SUFFIELD MEDICAL ASSOCIATES (NPI# 1417129800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417129800 |
Entity Type | Organization |
Organization Name | SUFFIELD MEDICAL ASSOCIATES |
Practice Address |
162 Mountain Rd Suffield CT 06078-2091 |
Practice Telephone | 8606681211 |
Practice Fax Number | 8606682045 |
Mailing Telephone | 8606681211 |
Mailing Fax Number | 8606682045 |
Enumeration Date | 2008-03-26 |
Last Update Date | 2008-03-26 |
Authorized Official Name | WALTER R KOPE (OWNER) |
Authorized Official Telephone | 8606681211 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Street Address |
162 MOUNTAIN RD |
City | SUFFIELD |
State | CT |
Zip Code | 06078-2091 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396779419 | Lynn Anne Champagne | Physical Therapist | 162 Mountain Rd, Suffield, CT 06078-2091 | 2006-07-11 |
1184276669 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 162 Mountain Rd, Suffield, CT 06078-2091 | 2019-07-15 |
1013494632 | Suffield Eye Care, Pllc | Optometrist | 162 Mountain Rd, Suffield, CT 06078-2091 | 2018-07-26 |
1720452527 | Mark Volpe | Physician Assistant | 162 Mountain Rd, Suffield, CT 06078-2091 | 2015-11-17 |
1639508740 | Markowski Dental Associates P C | Dentist | 162 Mountain Rd, Suffield, CT 06078-2091 | 2013-11-08 |
1518270479 | Simona Trofimov | Dentist | 162 Mountain Rd, Suffield, CT 06078-2091 | 2010-07-21 |
1881850683 | Eugene Markowski Dmd | Dentist | 162 Mountain Rd, Suffield, CT 06078-2091 | 2008-07-31 |
1487833513 | Suffield Eye Care | Optometrist | 162 Mountain Rd, Suffield, CT 06078-2091 | 2007-10-25 |
1528264553 | Alison Marie Nicholes | Dentist | 162 Mountain Rd, Suffield, CT 06078-2091 | 2007-06-26 |
1558437491 | Rebecca Lee Cochrane | Dentist | 162 Mountain Rd, Markowski Dental Associates, Suffield, CT 06078 | 2006-11-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821645300 | Olga Tereshchuk | Physical Therapist | 230 Mountain Road, Suffield, CT 06078 | 2019-08-20 |
1699223198 | Alea Tardy | Social Worker | 58 Suffield Meadow Dr, Suffield, CT 06078 | 2016-09-14 |
1154679280 | Jacqueline Testa | Counselor | 133 Mountain Road, 2nd Floor, Suffield, CT 06078 | 2012-08-21 |
1003010836 | Amanda M Cuevas | Counselor | 49 Valley View Dr, Suffield, CT 06078 | 2007-06-14 |
1538259767 | Richard J Colo | Optometrist | 162 Mountain Road, Suffield, CT 06078 | 2006-10-16 |
1104848019 | Anil Mukund Mehta | Dentist | 681 East Street North, Suffield, CT 06078 | 2006-07-24 |
1407366388 | Dahlia Counseling Services, LLC | Counselor | 133 Mountain Road, 2nd Floor, Suffield, CT 06078 | 2017-10-05 |
1508387481 | Joseph C Coleman | Psychologist | 1151 East Street South, Suffield, CT 06078 | 2017-06-30 |
1477802841 | A.g.n. Dental Associates, P.C. | Dentist | 133 Mountain Road, Suffield, CT 06078 | 2012-08-31 |
1083919922 | Brett G Carra | Social Worker | 133 Mountain Rd, Suffield, CT 06078 | 2011-01-25 |
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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 |
---|---|---|---|---|
1225638299 | Alyssa Mary Brown | Family Medicine | 82 Welles Dr, Newington, CT 06111-2625 | 2020-10-29 |
1598370389 | Korinne Fern Croce X | Family Medicine | 52 Meadowood Dr, New Milford, CT 06776-5732 | 2020-09-09 |
1619580263 | Chelsea Nicole Alves | Family Medicine | 111 Connecticut Blvd, East Hartford, CT 06108-3015 | 2020-08-24 |
1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
1598397192 | Healthmed Family Care | Family Medicine | 1209 S Broad St, Wallingford, CT 06492-1714 | 2020-02-11 |
1457991333 | Diane Iannini | Family Medicine | 16 Bridge End Farm Ln, Sandy Hook, CT 06482-1055 | 2020-01-08 |
1396382685 | Optimum Regenerative Care LLC | Family Medicine | 46 Benson Dr, Danbury, CT 06810-7231 | 2019-12-05 |
1801455761 | Steven John Rigatti | Family Medicine | 157 Uconn Ave, Glastonbury, CT 06033-1348 | 2019-06-13 |
1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
1336703586 | Shazia Josephine Joseph | Family Medicine | 12 Village St Ste 5, North Haven, CT 06473-3828 | 2019-04-23 |
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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.