JACQUELINE E BAUMGARTNER (NPI# 1518239581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518239581 |
| Entity Type | Individual |
| Full Name | JACQUELINE E BAUMGARTNER |
| Credential | P.A. |
| Practice Address |
111 Salem Turnpike Suite 7 Norwich CT 06360-3442 |
| Practice Telephone | 8608599819 |
| Practice Fax Number | 8608599819 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2708 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
002708 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 SALEM TURNPIKE SUITE 7 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235245838 | Mary Jane Drewa Tower | Nurse Practitioner | 111 Salem Turnpike, Backus Outpatient Care Center, Norwich, CT 06360 | 2006-08-23 |
| 1851460067 | Joan Sommers | Dietitian, Registered | 111 Salem Turnpike, Backus Outpatient Care Center, Norwich, CT 06360 | 2006-11-06 |
| 1386751923 | Sandeep Varma | Internal Medicine | 111 Salem Turnpike, Backus Outpatient Care Center, Norwich, CT 06360 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404005 | Christina Kvistad | Physician Assistant | 108 New London Tpke Ste 1, Norwich, CT 06360-2645 | 2019-12-16 |
| 1124402847 | Sarah Beaudoin | Physician Assistant | 15 Caribou Dr, Norwich, CT 06360-1711 | 2015-07-13 |
| 1053680819 | Rebecca L Richard | Physician Assistant | 36 Lafayette St, Norwich, CT 06360-3408 | 2011-12-23 |
| 1245462589 | Kelsey Ejzak Caulfield | Physician Assistant | 624 W Main St Ste 140, Norwich, CT 06360-6043 | 2009-08-20 |
| 1477694362 | Kimbery A Meyer | Physician Assistant | 1 Connecticut Ave, Norwich, CT 06360-1501 | 2007-02-12 |
| 1588758395 | Frederick Gerard Deutcsh | Physician Assistant | 4 Newton Ave, Norwich, NY 13815-1153 | 2006-10-03 |
| 1568481653 | Melissa Tworkowsky | Physician Assistant | 33-39 Court St, Norwich, NY 13815-1325 | 2006-07-19 |
| 1679556856 | Patrick J Cullen | Physician Assistant | 79 Wawecus St Ste 101, Norwich, CT 06360-2173 | 2005-11-22 |
| 1811992076 | Lisa Ann White | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2005-06-15 |
| 1073092557 | Devin Stanton | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2018-08-07 |
| Find all providers in NORWICH | ||||
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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.