BETHEL PRIMARY CARE CENTER LLC (NPI# 1376095646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376095646 |
| Entity Type | Organization |
| Organization Name | BETHEL PRIMARY CARE CENTER LLC |
| Practice Address |
6 Stony Hill Rd Bethel CT 06801-1053 |
| Practice Telephone | 2034568000 |
| Practice Fax Number | 2039174923 |
| Mailing Telephone | 2034568000 |
| Mailing Fax Number | 2039174923 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | DR. MATTHEW DAVID AMARA (OWNER) |
| Authorized Official Telephone | 2034568000 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | BETHEL PRIMARY CARE CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 000438 | CT | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | BETHEL PRIMARY CARE CENTER LLC | 6 Stony Hill Road, Bethel, CT 06801 |
| Street Address |
6 STONY HILL RD |
| City | BETHEL |
| State | CT |
| Zip Code | 06801-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747900 | Christopher Martin Pioli | Nurse Practitioner | 6 Stony Hill Rd, Bethel, CT 06801-1053 | 2020-07-08 |
| 1235783648 | Alexandria Rose Passero | Physician Assistant | 6 Stony Hill Rd, Bethel, CT 06801-1053 | 2019-07-25 |
| 1295298933 | Yasmin Santos | Nurse Practitioner | 6 Stony Hill Rd, Bethel, CT 06801-1053 | 2019-04-10 |
| 1336640333 | Mobeen Zohra | Physician Assistant | 6 Stony Hill Rd, Bethel, CT 06801 | 2018-02-24 |
| 1396287389 | Ashley Nascimento | Physician Assistant | 6 Stony Hill Rd, Bethel, CT 06801-1053 | 2016-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669805 | Turning Point Medical | Durable Medical Equipment & Medical Supplies | 211 Greenwood Ave 2-2, Num 147, Bethel, CT 06801 | 2017-06-15 |
| 1861800625 | Barbara Kelly, Lpc | Counselor | 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 | 2014-07-24 |
| 1104114545 | Lisa Anne Pottasch | Clinical Nurse Specialist | 4berkshire Boulevard, Ability Beyond Disability, Bethel, CT 06801 | 2011-07-19 |
| 1194018671 | Hilary Norman | Physical Therapist | 13 Parklawn Drive, Bethel, CT 06801 | 2011-05-17 |
| 1215247077 | Michael Thomas Murphy | Chiropractor | 182 Grassy Plain Street, Bethel, CT 06801 | 2010-10-14 |
| 1437315751 | Bethel Vol Fire Dept | Ambulance | 36-40 South St, Bethel, CT 06801 | 2008-08-06 |
| 1023212032 | Village Square Internal Medicine PC | Internal Medicine | 2 Elizabeth Street, Bethel, CT 06801 | 2007-06-13 |
| 1376688655 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 81 Stony Hill Road, Bethel, CT 06801 | 2007-02-21 |
| 1538249164 | Holly Amber Suriano | Occupational Therapist | 121 Codfish Hill Rd, Bethel, CT 06801 | 2006-10-17 |
| 1659482719 | Dr Russell D Caram & Associates PC | Chiropractor | 182 Grassy Plain St, Bethel, CT 06801 | 2006-08-31 |
| Find all providers in zip 06801 | ||||
| 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 |
|---|---|---|---|---|
| 1275884652 | Greenville Health Care Center, P.a. | Family Medicine | 7439 Main St, Bethel, NC 27812-7201 | 2012-09-26 |
| 1558548826 | Calvin Vermeire | Family Medicine | Yukon Kuskokwim Health Corportation, Chief Eddy Hoffman Highway, Bethel, AK 99559 | 2008-01-29 |
| 1255448783 | Heather M. Owens | Family Medicine | 210 N. Union Street, Bethel, OH 45106-1313 | 2006-08-23 |
| 1487666335 | Gaurang Shah | Family Medicine | 3088 Angel Dr, Bethel, OH 45106-9533 | 2006-08-12 |
| 1649229667 | East Carolina University | Family Medicine | 110 Railroad Street, Bethel Family Medicine Center, Bethel, NC 27812 | 2006-05-08 |
| 1841267507 | Edward Volpintesta | Family Medicine | 155 Greenwood Ave, Bethel, CT 06801-2527 | 2006-03-02 |
| 1760472203 | Scott A Walker | Family Medicine | 700 Chief Eddie Hoffman, Kusko Clinic, Bethel, AK 99559 | 2005-10-26 |
| 1962499541 | Richard P Rawl | Family Medicine | 110 Railroad St W, Ecu Physicians Family Medicine, Bethel, NC 27812-9303 | 2005-09-29 |
| 1205218864 | Rachel Coombs | Family Medicine | 1823 Vt Rte 107, Bethel, VT 05032 | 2015-06-19 |
| 1457648420 | Catherine R Chamberlin | Family Medicine | 32 Railroad St, Bethel, ME 04217 | 2011-06-29 |
| Find all providers in BETHEL | ||||
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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.