CONNECTICUT VALLEY RADIOLOGY, PC (NPI# 1518269091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518269091 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT VALLEY RADIOLOGY, PC |
| Practice Address |
19 Woodland St Suite 15 Hartford CT 06105-2372 |
| Practice Telephone | 8605221101 |
| Practice Fax Number | 8605497092 |
| Mailing Telephone | 8605221101 |
| Mailing Fax Number | 8605497092 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | MS. PATRICIA A PICHETTE (PRACTICE MANAGER) |
| Authorized Official Telephone | 8605221101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004187565 | 05 | |
| CT | ANTHEM BLUE CROSS AND BLUE SHIEL | 15MRI0018CT01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033176151 | Connecticut Valley Radiology, PC | Radiology | 19 Woodland St, Suite 15, Hartford, CT 06105-2372 | 2006-05-01 |
| Street Address |
19 WOODLAND ST SUITE 15 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874627 | Joseph Francis Mitchel | Internal Medicine | 19 Woodland St, Suite 35, Hartford, CT 06105-2372 | 2005-07-13 |
| 1497120232 | Jp Dental Inc | Clinic/Center | 19 Woodland St, Suite 32, Hartford, CT 06105-2372 | 2015-12-04 |
| 1831485416 | Rupal Sukumar Patel | Dentist | 19 Woodland St, Suite 32, Hartford, CT 06105-2372 | 2011-06-22 |
| 1457647281 | Gerard Pregenzer Jr. | Urology | 19 Woodland St, Suite 23, Hartford, CT 06105-2372 | 2011-06-20 |
| 1588984173 | Barry D Kels Md PC | Ophthalmology | 19 Woodland St, Suite 41, Hartford, CT 06105-2372 | 2010-06-04 |
| 1356668388 | Timothy James Glew | Internal Medicine | 19 Woodland St, Suite 35, Hartford, CT 06105-2372 | 2010-04-30 |
| 1538397559 | Lakshmi P Magavi | Obstetrics & Gynecology | 19 Woodland St, Suite 31, Hartford, CT 06105-2372 | 2009-06-29 |
| 1740454701 | Horanieh General Surgery LLC | Surgery | 19 Woodland St, Suite 46, Hartford, CT 06105-2372 | 2008-04-21 |
| 1255503769 | Andrew C Davidson | Internal Medicine | 19 Woodland St, Suite 35, Hartford, CT 06105-2372 | 2008-03-25 |
| 1730361627 | Hartford Ophthalmology Associates, Inc | Ophthalmology | 19 Woodland St, Suite 44, Hartford, CT 06105-2372 | 2007-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801100367 | Swapnil S Bagade | Radiology | 1000 Asylum Ave, Suite 3201e, Hartford, CT 06105-1770 | 2010-07-27 |
| 1689835688 | Radiology Associates of Hartford PC | Radiology | 1000 Asylum Ave, Suite 3201e, Hartford, CT 06105-1770 | 2008-06-23 |
| 1295850485 | Radiology Associates of Hartford PC | Radiology | 490 Blue Hills Ave, Hartford, CT 06112-1513 | 2007-03-20 |
| 1043232275 | Joseph C Sala | Radiology | 114 Woodland St, Radiology Department, Hartford, CT 06105-1208 | 2006-07-24 |
| 1699743526 | Scott K Reid | Radiology | 114 Woodland St, Dept Radiology, Hartford, CT 06105-1208 | 2006-03-08 |
| 1619963857 | Jonathan D. Getz | Radiology | 114 Woodland St, Department of Radiology, Hartford, CT 06105-1208 | 2005-09-22 |
| 1558357137 | Michael I. Firestone | Radiology | 114 Woodland St, Radiology Department, Hartford, CT 06105-1208 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487815502 | Marcia Menezes Walker | Radiology | 5738 Main St, Trumbull, CT 06611-3136 | 2008-06-20 |
| 1114121423 | Ashutosh Pathak | Radiology | Veteran Affairs Medical Center, 950 Campell Avenue, West Haven, CT 06516 | 2007-06-12 |
| 1528170198 | Yvette D. Bailey | Radiology | 58 High Gate Dr, Avon, CT 06001-4111 | 2006-08-31 |
| 1659393247 | Paolo Olcese | Radiology | 385 Main St S, C/o Nvra Imaging Network, Union Square, Southbury, CT 06488-4240 | 2006-07-24 |
| 1033130729 | Marie Yanez | Radiology | 25 Glen Ridge Rd # 31155, Greenwich, CT 06831-3641 | 2006-07-21 |
| 1205495850 | Radiology Associates of Hartford PC | Radiology | 673 Cottage Grove Rd, Bloomfield, CT 06002-3033 | 2019-06-07 |
| 1215311386 | Jia Rong Chong | Radiology | 333 Cedar Street, New Haven, CT 06520 | 2015-07-17 |
| 1114185063 | Yale University | Radiology | 20 York St, Yale-new Haven Hospital South Pavilion - 2nd Fl, New Haven, CT 06510-3220 | 2008-05-28 |
| 1841466430 | David B. Blonder | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2008-05-02 |
| 1437335379 | Ileana Eugenia Gill | Radiology | 1450 Chapel St, New Haven, CT 06511 | 2008-01-10 |
| Find all providers with the same taxonomy | ||||
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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.