MT PODIATRY, LLC (NPI# 1588957872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588957872 |
| Entity Type | Organization |
| Organization Name | MT PODIATRY, LLC |
| Practice Address |
1021 Asylum Ave Apt 407 Hartford CT 06105-2436 |
| Practice Telephone | 8609922214 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |
| Authorized Official Name | MOHAMED TELEB (OWNER) |
| Authorized Official Telephone | 8609922214 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
000829 | CT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1021 ASYLUM AVE APT 407 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-2436 |
| 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 | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609354372 | Riverside Podiatry,llc | Podiatrist | 11 Westridge Dr, Avon, CT 06001-3648 | 2018-08-03 |
| 1104236199 | Sean Wayne Lazarus D.p.m. LLC | Podiatrist | 764 Campelle Ave, Unitg, West Haven, CT 06516-3786 | 2014-04-30 |
| 1497817118 | Michael Connor | Podiatrist | 27 Danbury Rd Fl 3, Wilton, CT 06897-4405 | 2006-12-16 |
| 1629012661 | Thomas M Domanick | Podiatrist | 1825 Barnum Ave, Stratford, CT 06614-5333 | 2006-06-16 |
| 1659320711 | Todd Allen Bell | Podiatrist | 57 Jolley Dr, Unit A, Bloomfield, CT 06002-3062 | 2006-05-08 |
| 1114928074 | Michael Jospeh Ackley | Podiatrist | 714 S Main St, Cheshire, CT 06410-3448 | 2005-08-02 |
| 1831194042 | Karana Marie Pierre | Podiatrist | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2005-06-15 |
| 1205479243 | Nili T Harpaz | Podiatrist | 309 Seaside Ave, Milford, CT 06460-4625 | 2019-10-22 |
| 1205489077 | St Vincents Multispecialty Group Inc | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2019-07-22 |
| 1215271713 | Primed, LLC | Podiatrist | 4699 Main St, Suite 211, Bridgeport, CT 06606-1830 | 2012-11-21 |
| 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.