HARTFORD CLINICAL ASSOCIATES, PC (NPI# 1386924264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386924264 |
| Entity Type | Organization |
| Organization Name | HARTFORD CLINICAL ASSOCIATES, PC |
| Other Organization Name | HARTFORD SPECIALISTS |
| Practice Address |
29 Haynes St Manchester CT 06040-4139 |
| Mailing Address |
17 Talcott Notch Rd Farmington CT 06032-1818 |
| Practice Telephone | 8605470616 |
| Practice Fax Number | 8605242655 |
| Mailing Telephone | 8605242626 |
| Mailing Fax Number | 8606775029 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | JOHN L FUNDOCK (VICE PRESIDENT) |
| Authorized Official Telephone | 8605457188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Hartford Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962783381 | Hartford Clinical Associates, PC | Podiatrist | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2011-08-30 |
| 1689954661 | Hartford Clinical Associates, PC | Podiatrist | 339 W Main St, Avon, CT 06001-4322 | 2011-08-23 |
| 1407136484 | Hartford Clinical Associates, PC | Urology | 100 Hazard Ave, Suite 206, Enfield, CT 06082-5446 | 2011-08-23 |
| 1346520228 | Hartford Clinical Associates, PC | Urology | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2011-08-23 |
| 1629358601 | Hartford Clinical Associates, PC | Podiatrist | 1 Liberty Sq, New Britain, CT 06051-2636 | 2011-08-23 |
| 1275813156 | Hartford Clinical Associates, PC | Podiatrist | 330 Western Blvd, Glastonbury, CT 06033-4383 | 2011-08-23 |
| 1972883858 | Hartford Clinical Associates, PC | Podiatrist | 65 Memorial Rd, Suite 430, West Hartford, CT 06107-2434 | 2011-08-23 |
| 1316227291 | Hartford Clinical Associates, PC | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2011-08-23 |
| Street Address |
29 HAYNES ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861465635 | Reginald Winfield Raynor IIi | Surgery | 29 Haynes St, Suite B, Manchester, CT 06040-4139 | 2006-02-10 |
| 1427675354 | Orthopedic Associates of Hartford,pc | Durable Medical Equipment & Medical Supplies | 29 Haynes St, Manchester, CT 06040-4139 | 2020-06-26 |
| 1255858593 | Alexander W Bernard | Physical Therapist | 29 Haynes St, Manchester, CT 06040-4139 | 2017-08-28 |
| 1659799823 | Brian Wirtalla | Physical Therapist | 29 Haynes St, Suite A, Manchester, CT 06040-4139 | 2014-04-03 |
| 1033461454 | Hartford Healthcare Medical Group, Inc | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2012-10-09 |
| 1174801682 | Jeffrey M Ranaudo | Surgery | 29 Haynes St, Unit D, Manchester, CT 06040-4139 | 2011-08-01 |
| 1619126190 | Monika M Rejnin | Physician Assistant | 29 Haynes St, Suite D, Manchester, CT 06040-4139 | 2008-09-09 |
| 1952589434 | Connecticut Surgical Group, PC | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2008-02-06 |
| 1871634279 | Connecticut Center for Orthopedic Surgery, LLC | Orthopaedic Surgery | 29 Haynes St, Manchester, CT 06040-4139 | 2007-02-09 |
| 1548224512 | James T Mazzara | Orthopaedic Surgery | 29 Haynes St, Manchester, CT 06040-4139 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619494473 | Tlc Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1621 S Highway 421 Ste 2, Manchester, KY 40962-7514 | 2017-08-23 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1477008480 | Manchester Down Home Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 500 Richmond Rd, Manchester, KY 40962-1294 | 2016-08-19 |
| 1487009387 | Rx Discount Pharmacy of Hazard Inc | Durable Medical Equipment & Medical Supplies | 509 Memorial Dr Ste 1, Manchester, KY 40962-6196 | 2016-04-28 |
| 1154736015 | Claim Path New Hampshire, LLC | Durable Medical Equipment & Medical Supplies | 816 Elm St # 259, Manchester, NH 03101-2105 | 2014-06-30 |
| 1861816654 | James Hradecky | Durable Medical Equipment & Medical Supplies | 816 Elm St # 248, Manchester, NH 03101-2105 | 2014-02-13 |
| 1134559768 | Manchester Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 359 Old Us Highway 421, Manchester, KY 40962-7538 | 2013-11-18 |
| 1528408705 | Midwest Practice Solutions Stl LLC | Durable Medical Equipment & Medical Supplies | 14585 Manchester Rd, Manchester, MO 63011-3963 | 2013-07-02 |
| 1982964672 | Billing Advocates, LLC | Durable Medical Equipment & Medical Supplies | 816 Elm St # 206, Manchester, NH 03101-2105 | 2012-05-29 |
| 1336430842 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4035 N George Street Ext, Manchester, PA 17345-9203 | 2011-05-02 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on HARTFORD CLINICAL ASSOCIATES, PC.
| 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.