| Connecticut Gastroenterology Assoc Pc | |
|
1000 Asylum Ave Suite 3212 Hartford CT 06105 | |
| (860) 522-1171 | |
| (860) 493-6524 |
| Full Name | Connecticut Gastroenterology Assoc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Asylum Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Michael Butensky (PRESIDENT) |
| Authorized Official Contact | 8605221171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Gastroenterology Assoc Pc 1000 Asylum Ave Suite 3212 Hartford CT 06105-1770 Ph: (860) 522-1171 | Connecticut Gastroenterology Assoc Pc 1000 Asylum Ave Suite 3212 Hartford CT 06105 Ph: (860) 522-1171 |
| NPI Number | 1700917523 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 06/18/2018 |
| Medicare PECOS PAC ID | 8123083193 |
|---|---|
| Medicare Enrollment ID | O20041201000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700917523 | NPI | - | NPPES |
| C00203 | Other | CT | MEDICARE GROUP NUMBER |
| 004065934 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ajit Kokkat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962438143 PECOS PAC ID: 5395761084 Enrollment ID: I20051021000425 |
| Provider Name | Lisa M Rossi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275653933 PECOS PAC ID: 5991805335 Enrollment ID: I20070713000350 |
| Provider Name | Michael Steven Butensky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487681136 PECOS PAC ID: 5799843397 Enrollment ID: I20101006000165 |
| Provider Name | Martin G Hoffman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922035617 PECOS PAC ID: 0244398832 Enrollment ID: I20101021001254 |
| Provider Name | Amer Skopic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811099104 PECOS PAC ID: 4880868835 Enrollment ID: I20140707000023 |
| Provider Name | Kristin M Kolat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942619853 PECOS PAC ID: 4789804592 Enrollment ID: I20140930000435 |
| Provider Name | Nancy Kang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447570494 PECOS PAC ID: 7517185820 Enrollment ID: I20160629001187 |
| Provider Name | Scott Arnold Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528554094 PECOS PAC ID: 1951636919 Enrollment ID: I20190712001049 |
| Provider Name | Yousaf Shaikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710397740 PECOS PAC ID: 7315246568 Enrollment ID: I20210527001912 |
| Provider Name | Molly Elizabeth Montano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790352433 PECOS PAC ID: 4385045210 Enrollment ID: I20210629001750 |
| Provider Name | Angela Dee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447925128 PECOS PAC ID: 8527459478 Enrollment ID: I20220103001402 |
| Provider Name | Jayna Noreikis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902553076 PECOS PAC ID: 2860879657 Enrollment ID: I20220517001699 |
Charter Oak Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Grand St, Hartford, CT 06106 Phone: 860-550-7500 | |
S Buccheri Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Franklin Ave, Hartford, CT 06114 Phone: 860-707-2798 Fax: 872-241-0517 | |
Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-249-9625 Fax: 860-808-1540 | |
Cleanslate Medical Group Of Connecticut Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Gillett St, Hartford, CT 06105 Phone: 615-425-0220 Fax: 413-727-3619 | |
Robert E. Koorse Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 4303, Hartford, CT 06105 Phone: 860-524-5083 Fax: 860-524-5085 | |
Charter Oak Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 574 Park St, Hartford, CT 06106 Phone: 860-550-7500 | |
Greater Hartford Endocrinology Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Suite 1022, Hartford, CT 06106 Phone: 860-524-1175 Fax: 860-278-3863 |