 06105-1207 Ph: (860) 714-4212 |
| NPI Number | 1083660096 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Medicare PECOS PAC ID | 9032016134 |
|---|---|
| Medicare Enrollment ID | O20031217000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083660096 | NPI | - | NPPES |
| 4139962 | Medicaid | CT |
| Provider Name | Adam E Perrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558337683 PECOS PAC ID: 0648204941 Enrollment ID: I20050926001044 |
| Provider Name | Jeffrey R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306840640 PECOS PAC ID: 8022081835 Enrollment ID: I20060615000051 |
| Provider Name | Andrew L Feller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093778722 PECOS PAC ID: 1052414836 Enrollment ID: I20070315000336 |
| Provider Name | Kenia Mansilla-rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588670269 PECOS PAC ID: 0547366601 Enrollment ID: I20070507000151 |
| Provider Name | Timothy S Lishnak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174725303 PECOS PAC ID: 8426121740 Enrollment ID: I20080721000284 |
| Provider Name | Henry M Feder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376519579 PECOS PAC ID: 3577624352 Enrollment ID: I20081211000690 |
| Provider Name | Eugene Orientale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649237934 PECOS PAC ID: 8921122821 Enrollment ID: I20100830000540 |
| Provider Name | Robin Beth Gold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013965912 PECOS PAC ID: 9032233945 Enrollment ID: I20100830000657 |
| Provider Name | Roy Zagieboylo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922060417 PECOS PAC ID: 6709900616 Enrollment ID: I20100830000751 |
| Provider Name | Stacy Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104837483 PECOS PAC ID: 6305031014 Enrollment ID: I20101108001001 |
| Provider Name | Hugh Blumenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427249747 PECOS PAC ID: 7214116045 Enrollment ID: I20110126000620 |
| Provider Name | Thomas P Agresta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194775965 PECOS PAC ID: 6901081777 Enrollment ID: I20110421000650 |
| Provider Name | Patricia Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265721963 PECOS PAC ID: 0143492249 Enrollment ID: I20111014000282 |
| Provider Name | Fonda N Gravino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952396020 PECOS PAC ID: 2961432836 Enrollment ID: I20120307000557 |
| Provider Name | Matthew L Hall |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922236108 PECOS PAC ID: 1850532557 Enrollment ID: I20130723000361 |
| Provider Name | Erica L Waddington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306159819 PECOS PAC ID: 0547438673 Enrollment ID: I20141021001929 |
| Provider Name | Jacqueline N Guajardo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437454717 PECOS PAC ID: 9436172632 Enrollment ID: I20151104000985 |
| Provider Name | Laura E Bujold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548557523 PECOS PAC ID: 9830339225 Enrollment ID: I20180720000315 |
| Provider Name | Katherine Tringali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598176562 PECOS PAC ID: 5991929879 Enrollment ID: I20180830001750 |
| Provider Name | Hannah Radecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154819829 PECOS PAC ID: 8527318757 Enrollment ID: I20211109002309 |
| Provider Name | Kiran A Lorick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154883064 PECOS PAC ID: 2860722915 Enrollment ID: I20221110000212 |
| Provider Name | Elizabeth Lorick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144782053 PECOS PAC ID: 4385974443 Enrollment ID: I20221115000544 |
| Provider Name | Andria Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720540099 PECOS PAC ID: 1052641164 Enrollment ID: I20230512001118 |
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