| Bristol Hospital Multi-specialty Group, Inc. | |
|
923 Farmington Ave Bristol CT 06010-3927 | |
| (860) 585-3906 | |
| Not Available |
| Full Name | Bristol Hospital Multi-specialty Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 923 Farmington Ave, Bristol, Connecticut |
| Authorized Official Name and Position | Chris Ann Meaney (PRESIDENT) |
| Authorized Official Contact | 8605853041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Hospital Multi-specialty Group, Inc. Po Box 2828 Bristol CT 06011-2828 Ph: (860) 585-3906 | Bristol Hospital Multi-specialty Group, Inc. 923 Farmington Ave Bristol CT 06010-3927 Ph: (860) 585-3906 |
| NPI Number | 1649265679 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 9032014758 |
|---|---|
| Medicare Enrollment ID | O20031204000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649265679 | NPI | - | NPPES |
| 004174075 | Medicaid | CT | |
| 004194172 | Medicaid | CT |
| Provider Name | Daniel J Scoppetta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578587705 PECOS PAC ID: 7618872888 Enrollment ID: I20031217000592 |
| Provider Name | Jo R Kremer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043356876 PECOS PAC ID: 7315939840 Enrollment ID: I20040402000284 |
| Provider Name | Paul G Harvill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326010976 PECOS PAC ID: 8820084676 Enrollment ID: I20040426000448 |
| Provider Name | William B Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518004639 PECOS PAC ID: 8729077284 Enrollment ID: I20040510000847 |
| Provider Name | David Glassman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831127265 PECOS PAC ID: 7517948938 Enrollment ID: I20040601000138 |
| Provider Name | Rainer W Bagdasarian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013025295 PECOS PAC ID: 2466422407 Enrollment ID: I20040728000544 |
| Provider Name | Sujai D Nath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255337382 PECOS PAC ID: 1052376498 Enrollment ID: I20041129000129 |
| Provider Name | Susanne M Wargo |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710145842 PECOS PAC ID: 0648223438 Enrollment ID: I20050222000684 |
| Provider Name | Divina M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861420895 PECOS PAC ID: 3476508821 Enrollment ID: I20050317001037 |
| Provider Name | Mohammad Dada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457307043 PECOS PAC ID: 0042203051 Enrollment ID: I20051010000478 |
| Provider Name | Joseph T Cherneskie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588655757 PECOS PAC ID: 8022035773 Enrollment ID: I20051101000504 |
| Provider Name | Doreen Buttner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295710374 PECOS PAC ID: 6103848361 Enrollment ID: I20051230000649 |
| Provider Name | Jack H Adler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851301709 PECOS PAC ID: 6608886239 Enrollment ID: I20060427000163 |
| Provider Name | William T Marshall |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174533061 PECOS PAC ID: 2466455803 Enrollment ID: I20060824000330 |
| Provider Name | Vijay Joshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174522692 PECOS PAC ID: 9638178288 Enrollment ID: I20061211000013 |
| Provider Name | Donyale M Pina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164577953 PECOS PAC ID: 1153424270 Enrollment ID: I20070310000093 |
| Provider Name | Minu Rowther |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437212487 PECOS PAC ID: 4688779051 Enrollment ID: I20070412000451 |
| Provider Name | Tariq Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992844419 PECOS PAC ID: 5698876316 Enrollment ID: I20070725000479 |
| Provider Name | Stephen P Caminiti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144216045 PECOS PAC ID: 0648361873 Enrollment ID: I20070802000263 |
| Provider Name | Jennifer N Mccallister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629271192 PECOS PAC ID: 5890881577 Enrollment ID: I20071010000533 |
| Provider Name | Daniel S Schwartz |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1376551739 PECOS PAC ID: 5799864203 Enrollment ID: I20080509000027 |
| Provider Name | John A Frazier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235222506 PECOS PAC ID: 1658440748 Enrollment ID: I20080515000178 |
| Provider Name | Edyta K Rotundo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366615502 PECOS PAC ID: 4688743545 Enrollment ID: I20080519000102 |
| Provider Name | John Mcardle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124001284 PECOS PAC ID: 3678645330 Enrollment ID: I20080712000023 |
| Provider Name | Mark D Watson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346416153 PECOS PAC ID: 9133292907 Enrollment ID: I20080728000099 |
| Provider Name | Balasubramanian Shanmugam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285807768 PECOS PAC ID: 8426122243 Enrollment ID: I20080728000668 |
| Provider Name | Li Zhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346451234 PECOS PAC ID: 4880761618 Enrollment ID: I20080922000085 |
| Provider Name | Joseph E Podolski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225221732 PECOS PAC ID: 3870653041 Enrollment ID: I20081118000183 |
| Provider Name | Erin Michelle Migliaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588846844 PECOS PAC ID: 0143384230 Enrollment ID: I20090204000626 |
| Provider Name | Craig Bogdanski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710986906 PECOS PAC ID: 4688738834 Enrollment ID: I20090407000369 |
| Provider Name | Driola Brahaj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316151863 PECOS PAC ID: 9335292754 Enrollment ID: I20090803000560 |
| Provider Name | Jeffrey J Meter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023074796 PECOS PAC ID: 2365485174 Enrollment ID: I20090811000662 |
| Provider Name | Jacob Zamstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619969094 PECOS PAC ID: 4284772898 Enrollment ID: I20091118000532 |
| Provider Name | Edward Feliciano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265587802 PECOS PAC ID: 6103963426 Enrollment ID: I20091214000142 |
| Provider Name | Nelson A Bondhus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245227586 PECOS PAC ID: 2961545652 Enrollment ID: I20100203000359 |
| Provider Name | Richard M Zweig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477548451 PECOS PAC ID: 0143363655 Enrollment ID: I20100205000502 |
| Provider Name | Catherine T Milne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659336303 PECOS PAC ID: 0941253843 Enrollment ID: I20100205000527 |
| Provider Name | Saima A Pasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932163292 PECOS PAC ID: 8224172051 Enrollment ID: I20100217000708 |
| Provider Name | Doris L Altherr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881680775 PECOS PAC ID: 5496881724 Enrollment ID: I20100325000971 |
| Provider Name | Elizabeth W Brady |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861493132 PECOS PAC ID: 9032117668 Enrollment ID: I20100416000617 |
| Provider Name | Christina Mbewe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225267560 PECOS PAC ID: 4688701709 Enrollment ID: I20100422000014 |
| Provider Name | John V Scholes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659349371 PECOS PAC ID: 4284640905 Enrollment ID: I20100701000254 |
| Provider Name | Kamakshi Vemareddy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851588214 PECOS PAC ID: 0749313724 Enrollment ID: I20100727001009 |
| Provider Name | Joseph E Marakovits |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548225527 PECOS PAC ID: 8022133206 Enrollment ID: I20100910000808 |
| Provider Name | Frederick Reindel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134117492 PECOS PAC ID: 8527183557 Enrollment ID: I20100915000235 |
| Provider Name | Manoharan Nachiyappan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467441378 PECOS PAC ID: 2961694815 Enrollment ID: I20101011000217 |
| Provider Name | Michael L Whaley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316989916 PECOS PAC ID: 4981720760 Enrollment ID: I20101011000261 |
| Provider Name | Robert C Debiase |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083679708 PECOS PAC ID: 8729103809 Enrollment ID: I20101011000452 |
| Provider Name | Johnny Chang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619975182 PECOS PAC ID: 6608974340 Enrollment ID: I20110110000788 |
| Provider Name | Fawad A Kazi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679767115 PECOS PAC ID: 8628267242 Enrollment ID: I20110113001133 |
| Provider Name | Nirmal B Kathuria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962545319 PECOS PAC ID: 0143409334 Enrollment ID: I20110120000003 |
| Provider Name | Nasima Banerjee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770578320 PECOS PAC ID: 5698955839 Enrollment ID: I20110205000000 |
| Provider Name | Michele Normandin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952399552 PECOS PAC ID: 6507046745 Enrollment ID: I20110205000001 |
| Provider Name | Rupalini Rawal-dhingra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588971998 PECOS PAC ID: 2961689005 Enrollment ID: I20110527000093 |
| Provider Name | Vijai B Muthukrishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003016270 PECOS PAC ID: 3678750494 Enrollment ID: I20110603000414 |
| Provider Name | James T Sayre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558377705 PECOS PAC ID: 6103723234 Enrollment ID: I20110802000398 |
| Provider Name | Marie Carl Eugene |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073703815 PECOS PAC ID: 5991974941 Enrollment ID: I20110808000468 |
| Provider Name | Shatya Chittoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982922332 PECOS PAC ID: 0547430274 Enrollment ID: I20110907000818 |
| Provider Name | Marlene A Murphy-setzko |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487674164 PECOS PAC ID: 5294813671 Enrollment ID: I20110929000023 |
| Provider Name | Kumuda Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548424484 PECOS PAC ID: 7113105081 Enrollment ID: I20111018000596 |
| Provider Name | Julie D Sacharko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063700995 PECOS PAC ID: 0648442442 Enrollment ID: I20111019000859 |
| Provider Name | Christine M Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124316419 PECOS PAC ID: 6002089182 Enrollment ID: I20111107000068 |
| Provider Name | Peter F Daddario |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891874376 PECOS PAC ID: 3870621428 Enrollment ID: I20120124000267 |
| Provider Name | Jayne C Cluett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861573123 PECOS PAC ID: 6901064922 Enrollment ID: I20120222000743 |
| Provider Name | Lucia C Benzoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285660308 PECOS PAC ID: 9537329321 Enrollment ID: I20120403000003 |
| Provider Name | Charles Ekanem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598060907 PECOS PAC ID: 6709054307 Enrollment ID: I20120604000193 |
| Provider Name | Kristofer A Bagdasarian |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588848774 PECOS PAC ID: 0749446045 Enrollment ID: I20120731000330 |
| Provider Name | Aericka R Khongdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710234448 PECOS PAC ID: 7113177601 Enrollment ID: I20121018000135 |
| Provider Name | Rebecca Roben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053408963 PECOS PAC ID: 8729092499 Enrollment ID: I20130528000245 |
| Provider Name | Alison D Sturm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316025661 PECOS PAC ID: 2062685381 Enrollment ID: I20130621000002 |
| Provider Name | Susan Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366886301 PECOS PAC ID: 7810137361 Enrollment ID: I20130708000125 |
| Provider Name | Shweta Upadhyay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164782835 PECOS PAC ID: 5193966695 Enrollment ID: I20130725000710 |
| Provider Name | Ma Margarita Christine P Reyes |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194050179 PECOS PAC ID: 3173765047 Enrollment ID: I20130806000919 |
| Provider Name | Genevieve A Henry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891956827 PECOS PAC ID: 4284877341 Enrollment ID: I20130821000822 |
| Provider Name | Toshita Kumar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447392485 PECOS PAC ID: 6709010226 Enrollment ID: I20131015002239 |
| Provider Name | Julia M Toto |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407018419 PECOS PAC ID: 8426220500 Enrollment ID: I20131024000879 |
| Provider Name | Muhammad Aftab Zubairi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770916355 PECOS PAC ID: 0840426532 Enrollment ID: I20131203000451 |
| Provider Name | Cara E Pittari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548493273 PECOS PAC ID: 9537388228 Enrollment ID: I20140911000108 |
| Provider Name | Rengarajan Janakiraman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407173479 PECOS PAC ID: 4587884424 Enrollment ID: I20140929000006 |
| Provider Name | Vanessa C Malit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982865085 PECOS PAC ID: 2860613643 Enrollment ID: I20141020001810 |
| Provider Name | Salil Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770804536 PECOS PAC ID: 1355581299 Enrollment ID: I20141126000777 |
| Provider Name | Keona A Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841688553 PECOS PAC ID: 1254658990 Enrollment ID: I20150318000657 |
| Provider Name | Angelo De Los Angeles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326386475 PECOS PAC ID: 0941511372 Enrollment ID: I20150625001615 |
| Provider Name | Liran Blum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306007455 PECOS PAC ID: 7810057676 Enrollment ID: I20150914001225 |
| Provider Name | Jose Montes-rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700183613 PECOS PAC ID: 3779890207 Enrollment ID: I20150916001978 |
| Provider Name | Ketankumar R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659761948 PECOS PAC ID: 7113235011 Enrollment ID: I20150925001565 |
| Provider Name | Archana Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851524557 PECOS PAC ID: 3678881414 Enrollment ID: I20150929000809 |
| Provider Name | Ursula L Chock-harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609014331 PECOS PAC ID: 9436456811 Enrollment ID: I20160330001053 |
| Provider Name | Zofia Stec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639567530 PECOS PAC ID: 9739408386 Enrollment ID: I20160524000162 |
| Provider Name | Dorota M Urban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689047698 PECOS PAC ID: 4880984616 Enrollment ID: I20160606002701 |
| Provider Name | Zack Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861831505 PECOS PAC ID: 3476849803 Enrollment ID: I20160909002177 |
| Provider Name | Lazar J Greenfield |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841286994 PECOS PAC ID: 4385613181 Enrollment ID: I20160912000298 |
| Provider Name | Angela O Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477092773 PECOS PAC ID: 0143506923 Enrollment ID: I20170410001453 |
| Provider Name | Carissa Webster Lake |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134448269 PECOS PAC ID: 9830467935 Enrollment ID: I20170614000363 |
| Provider Name | Benjamin Ristau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588891196 PECOS PAC ID: 0345553350 Enrollment ID: I20170712003134 |
| Provider Name | Robert C Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457644668 PECOS PAC ID: 1355560178 Enrollment ID: I20170802001631 |
| Provider Name | Kai H Hammerich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639308810 PECOS PAC ID: 4183996549 Enrollment ID: I20170818001942 |
| Provider Name | Michele P Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548784796 PECOS PAC ID: 6002180338 Enrollment ID: I20170925002674 |
| Provider Name | Kerry-ann Alecia Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912424359 PECOS PAC ID: 9931475928 Enrollment ID: I20171018002670 |
| Provider Name | Anthonette Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528583176 PECOS PAC ID: 3274809918 Enrollment ID: I20171024002101 |
| Provider Name | Tina M Hinchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851808943 PECOS PAC ID: 5799045787 Enrollment ID: I20180213001442 |
| Provider Name | Asha Dusad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427498120 PECOS PAC ID: 4981909231 Enrollment ID: I20180522001878 |
| Provider Name | Phillip Ulyanovskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821471665 PECOS PAC ID: 8325395403 Enrollment ID: I20180719003927 |
| Provider Name | Merva E Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225564412 PECOS PAC ID: 9830448059 Enrollment ID: I20180822000521 |
| Provider Name | Kateryna Kurako |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962835538 PECOS PAC ID: 1254555345 Enrollment ID: I20180824000703 |
| Provider Name | Nicholas Desorbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285150946 PECOS PAC ID: 5092072413 Enrollment ID: I20181001002030 |
| Provider Name | Sana M Idrees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407233547 PECOS PAC ID: 9234481664 Enrollment ID: I20181011002088 |
| Provider Name | Mason Peter Leeman-markowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962666545 PECOS PAC ID: 1254500523 Enrollment ID: I20181101002633 |
| Provider Name | James Graham Bittner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215058870 PECOS PAC ID: 2163609488 Enrollment ID: I20190227001539 |
| Provider Name | Ahmed El Baz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437602778 PECOS PAC ID: 4981949336 Enrollment ID: I20190516001558 |
| Provider Name | Ameer Zaighum Rasheed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700154648 PECOS PAC ID: 6800042516 Enrollment ID: I20190625002653 |
| Provider Name | Marisa E Lee Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144670639 PECOS PAC ID: 1254665797 Enrollment ID: I20190703000044 |
| Provider Name | Michael J Naso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538423488 PECOS PAC ID: 2668701947 Enrollment ID: I20190911003102 |
| Provider Name | Crystal D Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952894131 PECOS PAC ID: 2860722410 Enrollment ID: I20190924002071 |
| Provider Name | Christie L Vardhami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013564905 PECOS PAC ID: 8527399492 Enrollment ID: I20191007002356 |
| Provider Name | Matthew J Grosso |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316366792 PECOS PAC ID: 0446584627 Enrollment ID: I20200505001051 |
| Provider Name | Maryann Koprek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184266967 PECOS PAC ID: 6406287960 Enrollment ID: I20200518000277 |
| Provider Name | Dorothy R Carvalho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649813429 PECOS PAC ID: 2365862869 Enrollment ID: I20201022002197 |
| Provider Name | Michael Skolnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144843616 PECOS PAC ID: 1254751571 Enrollment ID: I20201026001160 |
| Provider Name | Richard R Gosselin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972561363 PECOS PAC ID: 9436204286 Enrollment ID: I20201110001140 |
| Provider Name | Khushboo Surti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942815782 PECOS PAC ID: 5799196093 Enrollment ID: I20201117002194 |
| Provider Name | Matthew Bennett Wood Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891220406 PECOS PAC ID: 2769754944 Enrollment ID: I20201117003189 |
| Provider Name | Tanya J Olszewski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962813758 PECOS PAC ID: 5294952578 Enrollment ID: I20201124000310 |
| Provider Name | Evelynn L Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770186967 PECOS PAC ID: 6406268747 Enrollment ID: I20201210001747 |
| Provider Name | Thomas P Oshea |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295796076 PECOS PAC ID: 8325189509 Enrollment ID: I20201215002646 |
| Provider Name | David Hayward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447368576 PECOS PAC ID: 9234282823 Enrollment ID: I20201229000502 |
| Provider Name | Gretchen Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881294486 PECOS PAC ID: 7315350139 Enrollment ID: I20210114002840 |
| Provider Name | Alyssa Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225638299 PECOS PAC ID: 1658785670 Enrollment ID: I20210202001557 |
| Provider Name | Kyle P Lavery |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053624148 PECOS PAC ID: 4385951631 Enrollment ID: I20210401001791 |
| Provider Name | Richard K Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003858952 PECOS PAC ID: 7618979022 Enrollment ID: I20210413000623 |
| Provider Name | Pallavi Rath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477906600 PECOS PAC ID: 7911291281 Enrollment ID: I20210526000178 |
| Provider Name | Radhika Parikh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386990216 PECOS PAC ID: 7810124146 Enrollment ID: I20210603000500 |
| Provider Name | Ashley Verceles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063999332 PECOS PAC ID: 7719223908 Enrollment ID: I20210608000294 |
| Provider Name | Alison K Sarokhan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821476706 PECOS PAC ID: 1850692252 Enrollment ID: I20210901003086 |
| Provider Name | Matthew R Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447928445 PECOS PAC ID: 7315344678 Enrollment ID: I20210929001595 |
| Provider Name | Venkatesha G S Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245218817 PECOS PAC ID: 6608820998 Enrollment ID: I20211119002302 |
| Provider Name | Morenikeji Ayodele Buraimoh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356603260 PECOS PAC ID: 0244463180 Enrollment ID: I20220103000786 |
| Provider Name | Vasile N Popa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508245572 PECOS PAC ID: 4284963109 Enrollment ID: I20220419000375 |
| Provider Name | Barry Menna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568442390 PECOS PAC ID: 1759348824 Enrollment ID: I20220419001952 |
| Provider Name | Aftab Awan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316971880 PECOS PAC ID: 2860473998 Enrollment ID: I20220423000059 |
| Provider Name | J. Kevin Shushtari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417923160 PECOS PAC ID: 1153221015 Enrollment ID: I20220519001287 |
| Provider Name | Christon Grant |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750811949 PECOS PAC ID: 1557740057 Enrollment ID: I20220613002934 |
| Provider Name | Khary Edwards |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457889024 PECOS PAC ID: 0143593681 Enrollment ID: I20220627003463 |
| Provider Name | Du H Jun |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972090850 PECOS PAC ID: 5991109449 Enrollment ID: I20220721000934 |
| Provider Name | Vincent Desantis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972063741 PECOS PAC ID: 0446631477 Enrollment ID: I20220721001502 |
| Provider Name | Swarnalatha Uday Sumathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689236309 PECOS PAC ID: 3476934472 Enrollment ID: I20220722000433 |
| Provider Name | Tatiana Panea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841922952 PECOS PAC ID: 5698156461 Enrollment ID: I20220726000508 |
| Provider Name | Alaina Mandrapilias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932760691 PECOS PAC ID: 2466783295 Enrollment ID: I20220728001579 |
| Provider Name | Aditi More |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407416506 PECOS PAC ID: 2365779360 Enrollment ID: I20220808002096 |
| Provider Name | Ashley A Goad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326776162 PECOS PAC ID: 6608243969 Enrollment ID: I20221031001284 |
| Provider Name | Umair Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962982512 PECOS PAC ID: 4880068824 Enrollment ID: I20230321000450 |
| Provider Name | Mona Taleb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023306875 PECOS PAC ID: 9436457371 Enrollment ID: I20230503001163 |
| Provider Name | Amir Lebaschi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538690854 PECOS PAC ID: 1052683190 Enrollment ID: I20231221003836 |
| Provider Name | Noelle A Beauchemin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578099313 PECOS PAC ID: 8729357389 Enrollment ID: I20240125003120 |
| Provider Name | Marybeth Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699459354 PECOS PAC ID: 3375986680 Enrollment ID: I20240202003057 |
Hospital Internists Of Bristol, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3313 Fax: 860-585-3500 | |
Wheeler Clinic Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 860-793-3500 | |
Pediatric Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Bristol, CT 06010 Phone: 860-589-5230 Fax: 860-589-5297 | |
Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 395 N Main St, Bristol, CT 06010 Phone: 860-585-5000 Fax: 860-585-5050 | |
Wheeler Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Bristol, CT 06010 Phone: 888-793-3500 | |
Gary Miller Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 61 Bradley St, Bristol, CT 06010 Phone: 860-314-6898 Fax: 860-314-6896 | |
Wheeler Clinic Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 N Main St, Bristol, CT 06010 Phone: 888-793-3500 |