HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC (NPI# 1205489465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205489465 |
| Entity Type | Organization |
| Organization Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Practice Address |
100 Hazard Ave Ste 206 Enfield CT 06082-5447 |
| Mailing Address |
1290 Silas Deane Hwy Wethersfield CT 06109-4337 |
| Practice Telephone | 8606964275 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | MARK BANCROFT VYE (VP ADMINISTRATION) |
| Authorized Official Telephone | 8609727858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367068 | Hartford Healthcare Medical Group Specialists LLC | Durable Medical Equipment & Medical Supplies | 85 Poheganut Drive, Suite 3, Groton, CT 06340-3252 | 2020-02-10 |
| 1790338978 | Hartford Healthcare Medical Group Specialists LLC | Durable Medical Equipment & Medical Supplies | 455 Lewis Ave Ste 210, Meriden, CT 06451-2121 | 2019-07-17 |
| 1629621891 | Hartford Healthcare Medical Group Specialists LLC | Durable Medical Equipment & Medical Supplies | 65 Memorial Rd Ste 430, West Hartford, CT 06107-4220 | 2019-07-17 |
| 1750934998 | Hartford Healthcare Medical Group Specialists LLC | Durable Medical Equipment & Medical Supplies | 330 Western Blvd, Glastonbury, CT 06033-4383 | 2019-07-17 |
| 1750934048 | Hartford Healthcare Medical Group Specialists LLC | Durable Medical Equipment & Medical Supplies | 85 Seymour St Ste 409, Hartford, CT 06106-5523 | 2019-07-17 |
| 1023584216 | Hartford Healthcare Medical Group Specialists LLC | Transplant Surgery | 85 Seymour St Ste 415, Hartford, CT 06106-5523 | 2018-10-16 |
| Street Address |
100 HAZARD AVE STE 206 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-5447 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146207 | Keene Medical Products LLC | Durable Medical Equipment & Medical Supplies | 5 Landing Rd, Enfield, NH 03748-3545 | 2016-11-02 |
| 1992109284 | Pavilion Hand Surgeons, Inc | Durable Medical Equipment & Medical Supplies | 115 Elm St Ste 208, Enfield, CT 06082-3735 | 2014-10-15 |
| 1588769327 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 875 Enfield St Enfield Plz Shops, Enfield, CT 06082 | 2006-09-14 |
| 1588766331 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 571 Us Route 4, Enfield, NH 03748-3201 | 2006-09-02 |
| 1649389925 | Rite Aid of Connecticut Inc | Durable Medical Equipment & Medical Supplies | 71 Palomba Drive, Enfield, CT 06082-3801 | 2006-08-30 |
| 1700808300 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 90 Elm St, Enfield, CT 06082-3770 | 2006-07-24 |
| 1770109357 | Oorthopedic Associates of Hartford,pc | Durable Medical Equipment & Medical Supplies | 7 Elm St, Enfield, CT 06082-3669 | 2020-06-19 |
| 1124541966 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 71 Palomba Dr, Enfield, CT 06082-3801 | 2017-07-24 |
| 1043604010 | Eye of Horus Pharmaceutical Services,llc | Durable Medical Equipment & Medical Supplies | 15 Palomba Dr, Enfield, CT 06082-3888 | 2015-03-26 |
| 1427348770 | Greater Hartford Orthopedic Group, P.C. | Durable Medical Equipment & Medical Supplies | 113 Elm St, Suite 203, Enfield, CT 06082 | 2011-04-07 |
| Find all providers in ENFIELD | ||||
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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.