WALLINGFORD ENDOSCOPY CENTER, LLC. (NPI# 1255820544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255820544 |
| Entity Type | Organization |
| Organization Name | WALLINGFORD ENDOSCOPY CENTER, LLC. |
| Practice Address |
863 N Main Street Ext Ste 300 Wallingford CT 06492-2434 |
| Practice Telephone | 7147665882 |
| Mailing Telephone | 2033096096 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | JEFFREY NESTLER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2033096096 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WALLINGFORD ENDOSCOPY CENTER, LLC | 863 North Main Street Extension, Wallingford, CT 06492 |
| Street Address |
863 N MAIN STREET EXT STE 300 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093974602 | Evergreen Endoscopy Center, LLC | Clinic/Center | 2400 Tamarack Avenue, Suite 100, South Windsor, CT 06074 | 2008-06-09 |
| 1043283906 | Naugatuck Valley Endoscopy Center, LLC | Clinic/Center | 1312 West Main St, Waterbury, CT 06708 | 2006-02-10 |
| 1639360712 | Greenwich Endoscopy Center LLC | Clinic/Center | 500 W Putnam Ave, Greenwich, CT 06830-6086 | 2007-08-05 |
| 1326131418 | Endoscopy Center of Connecticut, LLC | Clinic/Center | 1591 Boston Post Rd, Guilford, CT 06437-4335 | 2006-10-02 |
| 1386757854 | Endoscopy Center of Connecticut, LLC | Clinic/Center | 2200 Whitney Ave, Suite 380, Hamden, CT 06518-3691 | 2006-08-17 |
| 1124131636 | Central Connecticut Endoscopy Center | Clinic/Center | 440 New Britain Ave, Plainville, CT 06062-2016 | 2006-08-17 |
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.