JEFFERSON RADIOLOGY, PC (NPI# 1285685867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285685867 |
| Entity Type | Organization |
| Organization Name | JEFFERSON RADIOLOGY, PC |
| Practice Address |
1260 Silas Deane Hwy Suite 104 Wethersfield CT 06109-4362 |
| Mailing Address |
111 Founders Plz Suite 400 East Hartford CT 06108-3212 |
| Practice Telephone | 8605637844 |
| Practice Fax Number | 8605637871 |
| Mailing Telephone | 8605282080 |
| Mailing Fax Number | 8602916594 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | MR. ROBERT O'DONNELL (DIRECTOR, REVENUE SERVICES) |
| Authorized Official Telephone | 8602916551 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9704507 | 05 | |
| CT | CONNECTICARE | 669045 | 01 |
| CT | WELLCARE/PREFERRED ONE | NY108137 | 01 |
| CT | OXFORD | A2516306 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518158419 | Jefferson Radiology, PC | Nuclear Medicine | 23b Arts Center Ct, Avon, CT 06001 | 2007-08-06 |
| 1467403741 | Jefferson Radiology, PC | Radiology | 941 Farmington Ave, West Hartford, CT 06107-2203 | 2006-05-12 |
| 1538451042 | Jefferson Radiology, PC | Radiology | 74 Mack St, Windsor, CT 06095-2759 | 2011-05-03 |
| 1720316128 | Jefferson Radiology, PC | Radiology | 18 E Granby Rd, Granby, CT 06035-2201 | 2009-11-23 |
| 1417112962 | Jefferson Radiology, PC | Radiology | 85 Seymour St, Suite 200, Hartford, CT 06106-5501 | 2008-07-24 |
| 1609067503 | Jefferson Radiology, PC | Nuclear Medicine | 40 Dale Rd, Avon, CT 06001-3692 | 2007-08-06 |
| 1396795951 | Jefferson Radiology, PC | Nuclear Medicine | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2006-05-12 |
| 1053362350 | Jefferson Radiology, PC | Nuclear Medicine | 704 Hebron Ave, Suite 100, Glastonbury, CT 06033-5020 | 2006-05-12 |
| 1760463038 | Jefferson Radiology, PC | Radiology | 6 Northwestern Dr, Suite 102, Bloomfield, CT 06002-3463 | 2005-11-14 |
| Street Address |
1260 SILAS DEANE HWY SUITE 104 |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-4362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794905 | Kenneth A Merkatz | Internal Medicine | 1260 Silas Deane Hwy, Wethersfield, CT 06109 | 2005-07-20 |
| 1093315970 | Carolyn Helen Schwartz | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | 2020-10-29 |
| 1093359119 | Katie Vigil | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | 2019-10-31 |
| 1427510379 | Jeannette Ashley Adorno-pacheco | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109 | 2019-04-01 |
| 1558853515 | Elizabeth Susan Doty | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109 | 2018-06-05 |
| 1033624903 | Kimberly Keegan | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | 2017-12-13 |
| 1962893669 | Chidiebere Onyishi | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | 2015-02-17 |
| 1851796551 | Cassandra Y Gryczewski | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109 | 2014-10-24 |
| 1396085023 | Jessica J Hinchey | Nurse Practitioner | 1260 Silas Deane Hwy, Wethersfield, CT 06109 | 2013-02-16 |
| 1770836728 | Starling Physicians PC | Internal Medicine | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | 2012-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1336775485 | Lance Morton | Hearing Instrument Specialist | Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 | 2020-03-20 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1659806404 | Lauren M Mcgrath | Physical Therapist | 672 Silas Deane Highway, Wethersfield, CT 06109 | 2017-04-28 |
| 1851824858 | A Plus Senior Home Care LLC | In Home Supportive Care | 183 Clearfield Rd, Wethersfield, CT 06109 | 2017-04-06 |
| 1801270707 | Dr.matthew Carbone Family Chiropractic | Chiropractor | 15 Country Club Rd, Wethersfield, CT 06109 | 2015-07-10 |
| 1629455910 | Melanie Anne Parker | Physical Therapist | 850 Silas Deane Hwy #2, Wethersfield, CT 06109 | 2015-05-06 |
| 1508271875 | Integrated Procare Services | Counselor | 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 | 2014-06-25 |
| 1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
| 1285925651 | Steven Warren Young | Pharmacist | 657 Silas Deane Highway, Rite Aid Pharmacy, Wethersfield, CT 06109 | 2011-04-20 |
| Find all providers in zip 06109 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740315761 | Connecticut Imaging Partners, LLC | Radiology | 1260 Silas Deane Hwy, Suite 100, Wethersfield, CT 06109-4362 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781236 | Waterford Vascular Associates, P.C. | Radiology | 903 Hartford Tpke Unit 30, Waterford, CT 06385-4264 | 2019-10-11 |
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1356813505 | Northeast Radiology of Connecticut, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2018-12-28 |
| 1760964001 | Integrated Health Administrative Services, Inc. | Radiology | 1011 Hope St Ofc E, Stamford, CT 06907-2121 | 2018-09-04 |
| 1538682760 | Christina Prete | Radiology | 350 S Cherry St, Wallingford, CT 06492-4429 | 2017-07-19 |
| 1003361320 | Susan Nally | Radiology | 445 Hogan Rd, Hamden, CT 06518-1927 | 2016-08-16 |
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
| Find all providers with the same taxonomy | ||||
| City | WETHERSFIELD |
| Zip Code | 06109 |
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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.