CTUC01 (NPI# 1255752945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255752945 |
| Entity Type | Organization |
| Organization Name | CTUC01 |
| Practice Address |
1030 Boulevard West Hartford CT 06119 |
| Practice Telephone | 8609866440 |
| Practice Fax Number | 2038262139 |
| Mailing Telephone | 8609866440 |
| Mailing Fax Number | 8609866439 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | MR. THOMAS KELLY (PRESIDENT) |
| Authorized Official Telephone | 8609866440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
CT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467937268 | Ctuc01 | Clinic/Center | 1171 E Main St, Torrington, CT 06790-3963 | 2018-09-27 |
| 1396276960 | Ctuc01 | Clinic/Center | 76 Newtown Rd., Suite C, Danbury, CT 06810 | 2017-03-24 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
| 1255997334 | Ctuc01 | Clinic/Center | 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 | 2019-05-14 |
| 1366893216 | Ctuc01 | Clinic/Center | 135 E Main St, New Britain, CT 06051-1914 | 2016-06-22 |
| 1003152984 | Ctuc01 | Clinic/Center | 2 Main Street, Danbury, CT 06810 | 2012-12-20 |
| Street Address |
1030 BOULEVARD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227336 | James Andrew Stringer | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2020-05-20 |
| 1174166987 | Elizabeth Pelletier | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-10-24 |
| 1538729702 | Naomi Mara Sydney | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-19 |
| 1235799503 | Lauren Catherine Shaw | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-18 |
| 1679026397 | Ctuc02 Urgent Care PC | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119-1801 | 2016-07-28 |
| 1962885194 | Brandon Batory | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2015-07-07 |
| 1740684901 | Charysse Johnson | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 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 |
| 1053523589 | Paula Stern | Dentist | 780 Farmington Avenue, West Hartford, CT 06119 | 2007-05-04 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804628 | Urgent Care of West Hartford, LLC | Clinic/Center | 21 N Main St Ste B, West Hartford, CT 06107-1939 | 2019-11-01 |
| 1508122672 | New England Urgent Care Simsbury LLC | Clinic/Center | 133 Steele Rd, West Hartford, CT 06119-1047 | 2012-04-03 |
| 1679026397 | Ctuc02 Urgent Care PC | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119-1801 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467937268 | Ctuc01 | Clinic/Center | 1171 E Main St, Torrington, CT 06790-3963 | 2018-09-27 |
| 1972035657 | New England Urgent Care Enfield LLC | Clinic/Center | 370 Middle Tpke W, Manchester, CT 06040-3824 | 2017-03-31 |
| 1396276960 | Ctuc01 | Clinic/Center | 76 Newtown Rd., Suite C, Danbury, CT 06810 | 2017-03-24 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1134665698 | Bloomfield Urgent Care, LLC | Clinic/Center | 16 Mountain Ave, Bloomfield, CT 06002-2339 | 2017-01-09 |
| 1053856039 | Qmg3, LLC | Clinic/Center | 389 Bridgeport Ave, Shelton, CT 06824-5484 | 2016-12-29 |
| 1437546363 | Qmg2,llc | Clinic/Center | 1910 Black Rock Tpke, Fairfield, CT 06825-3543 | 2015-04-17 |
| 1629461116 | Urgent Care of Derby, LLC | Clinic/Center | 78 Pershing Dr, Derby, CT 06418-1433 | 2015-03-09 |
| 1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
| 1457759755 | New England Urgent Care Enfield LLC | Clinic/Center | 575 Farmington Ave, Unit 51, Bristol, CT 06010-3933 | 2014-12-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
Please comment or provide details below to improve the information on CTUC01.
| 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.