URGENT CARE OF SOUTHINGTON LLC (NPI# 1518394428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518394428 |
| Entity Type | Organization |
| Organization Name | URGENT CARE OF SOUTHINGTON LLC |
| Other Organization Name | VELOCITY URGENT CARE |
| Practice Address |
365 Queen Street Unit 4 Southington CT 06489 |
| Practice Telephone | 8603724990 |
| Practice Fax Number | 8603724699 |
| Mailing Telephone | 8603724990 |
| Mailing Fax Number | 8603724699 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2018-05-03 |
| Authorized Official Name | ALEKSANDR GORENBEYN (OWNER) |
| Authorized Official Telephone | 8603724990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Velocity Urgent Care | Doing Business As Name - Organization |
| Street Address |
365 QUEEN STREET UNIT 4 |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255650149 | Emily Hollywood | Emergency Medicine | 73 S Plains Rd, Southington, CT 06489-3966 | 2010-05-18 |
| 1376594416 | Samuel Lewis Siegler | Emergency Medicine | 81 Meriden Ave, Southington, CT 06489-3268 | 2006-05-13 |
| 1558468611 | John Francis Scarfo | Emergency Medicine | 81 Meriden Ave, Southington, CT 06489-3268 | 2006-09-20 |
| 1073552774 | Gregory D. Bell | Emergency Medicine | 81 Meriden Ave, Southington, CT 06489-3268 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578126009 | Michaela Colleen Anderson | Emergency Medicine | 25 Dewhirst St, Bridgeport, CT 06606-4042 | 2019-04-19 |
| 1093216467 | Valentine David Galasyn | Emergency Medicine | 34 Buck Hill Rd, Canterbury, CT 06331-1201 | 2018-02-21 |
| 1508389859 | Medexpress Urgent Care Connecticut, P.C. | Emergency Medicine | 752 Washington Street, Middletown, CT 06457-2904 | 2017-07-19 |
| 1386173201 | Beaver Pond Brook Emergency Physicians LLC | Emergency Medicine | 3081 E Main St, Waterbury, CT 06705-3424 | 2017-06-05 |
| 1386095487 | Michael Gilio | Emergency Medicine | 145 Helen St, Hamden, CT 06514-4415 | 2016-06-29 |
| 1407201247 | Keith Bradley | Emergency Medicine | 66 Lilalyn Dr, Fairfield, CT 06825-1310 | 2016-04-29 |
| 1548655822 | Ronald G Thomas Md LLC | Emergency Medicine | 1310 Alexander Dr, Guilford, CT 06437-5031 | 2015-04-02 |
| 1760877674 | Lindsay Warren | Emergency Medicine | 10 Pamela Pl, Westport, CT 06880-3710 | 2015-03-30 |
| 1730580325 | Clinic 21 of Connecticut LLC | Emergency Medicine | 497 Westport Ave, Norwalk, CT 06851-4411 | 2014-09-15 |
| 1811315369 | Eduardo Sandoval Jr. | Emergency Medicine | 263 Farmington Ave Mc3955, Farmington, CT 03060-3955 | 2014-04-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
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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.