ANTONIO SANTORO (NPI# 1124051750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124051750 |
| Entity Type | Individual |
| Full Name | ANTONIO SANTORO |
| Credential | PA |
| Practice Address |
Bristol Hospital, Brewster Rd. Bristol CT 06011-0977 |
| Mailing Address |
244 Coppermill Rd Wethersfield CT 06109-4013 |
| Practice Telephone | 8605853528 |
| Mailing Telephone | 8605630115 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000088 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BC & BS | 290000088CT01 | 01 |
| Street Address |
BRISTOL HOSPITAL, BREWSTER RD. |
| City | BRISTOL |
| State | CT |
| Zip Code | 06011-0977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770690802 | Sheri Ann Gelzaines | Dietitian, Registered | Brewster Road, Bristol, CT 06011 | 2006-08-24 |
| 1477515625 | Charles Barnicoat | Physician Assistant | Bristol Hospital, Bristol, CT 06011 | 2006-04-04 |
| 1659606028 | Lise D Lawrence | Dietitian, Registered | 41 Brewster Road, Bristol, CT 06011 | 2009-10-02 |
| 1932312667 | Karen Daprile Ryan | Registered Nurse | 41 Brewster Rd, Bristol Hospital, Bristol, CT 06011 | 2007-05-08 |
| 1295877017 | Laureen Whitney | Pharmacist | Brewster Road, Bristol, CT 06011 | 2007-02-12 |
| 1508948274 | Collaborative Laboratory Services-bristol | Clinical Medical Laboratory | Brewster Road, Bristol, CT 06011 | 2006-10-20 |
| 1922023829 | Jennifer Muneyyirci Dugan | Emergency Medicine | Bristol Hospital, Brewster Road, Bristol, CT 06011 | 2006-07-12 |
| 1952319915 | Pacifico G Flores Jr. | Internal Medicine | 665 Terryville Ave, Bristol, CT 06011-0465 | 2006-08-04 |
| 1891795316 | Surendran Raja Raja Varma | Internal Medicine | 621 Terryville Ave, Bristol, CT 06011-0570 | 2005-07-27 |
| 1598033342 | Mep of Bristol, LLC | Emergency Medicine | Brewster Road, Bristol, CT 06011-0977 | 2011-12-08 |
| Find all providers in zip 06011 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487724936 | Mark Steven Mehlferber | Physician Assistant | 320 Bristol West Blvd Ste 2b, Bristol, TN 37620-8765 | 2006-11-09 |
| 1457353005 | Mark Tabaka | Physician Assistant | 576 Farmington Ave, Bristol, CT 06010-3933 | 2005-08-12 |
| 1497265573 | Brianna Galligan | Physician Assistant | 501 Bath Rd, Bristol, PA 19007-3101 | 2017-10-03 |
| 1578087375 | Hilda M Boateng | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2017-08-02 |
| 1669822532 | Kristin Somerville | Physician Assistant | 22 Pine St, Bristol, CT 06010-6948 | 2016-06-21 |
| 1467801605 | Kayla Nicole Kennedy | Physician Assistant | 22 Pine St, Suite 104, Bristol, CT 06010-6948 | 2016-06-08 |
| 1447604954 | Carys Roberts | Physician Assistant | 501 Bath Rd, Bristol, PA 19007-3101 | 2016-04-20 |
| 1437565553 | Daniel P Tuohey | Physician Assistant | 539 Farmington Ave, Bristol, CT 06010-3931 | 2014-07-09 |
| 1427486380 | Jaret Williams | Physician Assistant | 539 Farmington Ave, Bristol, CT 06010-3931 | 2013-10-30 |
| 1417389735 | Richard B Ahrens Jr. | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2013-08-09 |
| Find all providers in BRISTOL | ||||
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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.