ALISE FRALLICCIARDI (NPI# 1144497801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144497801 |
| Entity Type | Individual |
| Full Name | ALISE FRALLICCIARDI |
| Credential | M.D. |
| Practice Address |
Uconn Medical Group 263 Farmington Avenue Farmington CT 06030-0001 |
| Practice Telephone | 8606792000 |
| Mailing Telephone | 8606792000 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2016-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 049274 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001492743 | 05 |
| Street Address |
UCONN MEDICAL GROUP 263 FARMINGTON AVENUE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922069 | Courtney Danielle Holmes | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2005-06-16 |
| 1487101465 | Luriza Glynn | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-09-07 |
| 1871040287 | Diane Cichy | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-09-01 |
| 1023460789 | Alexandra Shaw | Physician Assistant | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-07-06 |
| 1700233327 | Hillary Kathleen Siddons | Audiologist | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-6228 | 2016-05-24 |
| 1518312321 | Denise Desimone | Social Worker | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2016-04-29 |
| 1811368194 | Lauren Brennan | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2015-10-13 |
| 1346633435 | Elizabeth Ann Connole-pond | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2015-03-12 |
| 1912315201 | Britta Lucretia Shute | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2014-07-30 |
| 1164846226 | Vinutha Maregowda | Internal Medicine | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811315369 | Eduardo Sandoval Jr. | Emergency Medicine | 263 Farmington Ave Mc3955, Farmington, CT 03060-3955 | 2014-04-02 |
| 1801024088 | Jarrad Francis Maiers | Emergency Medicine | 801 West Maple Street, Farmington, NM 87401 | 2009-06-26 |
| 1215111398 | Patricia Ann Mcfadden | Emergency Medicine | 263 Farmington Ave # Mc1127, Farmington, CT 06030-1718 | 2007-12-24 |
| 1316960032 | Kimberly Dale Johnson | Emergency Medicine | 4820 East Main Street, Sjrmc Urgent Care, Farmington, NM 87402 | 2006-07-25 |
| 1770527376 | John Stephen Hunt | Emergency Medicine | 1101 E. Liberty St., Farmington, MO 63640 | 2006-06-15 |
| 1891759221 | Bruce E Harrison | Emergency Medicine | 204 Green Trail Dr, Farmington, MO 63640-9132 | 2006-04-13 |
| 1396719134 | Janet M Wilmes | Emergency Medicine | 4820 E Main St, Farmington, NM 87402-8660 | 2006-02-16 |
| 1588636823 | Kelly L Hartel | Emergency Medicine | 1101 W. Liberty, Parkland Health Center, Farmington, MO 63640 | 2006-02-02 |
| 1851824262 | Joseph Anthony Kebisek | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2017-04-04 |
| 1427403195 | Alexander Charmoz | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-04-29 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.