DR. KATHERINE ELLEN TRACY (NPI# 1245259068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245259068 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE ELLEN TRACY |
| Credential | M.D. |
| Practice Address |
1075 Tolland Tpke Manchester CT 06042-1609 |
| Mailing Address |
229 Martin Rd Hebron CT 06248-1252 |
| Practice Telephone | 8606474796 |
| Mailing Telephone | 8602282044 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 030171 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285076323 | Katherine Mckelvey Tracy | Speech-Language Pathologist | 71 Cove Dr, Manhasset, NY 11030-1310 | 2013-07-17 |
| 1982946695 | Katherine Marie Tracy | Licensed Practical Nurse | 419 Burch Farm Dr, Brockport, NY 14420-9354 | 2013-03-20 |
| 1962515049 | Katherine A. Tracy | Nurse Practitioner | 912 S Wood St, Chicago, IL 60612-4300 | 2006-08-16 |
| Street Address |
1075 TOLLAND TPKE |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902821267 | Alexander Blair Smith | Preventive Medicine | 1075 Tolland Tpke, Manchester, CT 06042-1609 | 2006-07-13 |
| 1144674623 | Jamie Zitkus | Social Worker | 1075 Tolland Tpke, Manchester, CT 06042-1609 | 2016-04-20 |
| 1033563523 | Alyssa Palumbo | Social Worker | 1075 Tolland Tpke, Manchester, CT 06042-1609 | 2016-04-20 |
| 1669855896 | Steven Graham | Social Worker | 1075 Tolland Tpke, Manchester, CT 06042-1609 | 2015-07-07 |
| 1760873418 | Steven W. Graham, Lcsw | Social Worker | 1075 Tolland Tpke, Manchester, CT 06042-1609 | 2015-02-16 |
| 1811021579 | Patricia J. Zaremski | Physical Therapist | 1075 Tolland Tpke, Manchester, CT 06042-1609 | 2007-03-15 |
| 1699791707 | Delythe Jean Kracke | Nurse Practitioner | 1075 Tolland Tpke, Manchester, CT 06042-1609 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558719476 | Plan Ahead Medical Services, LLC | Internal Medicine | 493 Walnut St, Manchester, NH 03104-2312 | 2016-06-01 |
| 1750737474 | Zachary Stevens | Internal Medicine | 100 Mcgregor St Rm 1980, Manchester, NH 03102-3730 | 2016-05-12 |
| 1962780940 | Imelda Angelica Perez Cirilo | Internal Medicine | 629 Middle Tpke E, Manchester, CT 06040-3731 | 2011-07-25 |
| 1366670754 | Johny Hanna Simon Kuttab | Internal Medicine | 1 Elliot Way # 100, Manchester, NH 03103 | 2009-06-24 |
| 1811142409 | Gregory E. White | Internal Medicine | 75 Steinmetz Dr, Manchester, NH 03104-1830 | 2008-11-24 |
| 1861646952 | Mediclinik | Internal Medicine | 14173 Manchester Rd Ste C, Manchester, MO 63011-4524 | 2008-11-16 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1669635694 | Patrick Scanlon | Internal Medicine | 87 Mcgregor St Ste 1300, Manchester, NH 03102-3765 | 2008-07-09 |
| 1659538239 | Dr. Biesek Pllc | Internal Medicine | 1650 Elm St Ste 302, Manchester, NH 03101-1217 | 2008-05-21 |
| 1023283009 | Peter Wilson Shaw | Internal Medicine | 100 Mcgregor St # Stb, Manchester, NH 03102 | 2008-04-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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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.