PURANIK FAMILY MEDICAL CENTER LLC (NPI# 1487862801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487862801 |
| Entity Type | Organization |
| Organization Name | PURANIK FAMILY MEDICAL CENTER LLC |
| Practice Address |
546 S Broad St Unit 2e Meriden CT 06450-6600 |
| Mailing Address |
546 S Broad St Ste 2e Unit 2e Meriden CT 06450-6601 |
| Practice Telephone | 2032371054 |
| Practice Fax Number | 2032379913 |
| Mailing Telephone | 2032371054 |
| Mailing Fax Number | 2032379913 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. UJWALA P PURANIK (MEMBERLLC) |
| Authorized Official Telephone | 2032371054 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
546 S BROAD ST UNIT 2E |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927332 | Jay E Hellreich | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2005-07-29 |
| 1841667383 | Paul Niles | Technician/Technologist | 546 S Broad St, 1d, Meriden, CT 06450-6600 | 2015-09-01 |
| 1740657840 | Eye Physicians of Central Ct | Eyewear Supplier (Equipment, not the service) | 546 S Broad St, D1, Meriden, CT 06450-6600 | 2015-08-25 |
| 1629480728 | Laura Bressler Hall | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2014-05-22 |
| 1639449408 | Misbah M. Vahidy, Md, PC | Surgery | 546 S Broad St, Suite 2e, Meriden, CT 06450-6600 | 2012-01-10 |
| 1427291483 | Thoracic & Vascular Surgical Specialists of Central Ct LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 546 S Broad St, Suite 2e, Meriden, CT 06450-6600 | 2009-04-07 |
| 1457507493 | Sandra Perkins | Technician/Technologist | 546 S Broad St, Meriden, CT 06450-6600 | 2008-08-11 |
| 1336336437 | Anthony G Lendino M.d. LLC | Family Medicine | 546 S Broad St, Suite 4b, Meriden, CT 06450-6600 | 2007-10-02 |
| 1366655037 | Kenneth Chasen | Dentist | 546 S Broad St, Suite 3b, Meriden, CT 06450-6600 | 2007-05-08 |
| 1104048016 | Andrea Gentile-fiori | Dentist | 546 S Broad St, Suite 3b, Meriden, CT 06450-6600 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790990943 | Eileen Kehoe | Internal Medicine | 455 Lewis Ave., Ste 214, Meriden, CT 06451-2121 | 2007-05-11 |
| 1285659839 | Crossroads Health PC | Internal Medicine | 807 Broad Street, Meriden, CT 06450 | 2006-07-13 |
| 1982005450 | Zeeshan Solangi | Internal Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2014-09-15 |
| 1649698887 | Ebisa Y Bekele | Internal Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2014-04-04 |
| 1164717955 | Kimberly C. Brown | Internal Medicine | 435 Lewis Ave, Medical Staff Office, Meriden, CT 06451-2101 | 2011-06-09 |
| 1972823649 | Susan W Arvan | Internal Medicine | 134 State St, Meriden, CT 06450-3293 | 2010-06-04 |
| 1265669089 | Madhavi Bhoomagoud | Internal Medicine | 455 Lewis Ave, Suite 105, Meriden, CT 06451-2121 | 2009-06-18 |
| 1245488642 | Yumi Koh | Internal Medicine | 134 State St, Meriden, CT 06450-3293 | 2008-08-28 |
| 1770748170 | Mohammed A Shams | Internal Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2008-07-24 |
| 1760681639 | Mark Steven Schaner | Internal Medicine | 435 Lewis Avenue, Meriden, CT 06451 | 2007-07-12 |
| Find all providers in MERIDEN | ||||
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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.