MARIA RENNA (NPI# 1164750030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164750030 |
| Entity Type | Individual |
| Full Name | MARIA RENNA |
| Credential | MD, PHD |
| Practice Address |
140 Hazard Ave Suite 105 Enfield CT 06082-5423 |
| Practice Telephone | 8607149733 |
| Mailing Telephone | 8607149733 |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
044363 | CT | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 044363 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
044363 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
140 HAZARD AVE SUITE 105 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285615393 | Carmine Ciccarelli | Orthopaedic Surgery | 140 Hazard Ave, Suite 101, Enfield, CT 06082-4520 | 2005-11-07 |
| 1114204419 | Maria C Petty | Nurse Practitioner | 140 Hazard Ave, Suite 105, Enfield, CT 06082-5423 | 2011-11-15 |
| 1528399763 | David L Ozimek | Physician Assistant | 140 Hazard Ave, Suite 101, Enfield, CT 06082-4520 | 2010-01-28 |
| 1942223045 | Robert P Dudek | Orthopaedic Surgery | 140 Hazard Ave, Suite 101, Enfield, CT 06082-4520 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982199212 | Pallimd, Pllc | Internal Medicine | 128 East Ave Ste 2, Norwalk, CT 06851-5741 | 2018-06-28 |
| 1568907095 | Richard Joseph Sorcinelli | Internal Medicine | 791 Orange Center Rd, Orange, CT 06477-1710 | 2016-12-19 |
| 1821537648 | Resilient Living PC | Internal Medicine | 1261 S Main St, Plantsville, CT 06479-1750 | 2017-02-13 |
| 1043697238 | Laura Belland | Internal Medicine | 267 Grant St, Bridgeport, CT 06610-2805 | 2015-04-27 |
| 1376837930 | Elizabeth Horn Prsic | Internal Medicine | 20 York Street, North Pavillion 4, New Haven, CT 06510 | 2011-06-01 |
| 1710202841 | Eric Sedat Shaban | Internal Medicine | 628 Hebron Ave, Suite 300, Glastonbury, CT 06033 | 2010-03-31 |
| 1134457864 | William Scott Long | Internal Medicine | 100 Double Beach Rd, Branford, CT 06405-4909 | 2009-11-18 |
| 1326254681 | Shoreline Medical, LLP | Internal Medicine | 1450 Washington Blvd, Stamford, CT 06902-2451 | 2007-05-15 |
| 1003031683 | Eve Block | Internal Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2007-04-17 |
| 1225118631 | Laura J Morrison | Internal Medicine | 333 Cedar St, Lmp 1072, New Haven, CT 06510-3206 | 2006-10-17 |
| 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.