RICHARD ZUWALLACK (NPI# 1033111455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033111455 |
| Entity Type | Individual |
| Full Name | RICHARD ZUWALLACK |
| Credential | MD |
| Practice Address |
114 Woodland St Pulmonary Hartford CT 06105-1208 |
| Mailing Address |
1000 Asylum Ave Suite 2109a Hartford CT 06105-1770 |
| Practice Telephone | 8607144045 |
| Practice Fax Number | 8607148035 |
| Mailing Telephone | 8607146581 |
| Mailing Fax Number | 8607148311 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2009-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
016718 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001167180 | 05 |
| Street Address |
114 WOODLAND ST PULMONARY |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334207 | Richard Soucier | Internal Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2005-05-23 |
| 1003425745 | Brooke M P Chaves | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-29 |
| 1215545793 | Xuanthao Nguyen | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-21 |
| 1053939231 | Daniel Guilmette | Nurse Anesthetist, Certified Registered | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-14 |
| 1598383556 | Sarah Beth Flynn-savoie | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-07 |
| 1215550215 | Rachael Barber | Speech-Language Pathologist | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-26 |
| 1407479595 | Erin Michelle Sullivan | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-22 |
| 1831712256 | Hospitalist Medicine Physicians of Connecticut - Tcs, LLC | Family Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-20 |
| 1164044947 | Marena Josephine Harrison | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-14 |
| 1477175776 | David Neubauer | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922294222 | Tejal Parth Shah | Internal Medicine | 80 Seymour St, Suite S502, Hartford, CT 06102-8000 | 2007-09-20 |
| 1023112596 | John Russomanno | Internal Medicine | 85 Seymour St, Suite 923, Hartford, CT 06106-5501 | 2006-09-12 |
| 1619071180 | Robert Frederic Knauft | Internal Medicine | 80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, CT 06102-5037 | 2006-09-12 |
| 1932203494 | Eric Shore | Internal Medicine | 85 Seymour Street, Suite 923, Hartford, CT 06106 | 2006-09-12 |
| 1053415505 | Michael Conway | Internal Medicine | 85 Seymour Street, Suite 923, Hartford, CT 06106 | 2006-09-12 |
| 1790791937 | Sharon A Diamen | Internal Medicine | 80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, CT 06102 | 2006-07-31 |
| 1013939214 | Prashant Grover | Internal Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2006-07-24 |
| 1558318808 | James Samuel Pope | Internal Medicine | 85 Seymour St, Suite 923, Hartford, CT 06106-5501 | 2006-05-30 |
| 1851393276 | Phyllis Schatz | Internal Medicine | 114 Woodland St, Pulmonary, Hartford, CT 06105-1208 | 2005-08-15 |
| 1568460434 | Asher Qureshi | Internal Medicine | 114 Woodland St, Pulmonary, Hartford, CT 06105-1208 | 2005-07-13 |
| Find all providers in HARTFORD | ||||
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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.