CONNECTICUT CHILDREN'S MEDICAL CENTER (NPI# 1134271661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134271661 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT CHILDREN'S MEDICAL CENTER |
| Practice Address |
282 Washington St Hartford CT 06106-3322 |
| Mailing Address |
10 Columbus Blvd Hartford CT 06106-1976 |
| Practice Telephone | 8605458557 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-11-06 |
| Authorized Official Name | RACHAEL JACOBSEN (REVENUE CYCLE SYSTEMS ANALYST) |
| Authorized Official Telephone | 8608376325 |
| Is Organization Subpart | Y |
| Parent Organization Name | CCMC CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
2-CH | CT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 4159978 | 05 | |
| CT | 4159960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106951 | Connecticut Children's Medical Center | Clinic/Center | 282 Washington St, Hartford, CT 06106-3322 | 2019-10-18 |
| 1467541805 | Connecticut Children's Medical Center | Pediatrics | 282 Washington St, Asthma Center - Hartford Square West, Hartford, CT 06106-3322 | 2006-10-12 |
| 1215947387 | Connecticut Children's Medical Center | General Acute Care Hospital | 282 Washington St, Hartford, CT 06106-3322 | 2006-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONNECTICUT CHILDREN'S MEDICAL CENTER | 282 Washington St, Hartford, CT 06106-3322 |
| Connecticut Business Registrations | CONNECTICUT CHILDREN'S MEDICAL CENTER | |
| Connecticut Business Registrations | CONNECTICUT CHILDREN'S MEDICAL CENTER FOUNDATION, INC. | 282 Washington St, Hartford, CT 06106 |
| Street Address |
282 WASHINGTON ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215925037 | Jeffrey S Hyams | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2005-10-06 |
| 1902411127 | Rebecca Katherine Benjamin | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-09-14 |
| 1457960486 | Jillian Scott | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-07-27 |
| 1962029660 | Brittany Athena Molkenthin | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-06-29 |
| 1295358794 | Michaela Kathleen Rotondi | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2020-05-19 |
| 1881216067 | Loida Montanez | Pharmacist | 282 Washington St, Hartford, CT 06106-3322 | 2020-05-11 |
| 1215558853 | Elizabeth Lachat | Social Worker | 282 Washington St, Hartford, CT 06106-3322 | 2020-05-06 |
| 1023638848 | Evan Fusaro | Physician Assistant | 282 Washington St, Hartford, CT 06106-3322 | 2020-04-22 |
| 1992325062 | Lusine Unanyan | Student in an Organized Health Care Education/Training Program | 282 Washington St, Hartford, CT 06106-3322 | 2020-04-19 |
| 1518586577 | Patrick James Gallaway | Student in an Organized Health Care Education/Training Program | 282 Washington St, Hartford, CT 06106-3322 | 2020-04-10 |
| Find all providers in the same location | ||||
| 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 | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215947387 | Connecticut Children's Medical Center | General Acute Care Hospital | 282 Washington St, Hartford, CT 06106-3322 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801125323 | Erlinda S Villaluz | General Acute Care Hospital | 548 Willow St, Waterbury, CT 06710-1318 | 2009-12-11 |
| 1063643229 | Yale University School of Medicine | General Acute Care Hospital | 90 Cherry St, Guilford, CT 06437-2411 | 2009-08-05 |
| 1104175488 | Yale New Haven Hospital | General Acute Care Hospital | 1 Park St, New Haven, CT 06504-8901 | 2012-09-03 |
| 1124384847 | Greenwich Hospital | General Acute Care Hospital | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2012-04-06 |
| 1740518315 | Yale-new Haven Hospital | General Acute Care Hospital | 20 York St, New Haven, CT 06510-3220 | 2009-11-19 |
| 1518292507 | Yale New Haven Hospital | General Acute Care Hospital | 20 York St, 7wp, New Haven, CT 06510-3220 | 2009-10-08 |
| 1578734638 | Yale-new Haven Hospital | General Acute Care Hospital | 20 York St, Division of Neonatology, New Haven, CT 06510-3220 | 2008-03-17 |
| 1912024605 | Hospital of St. Raphael | General Acute Care Hospital | 1450 Chapel St, New Haven, CT 06511-4405 | 2007-03-26 |
| 1013924182 | Yale-new Haven Hospital | General Acute Care Hospital | 20 York Street, Newborn Special Care Unit -yale New Haven Hospital, New Haven, CT 06504 | 2006-08-02 |
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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.