SOMERS FAMILY PRACTICE (NPI# 1205378353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205378353 |
| Entity Type | Organization |
| Organization Name | SOMERS FAMILY PRACTICE |
| Practice Address |
24 Battle St Suite 1a Somers CT 06071-1629 |
| Practice Telephone | 8607498887 |
| Mailing Telephone | 8607498887 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | IAN TUCKER (MEDICAL DIRECTOR/OWNER/PRESIDENT) |
| Authorized Official Telephone | 8607498887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SOMERS FAMILY PRACTICE, LLC | 24 Battle Street, Suite 1a, Somers, CT 06071 |
| Street Address |
24 BATTLE ST SUITE 1A |
| City | SOMERS |
| State | CT |
| Zip Code | 06071-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538130836 | Ian Sterling Tucker | Family Medicine | 24 Battle St, Suite 1a, Somers, CT 06071-1629 | 2006-01-27 |
| 1164822466 | Four Town Dental Care, LLC | Dentist | 24 Battle St, Somers, CT 06071-1629 | 2014-08-25 |
| 1396049326 | Jennifer L Montanez | Social Worker | 24 Battle St, Somers, CT 06071-1629 | 2011-01-05 |
| 1285883041 | John Roger Haserick Jr. | Dentist | 24 Battle St, Somers, CT 06071-1629 | 2008-09-16 |
| 1811918618 | Timothy Robert Silvis | Internal Medicine | 24 Battle St, Somers, CT 06071-1629 | 2006-07-21 |
| 1548218191 | Carrie A Doherty | Physician Assistant | 24 Battle St, Somers, CT 06071-1629 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649519885 | Bgc Counseling, LLC | Community/Behavioral Health | 53 Bilton Rd., Somers, CT 06071 | 2013-02-07 |
| 1972738383 | Robert F. Maier Md PC | Surgery | 9 Robert St, Somers, CT 06071 | 2009-05-29 |
| 1396916912 | Somers Family Practice, LLC | Family Medicine | 24 Battle Street, Suite 1a, Somers, CT 06071 | 2008-03-24 |
| 1043382344 | Michael John Clements | Family Medicine | 100 Bilton Rd, Somers, CT 06071 | 2006-11-14 |
| 1639303381 | Stephanie L. Katz | Dentist | Osborn Ci 335 Bilton Rd, Suite 306, Somers, CT 06071-0607 | 2009-05-11 |
| 1043501885 | Shawna Lynne Harmon | Dentist | 335 Bilton Rd, Pob 100, Somers, CT 06071-1044 | 2011-04-27 |
| 1861437477 | Gerard George Gagne Jr. | Psychiatry & Neurology | 287 Bilton Rd, Somers, CT 06071-1044 | 2006-06-18 |
| 1023167319 | Jill V. Haga | Counselor | 287 Bilton Rd, Somers, CT 06071-1044 | 2007-01-09 |
| 1750717732 | Nancy R Rodriguez | Dietitian, Registered | 646 Hall Hill Rd, Somers, CT 06071-1057 | 2013-09-23 |
| 1396046744 | Leah Irene Cressotti | Clinical Nurse Specialist | 100 Bilton Rd, Somers, CT 06071-1059 | 2010-11-16 |
| Find all providers in zip 06071 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255878773 | Jennifer Briggs | Nurse Practitioner | 146 Main Street, Somers, CT 06071-1825 | 2017-01-22 |
| 1609092824 | Carol Theodore | Nurse Practitioner | Colonial Court, 374 Route 116, Somers, NY 10589 | 2007-04-17 |
| 1699872010 | Suzanne C Gullotta | Nurse Practitioner | 77 Deer Creek Road, Somers, MT 59932 | 2006-09-20 |
| 1962401372 | Suzanne C Gullotta | Nurse Practitioner | 77 Deer Creek Rd, Somers, MT 59932 | 2005-07-18 |
| 1760957526 | Suzanne Marie Viger | Nurse Practitioner | 146 Main St, Somers, CT 06071-1214 | 2018-10-09 |
| 1083032882 | Merin Sanoj Joseph | Nurse Practitioner | 189 Route 100, Somers, NY 10589-2811 | 2014-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1023618634 | Jessica Anne Butt | Nurse Practitioner | 93 E Putnam Rd, Putnam, CT 06260-2824 | 2020-11-01 |
| 1962002691 | Marielle Hellerud Khuen | Nurse Practitioner | 39 Fifth St, Norwalk, CT 06855-2402 | 2020-10-30 |
| 1043810013 | Alexa L Carolan | Nurse Practitioner | 24 Penny Ln, Watertown, CT 06795-1734 | 2020-10-29 |
| 1891394219 | Azra Alagic | Nurse Practitioner | 374 Cypress Rd, Newington, CT 06111-5616 | 2020-10-19 |
| 1396352589 | Jeffrey Kiser | Nurse Practitioner | 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 | 2020-09-30 |
| 1932716628 | Tabia Thompson-lamothe | Nurse Practitioner | 16 Woodhill Rd, Trumbull, CT 06611-3356 | 2020-09-26 |
| 1356958243 | Lisa Solari | Nurse Practitioner | 34 Centerwood Rd, Newington, CT 06111-3107 | 2020-09-25 |
| 1558977801 | Megan Bouchard | Nurse Practitioner | 2351 Summer St, Stamford, CT 06905-4504 | 2020-09-22 |
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| 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.