| Prime Healthcare, Pc | |
|
30 Jordan Ln Wethersfield CT 06109-1278 | |
| (860) 263-0253 | |
| (860) 263-0262 |
| Full Name | Prime Healthcare, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Jordan Ln, Wethersfield, Connecticut |
| Authorized Official Name and Position | Susan Albano (CEO) |
| Authorized Official Contact | 8602630253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare, Pc 30 Jordan Ln Wethersfield CT 06109-1278 Ph: (860) 263-0253 | Prime Healthcare, Pc 30 Jordan Ln Wethersfield CT 06109-1278 Ph: (860) 263-0253 |
| NPI Number | 1184819302 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 08/03/2015 |
| Medicare PECOS PAC ID | 6709787930 |
|---|---|
| Medicare Enrollment ID | O20040121000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184819302 | NPI | - | NPPES |
| 004201480 | Medicaid | CT | |
| 008058707 | Medicaid | CT | |
| 004185147 | Medicaid | CT |
| Provider Name | Fielding Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346336237 PECOS PAC ID: 0345140927 Enrollment ID: I20040114000083 |
| Provider Name | Carol A Petruff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083691794 PECOS PAC ID: 0749181964 Enrollment ID: I20040120000244 |
| Provider Name | E Spencer Joslin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760450886 PECOS PAC ID: 8729980115 Enrollment ID: I20040126000311 |
| Provider Name | Herbert Dimeola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528024015 PECOS PAC ID: 6608855192 Enrollment ID: I20040802001437 |
| Provider Name | Alberto Juan Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316967037 PECOS PAC ID: 9830164623 Enrollment ID: I20040826000578 |
| Provider Name | Jorge Luis Diez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316940463 PECOS PAC ID: 5799776902 Enrollment ID: I20040827000183 |
| Provider Name | Gerald A Valletta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417991688 PECOS PAC ID: 2466427620 Enrollment ID: I20040831000882 |
| Provider Name | Katherine Thomsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659344174 PECOS PAC ID: 4486621539 Enrollment ID: I20040916000815 |
| Provider Name | Michelle C Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578604666 PECOS PAC ID: 7911976675 Enrollment ID: I20040929000451 |
| Provider Name | Cristina Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376549477 PECOS PAC ID: 3173592771 Enrollment ID: I20040930000303 |
| Provider Name | Rolf W Knoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881696193 PECOS PAC ID: 3375530660 Enrollment ID: I20050502000478 |
| Provider Name | Rebekah Pointek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144299694 PECOS PAC ID: 2860429248 Enrollment ID: I20050719000153 |
| Provider Name | Tapas Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861491839 PECOS PAC ID: 0143251041 Enrollment ID: I20050830000451 |
| Provider Name | Paula C Rocha |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1659457638 PECOS PAC ID: 0648202382 Enrollment ID: I20050902000201 |
| Provider Name | Leeanne E Shaw Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487727228 PECOS PAC ID: 3779504436 Enrollment ID: I20051209000600 |
| Provider Name | Elizabeth M B Visone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114924172 PECOS PAC ID: 4880602903 Enrollment ID: I20060331000366 |
| Provider Name | Keryn Rausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316036940 PECOS PAC ID: 2668470717 Enrollment ID: I20061128000150 |
| Provider Name | Wayne C Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679640841 PECOS PAC ID: 4688777469 Enrollment ID: I20070315000341 |
| Provider Name | Anthony M Roselli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518970425 PECOS PAC ID: 6608975578 Enrollment ID: I20070620000035 |
| Provider Name | Adarsh A Jha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710188685 PECOS PAC ID: 7315031440 Enrollment ID: I20070920000508 |
| Provider Name | Shauna A Rago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457544728 PECOS PAC ID: 8123114238 Enrollment ID: I20071022000212 |
| Provider Name | Guy T Trono |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487670071 PECOS PAC ID: 7113005596 Enrollment ID: I20080514000849 |
| Provider Name | Deborah A Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356508691 PECOS PAC ID: 4183797186 Enrollment ID: I20080724000385 |
| Provider Name | Arvind Suri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780856252 PECOS PAC ID: 3072671882 Enrollment ID: I20081023000354 |
| Provider Name | David P Grise |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982681599 PECOS PAC ID: 4880783646 Enrollment ID: I20081028000188 |
| Provider Name | Golam R Gazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427076330 PECOS PAC ID: 1153489745 Enrollment ID: I20081029000459 |
| Provider Name | Jocelyn S Libros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619128956 PECOS PAC ID: 1153488838 Enrollment ID: I20090325000017 |
| Provider Name | Janice Whedon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942460159 PECOS PAC ID: 9931257805 Enrollment ID: I20090504000005 |
| Provider Name | Marie E Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568619302 PECOS PAC ID: 0143370874 Enrollment ID: I20090618000049 |
| Provider Name | Jacob Zamstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619969094 PECOS PAC ID: 4284772898 Enrollment ID: I20091118000532 |
| Provider Name | William R Preskenis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104803808 PECOS PAC ID: 9133218993 Enrollment ID: I20091201000661 |
| Provider Name | Ronald P Josephson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639156250 PECOS PAC ID: 0941349161 Enrollment ID: I20091201000670 |
| Provider Name | M Nathan Lassman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629040357 PECOS PAC ID: 1052400819 Enrollment ID: I20091202000044 |
| Provider Name | Ronald E Kimmel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649257338 PECOS PAC ID: 4789773540 Enrollment ID: I20091202000198 |
| Provider Name | Nanette H Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568449262 PECOS PAC ID: 2062551120 Enrollment ID: I20091202000466 |
| Provider Name | Jennifer L Karanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295712826 PECOS PAC ID: 2365581436 Enrollment ID: I20091202000553 |
| Provider Name | John W Rodgers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588641112 PECOS PAC ID: 2062314131 Enrollment ID: I20091202000589 |
| Provider Name | Philip J Karanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437136132 PECOS PAC ID: 5799874558 Enrollment ID: I20091203000370 |
| Provider Name | Frederick J Pope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912984618 PECOS PAC ID: 7315036175 Enrollment ID: I20091203000486 |
| Provider Name | Sybil L Sandoval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407833106 PECOS PAC ID: 5890834832 Enrollment ID: I20091203000515 |
| Provider Name | Brian M Vanlinda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578540100 PECOS PAC ID: 1759283823 Enrollment ID: I20091207000562 |
| Provider Name | Alan Soroka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720065428 PECOS PAC ID: 4486743242 Enrollment ID: I20091209000330 |
| Provider Name | George M Donahue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710964325 PECOS PAC ID: 1254420011 Enrollment ID: I20091209000473 |
| Provider Name | Wayne C Paulekas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730166422 PECOS PAC ID: 7416859582 Enrollment ID: I20091230000598 |
| Provider Name | Gregory C Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063496883 PECOS PAC ID: 5294776597 Enrollment ID: I20100108000405 |
| Provider Name | Matthew Colliton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609853126 PECOS PAC ID: 1456392752 Enrollment ID: I20100108000438 |
| Provider Name | Anthony Zaldonis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144207853 PECOS PAC ID: 4688763444 Enrollment ID: I20100109000214 |
| Provider Name | Maria C Renna |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164750030 PECOS PAC ID: 5395873178 Enrollment ID: I20100514000877 |
| Provider Name | Ronald Buckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871561092 PECOS PAC ID: 4385709179 Enrollment ID: I20100908000165 |
| Provider Name | Sandra C Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316931249 PECOS PAC ID: 7911049838 Enrollment ID: I20110203001031 |
| Provider Name | Hollie S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245531771 PECOS PAC ID: 7416139050 Enrollment ID: I20110303000399 |
| Provider Name | Erica H Lambert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285803528 PECOS PAC ID: 5092888479 Enrollment ID: I20110829000471 |
| Provider Name | Polina M Melamud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821376740 PECOS PAC ID: 0042480188 Enrollment ID: I20110830000038 |
| Provider Name | Peter Bosco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992725683 PECOS PAC ID: 2668550047 Enrollment ID: I20110930000466 |
| Provider Name | Janine M Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609841147 PECOS PAC ID: 0143487900 Enrollment ID: I20120206000707 |
| Provider Name | Suzette M Orzechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962779058 PECOS PAC ID: 8022276070 Enrollment ID: I20120221001097 |
| Provider Name | Jennifer H Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952666174 PECOS PAC ID: 2163678954 Enrollment ID: I20120810000036 |
| Provider Name | Serita Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417203142 PECOS PAC ID: 2062661085 Enrollment ID: I20121009000005 |
| Provider Name | Amber Christel Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821426487 PECOS PAC ID: 6406087204 Enrollment ID: I20140319002388 |
| Provider Name | Lydia R Roldan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548280175 PECOS PAC ID: 3678706801 Enrollment ID: I20140423002374 |
| Provider Name | Jason T Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568552826 PECOS PAC ID: 8224251079 Enrollment ID: I20140522002169 |
| Provider Name | Kathi J Karp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265855068 PECOS PAC ID: 0345467924 Enrollment ID: I20140805000967 |
| Provider Name | Swapnil D Munsaf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891811188 PECOS PAC ID: 2264688068 Enrollment ID: I20140820000721 |
| Provider Name | John Kouch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801024476 PECOS PAC ID: 5294955787 Enrollment ID: I20141006000255 |
| Provider Name | Lynne E Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134528946 PECOS PAC ID: 7012139645 Enrollment ID: I20141114000028 |
| Provider Name | Sandra A Criscuolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487052189 PECOS PAC ID: 3577887785 Enrollment ID: I20150116001637 |
| Provider Name | Catherine Louise Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629462940 PECOS PAC ID: 0345560009 Enrollment ID: I20150520000527 |
| Provider Name | Dmitry A Albin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295906345 PECOS PAC ID: 8729148010 Enrollment ID: I20150602000512 |
| Provider Name | Loreen M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285003988 PECOS PAC ID: 5193025278 Enrollment ID: I20151120001785 |
| Provider Name | Roshelle Tappin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821454158 PECOS PAC ID: 2961701602 Enrollment ID: I20160429001483 |
| Provider Name | Gerard J Pregenzer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457647281 PECOS PAC ID: 0345531976 Enrollment ID: I20160629000037 |
| Provider Name | Thomas J Corredine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417214214 PECOS PAC ID: 4789986399 Enrollment ID: I20160802000132 |
| Provider Name | Kara S Nelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902350382 PECOS PAC ID: 9739467978 Enrollment ID: I20161024000771 |
| Provider Name | Aida Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932204948 PECOS PAC ID: 9537150594 Enrollment ID: I20170117000156 |
| Provider Name | Jennifer Jerome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134661531 PECOS PAC ID: 8729361845 Enrollment ID: I20170215000203 |
| Provider Name | Sarah E Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811437049 PECOS PAC ID: 7719262807 Enrollment ID: I20170403001800 |
| Provider Name | Donna M Witkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649795055 PECOS PAC ID: 6507130010 Enrollment ID: I20170922000025 |
| Provider Name | Marcy A Calsetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184140394 PECOS PAC ID: 5496021735 Enrollment ID: I20171101000387 |
| Provider Name | Meghan Philips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538687884 PECOS PAC ID: 6406114313 Enrollment ID: I20171226001569 |
| Provider Name | Sarah Yiznitsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285164111 PECOS PAC ID: 6901161413 Enrollment ID: I20180605001172 |
| Provider Name | Melanie Elizabeth Tidmarsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346729928 PECOS PAC ID: 5496006074 Enrollment ID: I20180920001305 |
| Provider Name | Jennifer Lewis Pyrro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871075671 PECOS PAC ID: 0840541421 Enrollment ID: I20180920001333 |
| Provider Name | Ablan Berko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053749812 PECOS PAC ID: 9739317363 Enrollment ID: I20190114002298 |
| Provider Name | Jude Martine Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013574425 PECOS PAC ID: 8527392273 Enrollment ID: I20190628001889 |
| Provider Name | Evelyn Boateng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588154363 PECOS PAC ID: 7416281910 Enrollment ID: I20190702002327 |
| Provider Name | Radhika Naga Ayyagari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598109753 PECOS PAC ID: 9335431386 Enrollment ID: I20190703000610 |
| Provider Name | Lisa Anne Knoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740766500 PECOS PAC ID: 0446585988 Enrollment ID: I20190705000691 |
| Provider Name | Sohaib Jamil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417215161 PECOS PAC ID: 6709111453 Enrollment ID: I20190717002236 |
| Provider Name | Kawarjeet Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780098541 PECOS PAC ID: 1759652613 Enrollment ID: I20190918000983 |
| Provider Name | Michele Bowdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629215066 PECOS PAC ID: 5496801532 Enrollment ID: I20191111002512 |
| Provider Name | Patrene Rhoden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750924429 PECOS PAC ID: 7214369909 Enrollment ID: I20191119000517 |
| Provider Name | Susan Elizabeth Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891337952 PECOS PAC ID: 4183057383 Enrollment ID: I20191202001126 |
| Provider Name | Meagan Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871135962 PECOS PAC ID: 3476987843 Enrollment ID: I20191218002684 |
| Provider Name | Brooke M P Chaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003425745 PECOS PAC ID: 6002228855 Enrollment ID: I20201218001876 |
| Provider Name | Kristina Maria Deconti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003491036 PECOS PAC ID: 9739596057 Enrollment ID: I20210401001078 |
| Provider Name | Shanta Tiffany Shepherd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174986756 PECOS PAC ID: 1254626518 Enrollment ID: I20210809003532 |
| Provider Name | Roslyn Clarissa Forde-tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417620600 PECOS PAC ID: 3678979903 Enrollment ID: I20210910002100 |
| Provider Name | Jennifer Elizabeth Baranowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336813393 PECOS PAC ID: 1052717162 Enrollment ID: I20210914003174 |
| Provider Name | Garrett Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174149462 PECOS PAC ID: 3274922125 Enrollment ID: I20211115000805 |
| Provider Name | Ruby May Morant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699431916 PECOS PAC ID: 1153714829 Enrollment ID: I20220202001581 |
| Provider Name | Michael E Goltzman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326570722 PECOS PAC ID: 8123390457 Enrollment ID: I20220531001717 |
| Provider Name | Kayla Kriscenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609321801 PECOS PAC ID: 5597043158 Enrollment ID: I20220606001435 |
| Provider Name | Saumya Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770046369 PECOS PAC ID: 9739560871 Enrollment ID: I20220720001670 |
| Provider Name | Lindsey Petrangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023614286 PECOS PAC ID: 6002221504 Enrollment ID: I20220726000829 |
| Provider Name | Elayna Joy Lindblom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821607672 PECOS PAC ID: 8921480369 Enrollment ID: I20220802002977 |
| Provider Name | Samuel Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942735659 PECOS PAC ID: 9931586765 Enrollment ID: I20220802003656 |
| Provider Name | Jasveen Batra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497218986 PECOS PAC ID: 6800129719 Enrollment ID: I20220806000257 |
| Provider Name | Deanna Elizabeth Cabrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275027690 PECOS PAC ID: 9537556568 Enrollment ID: I20230821001700 |
| Provider Name | Aaron J Turnquist |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649776345 PECOS PAC ID: 6901154665 Enrollment ID: I20230821003272 |
| Provider Name | Kristen Baer Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922786581 PECOS PAC ID: 0244694644 Enrollment ID: I20230919001855 |
| Provider Name | Monique Marie Brunelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770368532 PECOS PAC ID: 3274987607 Enrollment ID: I20231003003117 |
| Provider Name | Erin Kathleen Bamback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528834983 PECOS PAC ID: 2365895950 Enrollment ID: I20240131000579 |
Josephine Contrino Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 Beaver Rd, Suite 1a, Wethersfield, CT 06109 Phone: 860-721-9444 Fax: 860-257-3056 | |
Mwl-wethersfield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1283 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-249-8659 | |
Afc Physicians Of Connecticut, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 672 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-967-3600 | |
Askari H. Jafri, M.d., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Silas Deane Hwy, Fl 2, Wethersfield, CT 06109 Phone: 860-513-1288 Fax: 860-331-8821 | |
Starling Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-832-4666 | |
1271972 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 672 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-967-3600 Fax: 860-967-3610 |