MR. JEREMY ALLEN (NPI# 1124205661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124205661 |
| Entity Type | Individual |
| Full Name | MR. JEREMY ALLEN |
| Credential | PA-C |
| Practice Address |
100 Grand St New Britain CT 06052-2016 |
| Mailing Address |
58 Watrous Rd Bolton CT 06043-7629 |
| Practice Telephone | 8602245011 |
| Mailing Telephone | 8608828129 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002059 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558768747 | Jeremy Robert Allen | Marriage & Family Therapist | 5181 Ward Rd Ste 201, Wheat Ridge, CA 80033-2074 | 2014-12-03 |
| 1386774057 | Jeremy W Allen | Dentist | 908 W 5th St, Suite 114, London, KY 40741-2417 | 2007-03-06 |
| 1487704508 | Jeremy Peter Allen | Counselor | 463 William Street, Buffalo, NY 14204-1811 | 2007-01-11 |
| 1003308917 | Jeremy Gordon Allen | Community Health Worker | 2555 Silverton Rd Ne, Salem, OR 97301-0837 | 2018-06-06 |
| 1386996593 | Jeremy Jon Allen | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2012-10-11 |
| 1447287115 | Jeremy Allen | Family Medicine | 70 Plaza Dr, Pell City, AL 35125 | 2006-06-27 |
| Street Address |
100 GRAND ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526784 | Kathryn W Tierney | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2005-05-27 |
| 1528674629 | Alicja Jedrychowski | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-09-23 |
| 1366050411 | Casey Aivano | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-07-15 |
| 1689297418 | Amanda Catherine Ehresman | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-05-27 |
| 1679194633 | Zachary Russo | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-30 |
| 1912526765 | Cristina Melinda Decrosta | Social Worker | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-13 |
| 1467071696 | Natali R Senocak | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-08 |
| 1346879608 | Najwan Augustin | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1346879616 | Christopher J Dipollina | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1861021263 | Rosanne M Zandvliet | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| Find all providers in zip 06052 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297418 | Amanda Catherine Ehresman | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-05-27 |
| 1679194633 | Zachary Russo | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-30 |
| 1265082432 | Taylor M Lockrow | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2019-09-18 |
| 1699296095 | Dylan Jones | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2017-07-06 |
| 1376793059 | Dominique Pantino Harper | Physician Assistant | 100 Grand St, Department of Pediatrics, New Britain, CT 06052-2016 | 2008-09-30 |
| 1578759882 | Danielle Nicole Waite | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2007-09-20 |
| 1538353529 | Matthew Francis Light | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2007-09-01 |
| 1538282108 | Nancy Santaniello | Physician Assistant | 100 Grand St, Medical Staff Office, New Britain, CT 06052-2016 | 2007-04-09 |
| 1043345838 | Aimee L Goldman | Physician Assistant | 65 E Butler Ave, New Britain, PA 18901-5211 | 2007-02-22 |
| 1003916206 | Kortney Rose Ribbeck | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2006-09-25 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
Please comment or provide details below to improve the information on MR. JEREMY ALLEN.
| 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.