| Mhs Primary Care, Inc | |
|
28 Crescent St Middletown CT 06457-3654 | |
| (860) 358-4820 | |
| (860) 358-8661 |
| Full Name | Mhs Primary Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 28 Crescent St, Middletown, Connecticut |
| Authorized Official Name and Position | Susan Martin (VP FINANCE) |
| Authorized Official Contact | 8603583005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhs Primary Care, Inc 28 Crescent St Middletown CT 06457-3654 Ph: (860) 358-4820 | Mhs Primary Care, Inc 28 Crescent St Middletown CT 06457-3654 Ph: (860) 358-4820 |
| NPI Number | 1336279058 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 05/03/2021 |
| Medicare PECOS PAC ID | 4082507371 |
|---|---|
| Medicare Enrollment ID | O20040202000945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336279058 | NPI | - | NPPES |
| 04201084 | Medicaid | CT | |
| 04173259 | Medicaid | CT | |
| 008073532 | Medicaid | CT | |
| 04181343 | Medicaid | CT |
| Provider Name | May S Habboosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780621946 PECOS PAC ID: 9436056645 Enrollment ID: I20031216000692 |
| Provider Name | Pamela M Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043321474 PECOS PAC ID: 7517951304 Enrollment ID: I20040414000027 |
| Provider Name | Carla E Mcleod |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669424248 PECOS PAC ID: 9133192727 Enrollment ID: I20040812001187 |
| Provider Name | John Carbone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366487563 PECOS PAC ID: 9335180223 Enrollment ID: I20050520000596 |
| Provider Name | Elizabeth A Fabrizi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275636292 PECOS PAC ID: 9234148370 Enrollment ID: I20060418000316 |
| Provider Name | Amy K Brown |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518900133 PECOS PAC ID: 5294748901 Enrollment ID: I20060725000358 |
| Provider Name | Maureen C Bracco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326072166 PECOS PAC ID: 6002813979 Enrollment ID: I20061107000346 |
| Provider Name | Deidre Pagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740390103 PECOS PAC ID: 8325048911 Enrollment ID: I20070104000404 |
| Provider Name | Elizabeth K Nelligan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174663884 PECOS PAC ID: 1456453364 Enrollment ID: I20070223000398 |
| Provider Name | Millicent M Malcolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255418414 PECOS PAC ID: 2769586155 Enrollment ID: I20070323000363 |
| Provider Name | David Parmelee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124123518 PECOS PAC ID: 5294839262 Enrollment ID: I20070330000384 |
| Provider Name | Malisa L Lahtinen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346371465 PECOS PAC ID: 5991890717 Enrollment ID: I20071009000026 |
| Provider Name | Elin L Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356534457 PECOS PAC ID: 9335238484 Enrollment ID: I20071128000096 |
| Provider Name | Rosemarie G Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396930491 PECOS PAC ID: 4082795950 Enrollment ID: I20080116000732 |
| Provider Name | Shane T Ridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780884569 PECOS PAC ID: 8224116306 Enrollment ID: I20080416000010 |
| Provider Name | Edward G Myer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487845541 PECOS PAC ID: 4688746548 Enrollment ID: I20080709000512 |
| Provider Name | Richard O Frink |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306941067 PECOS PAC ID: 3678645520 Enrollment ID: I20080709000551 |
| Provider Name | Laura G Bony |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750436119 PECOS PAC ID: 9931277753 Enrollment ID: I20081007000484 |
| Provider Name | Louise M Maloney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801825799 PECOS PAC ID: 1052479144 Enrollment ID: I20081017000527 |
| Provider Name | Timothy A Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184669566 PECOS PAC ID: 6406995307 Enrollment ID: I20091207000379 |
| Provider Name | Keith Sinusas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063482909 PECOS PAC ID: 8527108737 Enrollment ID: I20091221000092 |
| Provider Name | Wendy M Griswold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639406184 PECOS PAC ID: 5991847071 Enrollment ID: I20100128000029 |
| Provider Name | Stephen J Siegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376570168 PECOS PAC ID: 4587707187 Enrollment ID: I20100204000443 |
| Provider Name | Robert W Kyrcz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346253457 PECOS PAC ID: 7517098403 Enrollment ID: I20100621000476 |
| Provider Name | Christopher S Curdo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497766422 PECOS PAC ID: 7416088307 Enrollment ID: I20100621000493 |
| Provider Name | Linda Jean Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245216787 PECOS PAC ID: 4981736824 Enrollment ID: I20100713000402 |
| Provider Name | Michael P Spada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336348887 PECOS PAC ID: 0547393100 Enrollment ID: I20100803000362 |
| Provider Name | Kathryn M Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649357807 PECOS PAC ID: 8527191725 Enrollment ID: I20100809000012 |
| Provider Name | Jennifer P Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134223654 PECOS PAC ID: 6406944115 Enrollment ID: I20100911000131 |
| Provider Name | Jonathan S Aranow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922176825 PECOS PAC ID: 8921123027 Enrollment ID: I20100913001017 |
| Provider Name | Andrea M Malon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306825609 PECOS PAC ID: 5597826487 Enrollment ID: I20101013000494 |
| Provider Name | Peter S Romeyn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720068406 PECOS PAC ID: 2466513486 Enrollment ID: I20101215000633 |
| Provider Name | Johnny Chang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619975182 PECOS PAC ID: 6608974340 Enrollment ID: I20110110000788 |
| Provider Name | Fawzu F Mohammadu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235345430 PECOS PAC ID: 0749372142 Enrollment ID: I20110115000007 |
| Provider Name | Julie S Flagg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760435879 PECOS PAC ID: 7810883147 Enrollment ID: I20110211000179 |
| Provider Name | Anne S Bingham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578516688 PECOS PAC ID: 9133309602 Enrollment ID: I20110216000053 |
| Provider Name | Margaret Healther Einstein |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1295791705 PECOS PAC ID: 3870667728 Enrollment ID: I20110606000414 |
| Provider Name | Timothy C Siegrist |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720279946 PECOS PAC ID: 1759569437 Enrollment ID: I20110628000538 |
| Provider Name | James Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083932719 PECOS PAC ID: 2567594518 Enrollment ID: I20110919000134 |
| Provider Name | Israel Cordero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124281613 PECOS PAC ID: 3577719830 Enrollment ID: I20120802000297 |
| Provider Name | Nikolaos Vassiliou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851554349 PECOS PAC ID: 1759537509 Enrollment ID: I20120809000519 |
| Provider Name | Jonathan A Cosin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417936139 PECOS PAC ID: 3173709920 Enrollment ID: I20121011000526 |
| Provider Name | Julie Ann Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316299704 PECOS PAC ID: 3971756974 Enrollment ID: I20121226000001 |
| Provider Name | Nathan W Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174868095 PECOS PAC ID: 0345494373 Enrollment ID: I20130129000201 |
| Provider Name | Matthew F Nichols |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093028052 PECOS PAC ID: 8426298324 Enrollment ID: I20130716000769 |
| Provider Name | Kenneth M Schwartz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164606372 PECOS PAC ID: 1456593359 Enrollment ID: I20130806000002 |
| Provider Name | Nazmiye Esra Hatiboglu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225266547 PECOS PAC ID: 7911144761 Enrollment ID: I20130926000574 |
| Provider Name | Madeline Munn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174957476 PECOS PAC ID: 7719113463 Enrollment ID: I20131202001026 |
| Provider Name | Nicole M Kirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447672233 PECOS PAC ID: 7719118546 Enrollment ID: I20140320001027 |
| Provider Name | Jennifer Sutherland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063621829 PECOS PAC ID: 2365535788 Enrollment ID: I20140425001629 |
| Provider Name | Suzanne P Tingley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063834448 PECOS PAC ID: 2860615283 Enrollment ID: I20140603001012 |
| Provider Name | Jessica A Terrone Roehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710206339 PECOS PAC ID: 6002056405 Enrollment ID: I20140917000562 |
| Provider Name | Alexandra N Schain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578973905 PECOS PAC ID: 1850511973 Enrollment ID: I20141013000523 |
| Provider Name | Marguerite M Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114326261 PECOS PAC ID: 3678794393 Enrollment ID: I20141022001518 |
| Provider Name | Priscilla Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396147005 PECOS PAC ID: 2860714789 Enrollment ID: I20141204000554 |
| Provider Name | Zoe G Mcglamery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013304526 PECOS PAC ID: 6507177946 Enrollment ID: I20150625001874 |
| Provider Name | Justin Caskey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346536398 PECOS PAC ID: 3375781099 Enrollment ID: I20150805008223 |
| Provider Name | Siobhan E Harder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588032866 PECOS PAC ID: 5092015297 Enrollment ID: I20151119001135 |
| Provider Name | Emily Miesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871969998 PECOS PAC ID: 1456651603 Enrollment ID: I20151120000159 |
| Provider Name | Jennifer A Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083087142 PECOS PAC ID: 5991007635 Enrollment ID: I20160112001643 |
| Provider Name | John D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366707580 PECOS PAC ID: 9638319023 Enrollment ID: I20160803001271 |
| Provider Name | Kristen Donato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174888390 PECOS PAC ID: 1153560206 Enrollment ID: I20160810002281 |
| Provider Name | Amanda R Weinberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174973812 PECOS PAC ID: 1052607413 Enrollment ID: I20160912000109 |
| Provider Name | Chia-chi Wang |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1023254273 PECOS PAC ID: 9739230616 Enrollment ID: I20161209001179 |
| Provider Name | Dana U Kivlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679869572 PECOS PAC ID: 0941599419 Enrollment ID: I20170310000583 |
| Provider Name | Kulwinder N Bajwa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952833394 PECOS PAC ID: 8224315346 Enrollment ID: I20170427001267 |
| Provider Name | Carol Standish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219636 PECOS PAC ID: 8820368970 Enrollment ID: I20170721001672 |
| Provider Name | Amy R Scheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437687282 PECOS PAC ID: 0749551125 Enrollment ID: I20170803000295 |
| Provider Name | Meredith Lindner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942616826 PECOS PAC ID: 4183995319 Enrollment ID: I20170807003197 |
| Provider Name | Marc Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720428576 PECOS PAC ID: 8426331208 Enrollment ID: I20170809000391 |
| Provider Name | Patrick T Kehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265872956 PECOS PAC ID: 7214170018 Enrollment ID: I20170816000286 |
| Provider Name | Shelley Burchsted |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235579251 PECOS PAC ID: 8628211224 Enrollment ID: I20170825002352 |
| Provider Name | Jessica Reichbind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417367657 PECOS PAC ID: 8628341757 Enrollment ID: I20170912000198 |
| Provider Name | Ryan Brenza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356331854 PECOS PAC ID: 8325078991 Enrollment ID: I20171012002612 |
| Provider Name | Kittie Lee Spedding |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801083498 PECOS PAC ID: 6305109067 Enrollment ID: I20180410001997 |
| Provider Name | Grigoriy Vitalyevich Klimovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932545399 PECOS PAC ID: 3870841364 Enrollment ID: I20180731001160 |
| Provider Name | Mary Elizabeth Van Siclen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730590860 PECOS PAC ID: 5092033597 Enrollment ID: I20181003002665 |
| Provider Name | Marguerite Palisoul |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1235425521 PECOS PAC ID: 8921390535 Enrollment ID: I20181012000615 |
| Provider Name | Stephanie Schmidt |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366854499 PECOS PAC ID: 4981909884 Enrollment ID: I20181106001809 |
| Provider Name | Erin Michele Zaffis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225507361 PECOS PAC ID: 3476899923 Enrollment ID: I20190104000755 |
| Provider Name | Stephen Daniel Socha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013486034 PECOS PAC ID: 0244125573 Enrollment ID: I20190307002955 |
| Provider Name | Daniela Calle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356905590 PECOS PAC ID: 3072846542 Enrollment ID: I20190617000095 |
| Provider Name | Dana Marie Cantiello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518513647 PECOS PAC ID: 7416288329 Enrollment ID: I20191008000607 |
| Provider Name | Jason Mark Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326497876 PECOS PAC ID: 0648566588 Enrollment ID: I20191111000094 |
| Provider Name | Juliette Nedah Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962889337 PECOS PAC ID: 4486942240 Enrollment ID: I20200130002827 |
| Provider Name | Elizabeth Barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790332567 PECOS PAC ID: 1254767387 Enrollment ID: I20200207000839 |
| Provider Name | Peder Johnsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639791577 PECOS PAC ID: 2961823976 Enrollment ID: I20200529002020 |
| Provider Name | Jennifer Worth |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538289269 PECOS PAC ID: 1456441385 Enrollment ID: I20200804002943 |
| Provider Name | Gabrielle Berthiaume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396354973 PECOS PAC ID: 1658799382 Enrollment ID: I20200914000234 |
| Provider Name | Kathleen Frame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033490461 PECOS PAC ID: 6305096439 Enrollment ID: I20201029000875 |
| Provider Name | Kristi Poehlmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194325704 PECOS PAC ID: 9133530843 Enrollment ID: I20201202001245 |
| Provider Name | Marissa Louise Goodnight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982211199 PECOS PAC ID: 1557774635 Enrollment ID: I20210109000072 |
| Provider Name | Kertrisa R Mcwhite |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1023053485 PECOS PAC ID: 9739190471 Enrollment ID: I20210413000506 |
| Provider Name | Daniel A Walker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760820682 PECOS PAC ID: 2466758826 Enrollment ID: I20210624000139 |
| Provider Name | Daniel Henriquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326573072 PECOS PAC ID: 6103194337 Enrollment ID: I20210712002244 |
| Provider Name | Sarah Fortin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043745714 PECOS PAC ID: 0547537094 Enrollment ID: I20210719000020 |
| Provider Name | Mary Louise Burbank |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922647601 PECOS PAC ID: 7113322520 Enrollment ID: I20210824001064 |
| Provider Name | Sommar Otfinoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194392605 PECOS PAC ID: 3779989587 Enrollment ID: I20210902001171 |
| Provider Name | Allegra Ponshock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073001996 PECOS PAC ID: 4587911821 Enrollment ID: I20210922003672 |
| Provider Name | Nicole Sun Cirilli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154948990 PECOS PAC ID: 7214326487 Enrollment ID: I20211109001073 |
| Provider Name | Christina Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851051890 PECOS PAC ID: 0042601072 Enrollment ID: I20211229000973 |
| Provider Name | Danielle Nicole Schweidenback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609534437 PECOS PAC ID: 8729470786 Enrollment ID: I20220125000723 |
| Provider Name | Alyssa Mansfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245994284 PECOS PAC ID: 0446644033 Enrollment ID: I20220224001331 |
| Provider Name | Taylor Griffeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285394007 PECOS PAC ID: 5294120820 Enrollment ID: I20220318000037 |
| Provider Name | Alexandra Anne Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063900983 PECOS PAC ID: 6406103746 Enrollment ID: I20220706003018 |
| Provider Name | Justin T Van Backer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396139762 PECOS PAC ID: 2163768995 Enrollment ID: I20220728002186 |
| Provider Name | Yevgeniya Borovinskaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104314020 PECOS PAC ID: 0648527044 Enrollment ID: I20220817002756 |
| Provider Name | Jonathan Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467940395 PECOS PAC ID: 5294082517 Enrollment ID: I20220817002858 |
| Provider Name | Carly Bendzans |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083002158 PECOS PAC ID: 3173806957 Enrollment ID: I20221221000539 |
| Provider Name | Wendy Baier Cartier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194322883 PECOS PAC ID: 4981074143 Enrollment ID: I20230104000547 |
| Provider Name | Mara Shaw Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851004782 PECOS PAC ID: 0840664603 Enrollment ID: I20230316002651 |
| Provider Name | Taner Ulke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528478138 PECOS PAC ID: 7911293709 Enrollment ID: I20230427001957 |
| Provider Name | Tiffany Simone Olayinka Olier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265894406 PECOS PAC ID: 9133463441 Enrollment ID: I20230718000849 |
| Provider Name | Sona Manoj Sadselia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285298992 PECOS PAC ID: 8325371552 Enrollment ID: I20230724002835 |
| Provider Name | Morgan Bryant Feshler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609552280 PECOS PAC ID: 7012370836 Enrollment ID: I20230828001022 |
| Provider Name | Kalpana Ginugu Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609430354 PECOS PAC ID: 3870826464 Enrollment ID: I20230901002568 |
| Provider Name | Izabela Anna Ferrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548882830 PECOS PAC ID: 1951765445 Enrollment ID: I20230918000668 |
| Provider Name | Paul Ericson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144713819 PECOS PAC ID: 4587910146 Enrollment ID: I20231013000679 |
| Provider Name | Alana Alesse Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407636566 PECOS PAC ID: 9335596154 Enrollment ID: I20231115002109 |
| Provider Name | Gabrielle Schiavone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649750282 PECOS PAC ID: 7810238466 Enrollment ID: I20231213002255 |
| Provider Name | Jessie R Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477012623 PECOS PAC ID: 4587992482 Enrollment ID: I20231222001332 |
| Provider Name | Caitlin Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750154357 PECOS PAC ID: 4486090925 Enrollment ID: I20240307000362 |
| Provider Name | Gina Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972165728 PECOS PAC ID: 6608104963 Enrollment ID: I20240625003893 |
| Provider Name | Jillian Haynes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811524473 PECOS PAC ID: 3678010832 Enrollment ID: I20240806000616 |
| Provider Name | Jonathan Li |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619436169 PECOS PAC ID: 4082941133 Enrollment ID: I20240806000869 |
| Provider Name | Tyler Joseph Ditunno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497521629 PECOS PAC ID: 1254870827 Enrollment ID: I20240827002489 |
| Provider Name | Nikki Santillo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275371486 PECOS PAC ID: 3779022017 Enrollment ID: I20240829003860 |
| Provider Name | Nicholas Alexander Read |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093335903 PECOS PAC ID: 0648691121 Enrollment ID: I20240910001377 |
| Provider Name | Rebekah Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730907148 PECOS PAC ID: 1355875030 Enrollment ID: I20241118002358 |
Ronald B. Robbins, M.d.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 Washington St, Middletown, CT 06457 Phone: 860-346-4484 Fax: 860-347-1343 | |
Revolutionary Recovery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 799 Long Hill Rd Apt D, Middletown, CT 06457 Phone: 860-558-4226 | |
Matthew Raider Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 645 Saybrook Rd, Middletown, CT 06457 Phone: 860-767-4024 | |
Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 635 Main St, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-638-6601 | |
Robbins Medical, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Church St, Suite 600, Middletown, CT 06457 Phone: 860-347-5333 Fax: 860-346-3517 | |
Wesleyan University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 High St, Middletown, CT 06459 Phone: 860-685-3068 Fax: 972-367-3451 | |
Saybrook Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 760 Saybrook Rd, Middletown, CT 06457 Phone: 860-347-3304 Fax: 860-346-8245 |