KELLY HARKINS (NPI# 1518915990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518915990 |
| Entity Type | Individual |
| Full Name | KELLY HARKINS |
| Credential | MD |
| Practice Address |
56 Quarry Rd Trumbull CT 06611-4874 |
| Mailing Address |
3 Enterprise Dr Ste 220 Shelton CT 06484-4694 |
| Practice Telephone | 2036966125 |
| Mailing Telephone | 6038904404 |
| Mailing Fax Number | 6038938886 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
038533 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001385336 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356497754 | Kelly Harkins | Physician Assistant | 1600 Sw Archer Rd Box 112727, Gainesville, FL 32610-9121 | 2007-01-26 |
| 1538586334 | Kelly Harkins | Occupational Therapist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2014-03-18 |
| Street Address |
56 QUARRY RD |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124013792 | Peter Shimkin | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2005-09-20 |
| 1649743204 | George Kenneth Lewis Jr. | Specialist | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2019-01-07 |
| 1265929566 | Zetroz Systems LLC | Durable Medical Equipment & Medical Supplies | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2018-04-23 |
| 1942679816 | Zetroz Systems LLC | Durable Medical Equipment & Medical Supplies | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2015-09-21 |
| 1306090535 | Shelley Lynn Goodstine | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2008-11-14 |
| 1104987601 | Connecticut Home Health Care, Inc. | Home Health | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2006-12-12 |
| 1659360063 | Jennifer K Fan | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2005-10-18 |
| 1033105184 | Octavio Choy | Specialist | 56 Quarry Rd, Attn: Brenda Sholomicky, Trumbull, CT 06611-4874 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275517294 | Adam Samuel Federman | Radiology | 56 Quarry Road, 56 Quarry Road, Trumbull, CT 06611-1351 | 2005-12-02 |
| 1124013792 | Peter Shimkin | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2005-09-20 |
| 1033439039 | Neil T Specht, Md, LLC | Radiology | 888 White Plains Rd, Suite 206, Trumbull, CT 06611-4552 | 2010-06-02 |
| 1013143023 | Michele Risa Greenwald Even | Radiology | 15 Corporate Dr, Trumbull, CT 06611-1351 | 2009-06-04 |
| 1306090535 | Shelley Lynn Goodstine | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2008-11-14 |
| 1659360063 | Jennifer K Fan | Radiology | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781236 | Waterford Vascular Associates, P.C. | Radiology | 903 Hartford Tpke Unit 30, Waterford, CT 06385-4264 | 2019-10-11 |
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1356813505 | Northeast Radiology of Connecticut, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2018-12-28 |
| 1760964001 | Integrated Health Administrative Services, Inc. | Radiology | 1011 Hope St Ofc E, Stamford, CT 06907-2121 | 2018-09-04 |
| 1538682760 | Christina Prete | Radiology | 350 S Cherry St, Wallingford, CT 06492-4429 | 2017-07-19 |
| 1003361320 | Susan Nally | Radiology | 445 Hogan Rd, Hamden, CT 06518-1927 | 2016-08-16 |
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
| 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.