AIM100NUTRITION, LLC (NPI# 1407175706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407175706 |
| Entity Type | Organization |
| Organization Name | AIM100NUTRITION, LLC |
| Other Organization Name | AIM100NUTRITION.COM |
| Practice Address |
272 Main St Manchester CT 06042-3536 |
| Practice Telephone | 8606496944 |
| Mailing Telephone | 8606496944 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |
| Authorized Official Name | DR. PATRICK DORVILUS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8606496944 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | Other Service Providers |
| Other Name | Type Code |
|---|---|
| AIM100NUTRITION.COM | Doing Business As Name - Organization |
| Street Address |
272 MAIN ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871563098 | Candice T Pych | Nurse Practitioner | 272 Main St, Manchester, CT 06042-3536 | 2006-01-23 |
| 1598095598 | Suede Surgical Care LLC | Surgery | 272 Main St, Manchester, CT 06042-3536 | 2010-01-13 |
| 1275867954 | Catherine Navarra St.charles | Dietitian, Registered | 272 Main St, Manchester, CT 06042-3536 | 2009-09-28 |
| 1093842130 | Klipstein Medical Group PC | Internal Medicine | 272 Main St, Manchester, CT 06042-3536 | 2007-02-27 |
| 1871525279 | Mohamad Maher Suede | Surgery | 272 Main St, Manchester, CT 06042-3536 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639330335 | Lauren Jean Young | Naturopath | 315 East Center St, Manchester, CT 06040 | 2008-06-24 |
| 1467572180 | Shirley S Snow | Naturopath | 755 Straw Hill, Manchester, NH 03104-1681 | 2007-03-29 |
| 1649817602 | Mary Elizabeth Tracey | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-12-09 |
| 1598307605 | Amanda Helton Gomes | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-10-09 |
| 1356814628 | Carolina Padilla | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-01-09 |
| 1447740667 | Carissa Fioritto | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2018-05-14 |
| 1396267126 | Collaborative Natural Health Partners, LLC | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2017-07-13 |
| 1033660675 | Diana Zitserman | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2016-10-19 |
| 1578013074 | Nicholas Edgerton | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2016-10-07 |
| 1033516869 | Tonya Pasternak | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2014-11-21 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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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.