| Midstate Gastroenterology Specialists Pc | |
|
455 Lewis Ave Suite 105 Meriden CT 06451-2121 | |
| (203) 237-2477 | |
| (203) 238-1839 |
| Full Name | Midstate Gastroenterology Specialists Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 455 Lewis Ave, Meriden, Connecticut |
| Authorized Official Name and Position | David M. Sack (PRESIDENT) |
| Authorized Official Contact | 2032372477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midstate Gastroenterology Specialists Pc 455 Lewis Ave Suite 105 Meriden CT 06451-2121 Ph: (203) 237-2477 | Midstate Gastroenterology Specialists Pc 455 Lewis Ave Suite 105 Meriden CT 06451-2121 Ph: (203) 237-2477 |
| NPI Number | 1487677951 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 09/04/2007 |
| Medicare PECOS PAC ID | 5799678736 |
|---|---|
| Medicare Enrollment ID | O20040204000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487677951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 027392 (Connecticut) | Primary |
| Provider Name | Housein M Wazaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629077714 PECOS PAC ID: 2466345475 Enrollment ID: I20040204000434 |
| Provider Name | Gino H Ang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659355634 PECOS PAC ID: 9436135456 Enrollment ID: I20040629000521 |
| Provider Name | William J Sheetz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689755761 PECOS PAC ID: 7416909148 Enrollment ID: I20050210000700 |
| Provider Name | Muhammad Anwar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730164922 PECOS PAC ID: 8729055256 Enrollment ID: I20051012000674 |
| Provider Name | Ronald Burt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902858731 PECOS PAC ID: 2365437191 Enrollment ID: I20070416000469 |
| Provider Name | Keith C Boldon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316126444 PECOS PAC ID: 6608966437 Enrollment ID: I20071218000053 |
| Provider Name | Phoebe J Leith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134134950 PECOS PAC ID: 8820158918 Enrollment ID: I20081119000404 |
| Provider Name | Ritu Atam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730397753 PECOS PAC ID: 5092864330 Enrollment ID: I20090518000067 |
| Provider Name | Thomas S Jung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285875484 PECOS PAC ID: 2264586411 Enrollment ID: I20090821000522 |
| Provider Name | Cherian S Oommen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336193937 PECOS PAC ID: 6204029309 Enrollment ID: I20101021000636 |
| Provider Name | Madhavi Bhoomagoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265669089 PECOS PAC ID: 4082767090 Enrollment ID: I20140711000275 |
| Provider Name | Christopher C Dow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093829780 PECOS PAC ID: 0749386845 Enrollment ID: I20171127001351 |
| Provider Name | Linda M Trapani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306188446 PECOS PAC ID: 7911297809 Enrollment ID: I20180720001417 |
Lewis Levin Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 High St, Meriden, CT 06450 Phone: 203-238-7646 Fax: 203-238-0225 | |
Lefkowitz & Scollan, M.d.'s,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 E Main St, Meriden, CT 06450 Phone: 203-235-5445 Fax: 203-634-3985 | |
Bailey Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Pomeroy Ave Ste 102, Meriden, CT 06450 Phone: 203-915-0428 | |
David M Taraskevich Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 Liberty St, Meriden, CT 06450 Phone: 203-237-2200 Fax: 203-630-0655 | |
Connecticut Counseling Centers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Pratt St Ste 2312, Meriden, CT 06450 Phone: 203-317-2500 Fax: 203-317-2525 | |
Crossroads Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Broad Street, Meriden, CT 06450 Phone: 203-238-9466 Fax: 203-630-7089 | |
Connecticut Counseling Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Pratt St Ste 2312, Meriden, CT 06450 Phone: 203-317-2500 Fax: 203-317-2525 |