KINGLET URGENT CARE PHYSICIANS LLC (NPI# 1023438983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023438983 |
| Entity Type | Organization |
| Organization Name | KINGLET URGENT CARE PHYSICIANS LLC |
| Practice Address |
831 Boston Post Rd Milford CT 06460-3536 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 2038764101 |
| Mailing Telephone | 4694012386 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |
| Authorized Official Name | RUSSELL HARRIS (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Kinglet Urgent Care Physicians LLC | 1a Burton Hills Blvd., Nashville, TN 37215 |
| Street Address |
831 BOSTON POST RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361402 | Jessie M. Williams | Internal Medicine | 831 Boston Post Rd, Milford, CT 06460-3531 | 2005-07-21 |
| 1407302854 | Connecticut Team Physicians, PC | Emergency Medicine | 831 Boston Post Rd, Milford, CT 06460-3536 | 2016-08-26 |
| 1760750509 | Cassandra Freeland | Nurse Anesthetist, Certified Registered | 831 Boston Post Rd, Ste 203, Milford, CT 06460-3536 | 2011-12-08 |
| 1194013888 | Jillian M Kalinchak | Nurse Practitioner | 831 Boston Post Rd, Milford, CT 06460-3536 | 2011-07-14 |
| 1093904625 | Peter T. Naiman Md LLC | Orthopaedic Surgery | 831 Boston Post Rd, Suite 201, Milford, CT 06460-3536 | 2007-10-19 |
| 1770796450 | Hemantha Lakshmi Sunkara | Anesthesiology | 831 Boston Post Rd, Suite 203, Milford, CT 06460-3536 | 2007-05-08 |
| 1730100389 | Richard Blum | Orthopaedic Surgery | 831 Boston Post Rd, Suite 201, Milford, CT 06460-3536 | 2006-07-21 |
| 1790706257 | Susan Katheryn Demicco | Nurse Anesthetist, Certified Registered | 831 Boston Post Rd, Ste. 670, Milford, CT 06460-3536 | 2006-07-21 |
| 1538191911 | Charles Guglin | Surgery | 831 Boston Post Rd, Suite 202, Milford, CT 06460-3536 | 2006-07-07 |
| 1962433904 | Surgical Associates of Milford PC | Surgery | 831 Boston Post Rd, Suite 202, Milford, CT 06460-3536 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144386699 | Steven Michael Kordis | Emergency Medicine | 1648 Squires Wood Ct, Milford, OH 45150-8785 | 2006-12-29 |
| 1588613285 | Matthew David Pegher | Emergency Medicine | 111 Catharine Street, Suite 130, Milford, PA 18337 | 2006-05-09 |
| 1154311827 | Jon Alexander Hojnoski | Emergency Medicine | 127 East Main Street, Milford, MA 01757 | 2005-10-25 |
| 1356871172 | Milford Regional Physician Group, Inc. | Emergency Medicine | 129 S Main St, Milford, MA 01757 | 2017-06-14 |
| 1407302854 | Connecticut Team Physicians, PC | Emergency Medicine | 831 Boston Post Rd, Milford, CT 06460-3536 | 2016-08-26 |
| 1598182255 | Bluebird Emergency Physicians, LLC | Emergency Medicine | 300 Seaside Ave, Milford, CT 06460-4603 | 2014-03-19 |
| 1619304300 | Ob Hospitalist Services Delaware Pa | Emergency Medicine | 21 W Clarke Ave, Milford, DE 19963-1840 | 2013-09-26 |
| 1174881577 | Milford Urgent Care Associates Pllc | Emergency Medicine | 111 E Catherine St, Suite 130, Milford, PA 18337-1389 | 2012-04-24 |
| 1811203169 | Jessica Brandt | Emergency Medicine | 21 W Clarke Ave, Milford, DE 19963-1840 | 2010-08-25 |
| 1487989646 | Yisrael Meir Bauer | Emergency Medicine | 100 Wellness Way, Milford, DE 19963-4364 | 2009-10-06 |
| Find all providers in MILFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.