MHS PRIMARY CARE (NPI# 1538386420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538386420 |
| Entity Type | Organization |
| Organization Name | MHS PRIMARY CARE |
| Other Organization Name | CROMWELL FAMILY PRACTICE |
| Practice Address |
80 Shunpike Rd Suite 301 Cromwell CT 06416-4401 |
| Mailing Address |
28 Crescent St Middletown CT 06457-3654 |
| Practice Telephone | 8606325570 |
| Practice Fax Number | 8603588650 |
| Mailing Telephone | 8603584802 |
| Mailing Fax Number | 8606320240 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | MS. SUSAN SERKEY (NETWORK EXECUTIVE) |
| Authorized Official Telephone | 8603584802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207R00000X | Internal Medicine | CT | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 04173259 | 05 |
| Other Name | Type Code |
|---|---|
| Cromwell Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942429014 | Mhs Primary Care | Physician Assistant | 6 Main St., Durham, CT 06422 | 2007-04-25 |
| 1639399959 | Mhs Primary Care | Internal Medicine | 520 Saybrook Rd, Suite N100, Middletown, CT 06457-4700 | 2007-04-27 |
| 1710104625 | Mhs Primary Care | Social Worker | 270 Main St, Portland, CT 06480-1857 | 2007-04-20 |
| 1164649075 | Mhs Primary Care | Nurse Practitioner | 1291 Boston Post Rd, Suite 105, Madison, CT 06443-3476 | 2007-04-20 |
| 1104043017 | Mhs Primary Care | Nurse Practitioner | 154 Main St, Old Saybrook, CT 06475-2373 | 2007-04-20 |
| 1992922892 | Mhs Primary Care | Nurse Practitioner | 147 Westbrook Rd, Essex, CT 06426-1512 | 2007-04-20 |
| Street Address |
80 SHUNPIKE RD SUITE 301 |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216787 | Linda J Weiss | Family Medicine | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2005-12-16 |
| 1740812965 | Patrick J Teevan | Physical Therapist | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2020-02-05 |
| 1356905590 | Daniela Calle | Nurse Practitioner | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2019-04-23 |
| 1649747379 | Nicole Lussier | Physical Therapist | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2018-10-31 |
| 1003359449 | Ania Mitchell | Dietitian, Registered | 80 Shunpike Rd, Unit 101a, Cromwell, CT 06416-4402 | 2016-12-01 |
| 1336697200 | Jaime Bliss Guilmette, Lcsw, LLC | Social Worker | 80 Shunpike Rd, Suite 207, Cromwell, CT 06416-4401 | 2016-09-20 |
| 1114303021 | Elizabeth Prager | Physical Therapist | 80 Shunpike Rd, Suite 202, Cromwell, CT 06416-4401 | 2015-08-03 |
| 1114326261 | Marguerite Lamb | Nurse Practitioner | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2014-08-14 |
| 1568704757 | Dynamic Therapies | Counselor | 80 Shunpike Rd, Suite 206, Cromwell, CT 06416-4401 | 2013-03-26 |
| 1174888390 | Kristen Donato | Family Medicine | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2012-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216787 | Linda J Weiss | Family Medicine | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2005-12-16 |
| 1144223629 | Susan W. Benzie | Family Medicine | 5565 Hwy. 210, Cromwell, MN 55726-0116 | 2005-05-27 |
| 1992708564 | Kelly J. Goeb | Family Medicine | 5565 Highway 210, Cromwell, MN 55726-8171 | 2005-05-27 |
| 1154324820 | Shawn F Bode | Family Medicine | 5565 Hwy 210, Cromwell Medical Clinic, Cromwell, MN 55726-0116 | 2005-05-24 |
| 1174888390 | Kristen Donato | Family Medicine | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2012-07-13 |
| 1851554349 | Nikolaos Vassiliou | Family Medicine | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2008-07-07 |
| 1679736169 | Cristina M Tellechea | Family Medicine | 80 Shunpike Rd, Cromwell, CT 06416-4401 | 2008-07-07 |
| 1346371465 | Malisa Lynn Lahtinen | Family Medicine | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2007-03-08 |
| 1376570168 | Stephen J Siegel | Family Medicine | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2006-06-27 |
| 1508800806 | Marta J Kroo | Family Medicine | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2006-06-16 |
| Find all providers in CROMWELL | ||||
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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.