THOMAS V DIVINAGRACIA (NPI# 1083859649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083859649 |
| Entity Type | Individual |
| Full Name | THOMAS V DIVINAGRACIA |
| Credential | M.D. |
| Practice Address |
85 Seymour St. Suite 409 Hartford CT 06106 |
| Practice Telephone | 8605224158 |
| Practice Fax Number | 8605242652 |
| Mailing Telephone | 8605224158 |
| Mailing Fax Number | 8605242652 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
046129 | CT | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 046129 | CT | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
046129 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | UNITED HEALTHCARE | 06-1406459 | 01 |
| CT | PRIVATE HEALTHCARE SYSTEMS | 061406459 | 01 |
| CT | COMMUNITY HEALTH NETWORK | 06-1406459 | 01 |
| CT | TRICARE | 06-1406459 | 01 |
| CT | ANTHEM BCBS | 1083859649 | 01 |
| CT | HEALTH NEW ENGLAND | 46286 | 01 |
| CT | MULTIPLAN | 06-1406459 | 01 |
| CT | NORTHEAST HEALTH DIRECT | 06-1406459 | 01 |
| CT | OXFORD | P4028934 | 01 |
| CT | CONNECTICARE | 046129 | 01 |
| CT | CORVEL | 06-1406459 | 01 |
| CT | WELLCARE | 508455 | 01 |
| CT | GREAT-WEST HEALTHCARE | 06-1406459 | 01 |
| CT | AETNA | 1083859649 | 01 |
| CT | HEALTH NET | 3V3712 | 01 |
| CT | CIGNA | 7299062 | 01 |
| CT | 1083859649 | 05 | |
| CT | PIONEER | 06-1406459 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376500686 | Thomas D Divinagracia | Surgery | 114 Whitwell St, Quincy, MA 02169-1870 | 2006-04-28 |
| Street Address |
85 SEYMOUR ST. SUITE 409 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154554483 | Mark W. Izard, M.d. P.C. | Internal Medicine | 85 Seymour St., Suite 901, Hartford, CT 06106-5528 | 2009-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407256415 | Saint Francis Medical Group, Inc. | Surgery | 1000 Asylum Ave, Suite 2120, Hartford, CT 06105-1770 | 2014-08-27 |
| 1548608219 | Ali Irshad | Surgery | 85 Seymour St Ste 409, Hartford, CT 06106-5523 | 2013-06-04 |
| 1942515408 | Edward Dewitt Gifford | Surgery | 85 Seymour St Ste 409, Hartford, CT 06106-5523 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748953 | Usa Vascular Center of Connecticut Pllc | Surgery | 2284 Summer St, Stamford, CT 06905-4503 | 2020-10-23 |
| 1245839869 | Usa Vein Clinics of Connecticut Pllc | Surgery | 2284 Summer St Ste A, Stamford, CT 06905-4503 | 2020-10-23 |
| 1326385428 | Hossein L. Tehrani | Surgery | 49 East Hyerdale Drive, Goshen, CT 06756 | 2013-01-09 |
| 1922368810 | Megan Fritton Shue | Surgery | 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 | 2012-05-24 |
| 1932474053 | John E. Fenn | Surgery | 200 Leeder Hill Drive, #2603, Hamden, CT 06517 | 2012-03-22 |
| 1033366745 | Naiem Nassiri | Surgery | Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 | 2008-08-25 |
| 1407989569 | Christos G. Pappas | Surgery | 372 Danbury Rd Ste 220, Wilton, CT 06897-2523 | 2007-03-14 |
| 1477610913 | Stephen Marc Bauer | Surgery | 455 East Putnam Ave, Old Greenwich, CT 06870 | 2007-01-03 |
| 1114019098 | William Gething Crawford | Surgery | 21 Montauk Ave Ste 303, New London, CT 06320-4906 | 2006-09-29 |
| 1083713416 | Raul J. Guzman | Surgery | 330 Cedar St Bldg 204, New Haven, CT 06510 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
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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.