JENNA KOLIANI-PACE


Address: 300 Western Blvd Ste A, Glastonbury, CT 06033-4305
Phone: 8606571920

JENNA KOLIANI-PACE (NPI# 1316209141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316209141
Entity Type Individual
Full Name JENNA KOLIANI-PACE
Other Name JENNA KOLIANI
Credential M.D.
Practice Address 300 Western Blvd Ste A
Glastonbury
CT 06033-4305
Mailing Address 1 Medical Center Dr
Dhmc Department of Gastroenterology
Lebanon
NH 03756-1000
Practice Telephone 8606571920
Practice Fax Number 8606571925
Mailing Telephone 6036505261
Enumeration Date 2012-06-07
Last Update Date 2019-08-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
63719 CT Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
18675 NH Allopathic & Osteopathic Physicians

Office Location

Street Address 300 WESTERN BLVD STE A
City GLASTONBURY
State CT
Zip Code 06033-4305

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NPI Name Taxonomy Address Enumeration
1477074649 Starling Physicians, PC Durable Medical Equipment & Medical Supplies 289 Western Blvd, Glastonbury, CT 06033 2017-06-28
1497284897 D&l Eyecare Optometrist 33 Welles Street, Glastonbury, CT 06033 2017-06-08
1730626235 Half Full Psychiatry LLC Clinic/Center 39 New London Tpke Ste 230f, Glastonbury, CT 06033 2017-01-23
1285000117 Olga A Levkina Physician Assistant 2928 Main St Ste 101, Glastonbury, CT 06033 2015-08-14
1619350576 Ryan Ilg Reichelt Dentist 131 New London Tpke Ste 211, Glastonbury, CT 06033 2015-07-09
1316320534 Devon Banda Orthopaedic Surgery The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 2015-07-07
1881073195 Brittney Stanley Counselor 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 2015-05-20
1780071878 Richard T. Risinger Dentist 88 Citizens Drive, Glastonbury, CT 06033 2015-04-16
1639568751 Carol Jane Gammell Counselor 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 2015-01-13
1407262611 Prashant Sinha Dentist 2874 Main Street, Glastonbury, CT 06033 2014-07-08
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720396567 Breiter Tech Corp Internal Medicine 2842 Main St, Ste 309, Glastonbury, CT 06033-1077 2010-09-14
1518064120 Kiran Sachdev Internal Medicine 300 Western Blvd, Ste A, Glastonbury, CT 06033-4305 2006-09-19
1639273212 Joseph A Cappa Internal Medicine 300 Western Blvd, Ste A, Glastonbury, CT 06033-4305 2006-09-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730525734 Benjamin Barbash Internal Medicine 888 White Plains Rd Ste 110, Trumbull, CT 06611-4552 2013-05-16
1144665969 Brian Thomas Moy Internal Medicine 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 2013-05-07
1598109753 Radhika Naga Ayyagari Internal Medicine Prime Healthcare PC, 44 Dale Rd, Avon, CT 06001-4320 2013-04-18
1205279247 Jared Macklin Internal Medicine 800 Boston Post Rd Ste 201, Guilford, CT 06437 2013-04-09
1891055323 Martin H. Floch,m.d.pc Internal Medicine 32 Woody Ln, Westport, CT 06880-2259 2012-05-17
1275775058 Donald E. Gullickson IIi Internal Medicine Uconn Health Center 263 Farmington Ave, Farmington, CT 06030-0001 2009-03-25
1356582571 Miechelle L. O'brien Internal Medicine 111 Osborne Street- Ste 121, Danbury, CT 06810-6019 2009-03-18
1962656314 Jefrey Salek Internal Medicine 79 Wawecus St., Suite 101, Norwich, CT 06360-2173 2008-11-12
1790945996 Amzad Khan Internal Medicine 234a Bank St., 4th Floor, New London, CT 06320-6054 2008-06-11
1275791667 Annmarie Liapakis Internal Medicine 40 Temple Street, Suite 1a, Yale Digestive Diseases Temple Medical Center, New Haven, CT 06510 2008-06-02
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Competitor

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City GLASTONBURY
Zip Code 06033

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Dataset Information

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.

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