JILL E. MOORCROFT (NPI# 1336325596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336325596 |
| Entity Type | Individual |
| Full Name | JILL E. MOORCROFT |
| Credential | D.O. |
| Practice Address |
279 New Britain Rd, #6 Origins of Health, LLC Berlin CT 06037 |
| Practice Telephone | 8604387096 |
| Practice Fax Number | 8604387134 |
| Mailing Telephone | 8604387096 |
| Mailing Fax Number | 8604387134 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2012-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 047425 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CT | Student, Health Care |
| Street Address |
279 NEW BRITAIN RD, #6 ORIGINS OF HEALTH, LLC |
| City | BERLIN |
| State | CT |
| Zip Code | 06037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598941585 | Thomas A Moorcroft | Family Medicine | 279 New Britain Rd, #6, Origins of Health, LLC, Berlin, CT 06037 | 2008-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| Find all providers in zip 06037 | ||||
| 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 |
|---|---|---|---|---|
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1841587839 | Brian L Rodriguez | Family Medicine | 130 Fisher Rd., Ste. #3-1, Fahc-berlin Family Practice, Berlin, VT 05602 | 2011-06-29 |
| 1134428105 | Community Health Network | Family Medicine | W832 State Road 91, Ste 3, Berlin, WI 54923-8821 | 2011-03-16 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| 1306016050 | Atco Family Medical Associates, PC | Family Medicine | 10 Gardens Avenue, Berlin, NJ 08009-2104 | 2008-03-10 |
| 1902087190 | Richard Andrews Crandall IIi | Family Medicine | 1093 Brookfield Rd, Berlin, VT 05602-9065 | 2007-11-16 |
| 1174635536 | Angela L Gibbs | Family Medicine | 11200 Racetrack Rd, Ste A104, Berlin, MD 21811-3809 | 2006-08-31 |
| 1053347708 | Jennifer Brennan Bamford | Family Medicine | 130 Fisher Rd., Uvm Medical Center - Fm/berlin, Berlin, VT 05602 | 2006-06-24 |
| 1083654479 | Five Star Physician Services, LLC | Family Medicine | 9715 Healthway Drive, Berlin, MD 21811 | 2006-06-07 |
| Find all providers in BERLIN | ||||
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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.