DR. JACK A SCHMETTERLING (NPI# 1346227774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346227774 |
| Entity Type | Individual |
| Full Name | DR. JACK A SCHMETTERLING |
| Credential | MD |
| Practice Address |
336 N Main St West Hartford CT 06117-2510 |
| Mailing Address |
336 N Main St Hartford Medical Group West Hartford CT 06117-2510 |
| Practice Telephone | 8602324891 |
| Practice Fax Number | 8602631016 |
| Mailing Telephone | 8602324891 |
| Mailing Fax Number | 8602361016 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2011-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2045171 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001267500 | 05 |
| Street Address |
336 N MAIN ST |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477539906 | Timothy James Holsbeke | Physician Assistant | 336 N Main St, West Hartford, CT 06117-2510 | 2005-12-16 |
| 1407267214 | Florence Jaffa | Family Medicine | 336 N Main St, West Hartford, CT 06117-2675 | 2014-05-14 |
| 1578826012 | Scott C Healer | Physician Assistant | 336 N Main St, West Hartford, CT 06117-2510 | 2012-06-20 |
| 1124388129 | Laura Celeste Black | Internal Medicine | 336 N Main St, West Hartford, CT 06117 | 2012-05-23 |
| 1649336652 | Bisrat Abebe | Social Worker | 336 N Main St, West Hartford, CT 06117-2675 | 2006-12-28 |
| 1639194863 | Jessica M Borkowski | Physician Assistant | 336 N Main St, West Hartford, CT 06117-2510 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1487040747 | Nancy Cabelus | Registered Nurse | 1678 Asylum Ave. Room 317, University of St. Joseph, West Hartford, CT 06117 | 2015-04-13 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1720282882 | Ruth Kahn | Psychologist | 54 Mountain Brook Road, West Hartford, CT 06117 | 2007-06-13 |
| 1437370426 | Dana Orthodontics PC | Dentist | 2446 Albany Avenue, West Hartford, CT 06117 | 2007-05-01 |
| 1972723146 | Michelle Payson | Occupational Therapist | One Abrahms Boulevard, West Hartford, CT 06117 | 2007-04-27 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| 1427181585 | Nancy L White | Naturopath | 10 Crossroads Plaza, West Hartford, CT 06117 | 2007-03-14 |
| 1689743452 | August C Olivar | Obstetrics & Gynecology | 2437 Albany Avenue, Suite 202, West Hartford, CT 06117 | 2006-11-07 |
| Find all providers in zip 06117 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495134 | West Hartford Primary Care, LLC | Internal Medicine | 9 Ellsworth Rd, West Hartford, CT 06107-2302 | 2020-04-14 |
| 1275178642 | Real Life Medical LLC | Internal Medicine | 1245 Farmington Ave # 226, West Hartford, CT 06107-2667 | 2019-11-09 |
| 1407210016 | Christine Najjar | Internal Medicine | 125 Lasalle Rd Ste 208, West Hartford, CT 06107-2311 | 2016-04-09 |
| 1821212382 | Steven A Weisman | Internal Medicine | 41 Crossroads Plz, Unit 213, West Hartford, CT 06117-2402 | 2007-04-13 |
| 1073685905 | William James Pickering | Internal Medicine | 1064 Farmington Ave, West Hartford, CT 06107 | 2006-11-15 |
| 1194818013 | John D. Rixon | Internal Medicine | 55 Webster Hill Blvd, 555 Willard Ave, West Hartford, CT 06107-3458 | 2006-10-02 |
| 1043317340 | Varalakshmi Niranjan | Internal Medicine | 65 Kane Street, West Hartford, CT 06119-2110 | 2006-09-20 |
| 1831101443 | Michael Jimenez | Internal Medicine | 631 South Quaker Ln, West Hartford, CT 06110-1026 | 2006-08-12 |
| 1891718763 | Herbert Saul Hoffman | Internal Medicine | 1170 New Britain Ave, West Hartford, CT 06110-2410 | 2006-07-25 |
| 1508887290 | Murray Isaac Wellner | Internal Medicine | 10 Dale St, West Hartford, CT 06107-1815 | 2006-07-21 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06117 |
Please comment or provide details below to improve the information on DR. JACK A SCHMETTERLING.
| 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.