DR. IGOR SAMEGULIN (NPI# 1255517249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255517249 |
| Entity Type | Individual |
| Full Name | DR. IGOR SAMEGULIN |
| Credential | MD |
| Practice Address |
74 Park Rd West Hartford CT 06119-1853 |
| Practice Telephone | 8602181725 |
| Practice Fax Number | 8602181727 |
| Mailing Telephone | 8602181725 |
| Mailing Fax Number | 8602181727 |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 049234 | CT | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 49234 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008023148 | 05 |
| Street Address |
74 PARK RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003857707 | Mohammad Aljanaby | Physical Medicine & Rehabilitation | 74 Park Rd, West Hartford, CT 06119-1853 | 2006-06-10 |
| 1790319481 | New Era Chiropractic LLC | Chiropractor | 74 Park Rd, West Hartford, CT 06119-1853 | 2020-03-03 |
| 1013419357 | Sayuri Integrative Services, LLC | Community/Behavioral Health | 74 Park Rd, West Hartford, CT 06119 | 2018-03-02 |
| 1659742054 | Matthew Steven Roberts | Chiropractor | 74 Park Rd, West Hartford, CT 06119-1853 | 2015-10-12 |
| 1073952073 | Adriana S Hilerio | Social Worker | 74 Park Rd, West Hartford, CT 06119-1853 | 2013-06-23 |
| 1811157431 | Wazida Tabassum | Chiropractor | 74 Park Rd, Suite # 4, West Hartford, CT 06119-1853 | 2008-06-17 |
| 1447387162 | Allison Mendelson | Chiropractor | 74 Park Rd, West Hartford, CT 06119-1853 | 2007-02-28 |
| 1215002779 | Janis A. Jaquez | Physician Assistant | 74 Park Rd, West Hartford, CT 06119-1853 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891278529 | Viktoriya Anatolievna Stork | Family Medicine | 35 Danforth Ln, West Hartford, CT 06110-2436 | 2018-09-10 |
| 1780958058 | Srinivasulu Conjeevaram | Family Medicine | 11 Winthrop Rd, Apt 2a, West Hartford, CT 06110-1656 | 2012-03-02 |
| 1588815054 | Marc T Edwards | Family Medicine | 111 Hunter Dr, West Hartford, CT 06107-1018 | 2008-10-02 |
| 1811919202 | Jay Donald Smith | Family Medicine | 11 W Ridge Dr, West Hartford, CT 06117-2047 | 2006-07-24 |
| 1811964752 | Steven W Luger | Family Medicine | 37 Miamis Road, West Hartford, CT 06117-5719 | 2006-02-28 |
| 1588661813 | Jesse Samuels | Family Medicine | 25 Cascade Rd, West Hartford, CT 06117-2006 | 2005-07-01 |
| 1306840640 | Jeffrey R Brown | Family Medicine | 445 South Main Street, West Hartford, CT 06110 | 2005-06-02 |
| 1407267214 | Florence Jaffa | Family Medicine | 336 N Main St, West Hartford, CT 06117-2675 | 2014-05-14 |
| 1801071758 | J. Michael Herr Do LLC | Family Medicine | 45 S Main St, Suite 212, West Hartford, CT 06107-2402 | 2008-01-09 |
| 1043406812 | Judith M. Mascolo, Md, LLC | Family Medicine | 639 Park Rd, Ste 100, West Hartford, CT 06107-3443 | 2007-09-14 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
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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.