DAY KIMBALL MEDICAL GROUP INC (NPI# 1376813972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376813972 |
| Entity Type | Organization |
| Organization Name | DAY KIMBALL MEDICAL GROUP INC |
| Practice Address |
320 Pomfret Street Putnam CT 06260-1836 |
| Mailing Address |
320 Pomfret Street Suite Csb2 Putnam CT 06260-1836 |
| Practice Telephone | 8609286541 |
| Practice Fax Number | 8609636091 |
| Mailing Telephone | 8609286541 |
| Mailing Fax Number | 8609636091 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | ROBERT SMANIK (PRESIDENT/CEO) |
| Authorized Official Telephone | 8609286541 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAY KIMBALL HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437420130 | Day Kimball Medical Group Inc | Advanced Practice Midwife | 320 Pomfret St, Putnam, CT 06260-1836 | 2012-01-26 |
| 1982975686 | Day Kimball Medical Group Inc | Nurse Practitioner | 320 Pomfret St, Putnam, CT 06260-1836 | 2012-01-26 |
| Street Address |
320 POMFRET STREET |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649243478 | Day Kimball Healthcare, Inc. | Internal Medicine | 320 Pomfret Street, Putnam, CT 06260-1836 | 2006-02-10 |
| 1639590466 | Aziz Tahirov | Nurse Anesthetist, Certified Registered | 320 Pomfret Street, Putnam, CT 06260 | 2013-12-20 |
| 1235452574 | Summer R Slanda | Nurse Anesthetist, Certified Registered | 320 Pomfret Street, Putnam, CT 06260 | 2010-03-01 |
| 1962572834 | Anne Marie Grossi | Nurse Practitioner | 320 Pomfret Street, Putnam, CT 06260 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| 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 |
|---|---|---|---|---|
| 1104978063 | New England Family Medical and Walk-in Center, LLC | Family Medicine | 52 Church St, Putnam, CT 06260-1872 | 2007-01-18 |
| 1477638963 | Sundaramurthy Balachandran | Family Medicine | 145 Pomfret Street, Riverview Medical Associates, Putnam, CT 06260 | 2006-10-25 |
| 1235159278 | Charles L Wreschner | Family Medicine | 235 Pomfret St, Putnam, CT 06260-1835 | 2006-07-20 |
| 1003860891 | Timothy E Cooper | Family Medicine | 330 Pomfret Street, Putnam, CT 06260 | 2006-05-19 |
| 1699745604 | Joseph John Creme | Family Medicine | 7 Kennedy Dr, Putnam, CT 06260-1939 | 2006-01-23 |
| 1841283439 | Raja Fattaleh | Family Medicine | 353 Pomfret St, Putnam, CT 06260-1835 | 2005-08-29 |
| 1902899859 | Ayaz T Madraswalla | Family Medicine | 391 Pomfret St, Putnam, CT 06260-1852 | 2005-08-25 |
| 1588656854 | Nancy Austin | Family Medicine | 330 Pomfret St, Putnam, CT 06260-1854 | 2005-08-22 |
| 1710989520 | Emily Ferguson | Family Medicine | 41a Grove St, Putnam, CT 06260-2107 | 2005-08-11 |
| 1154789840 | Youlan Tang | Family Medicine | 320 Pomfret St, Putnam, CT 06260-1836 | 2016-02-09 |
| Find all providers in PUTNAM | ||||
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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.