MRS. HANNA KACKIELO (NPI# 1598714701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598714701 |
| Entity Type | Individual |
| Full Name | MRS. HANNA KACKIELO |
| Credential | MD |
| Practice Address |
1 Towne Park Plz Norwich CT 06360-2247 |
| Practice Telephone | 8608870010 |
| Practice Fax Number | 8608870178 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 037461 | CT | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
037461 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001374610 | 05 |
| Street Address |
1 TOWNE PARK PLZ |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922375 | Kathryn Tirrell | Physical Therapist | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2020-11-04 |
| 1972121630 | Paul Thomas Fidrych | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2020-07-09 |
| 1558986174 | Ryan Mansi | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2020-06-09 |
| 1346873940 | Jason Prior Therapy LLC | Counselor | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2020-02-21 |
| 1467927467 | Cook Counseling Pllc | Counselor | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2018-10-05 |
| 1831676881 | Renee Pawluk | Physical Therapist | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2018-07-23 |
| 1801325626 | Life In Progress | Counselor | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2017-06-06 |
| 1518316033 | Emily Conine | Physical Therapist | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2016-06-06 |
| 1215356399 | Sandhya Mehla | Psychiatry & Neurology | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2014-04-15 |
| 1134553704 | Laura Rydelek Fitzgerald | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2013-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376830091 | Suchita Mehemala Kumar | Internal Medicine | 112 Lafayette St Ste 2, Norwich, CT 06360-2737 | 2011-07-01 |
| 1619138799 | Aslam Kadri | Internal Medicine | 74 Sherwood Ln, Norwich, CT 06360-5248 | 2008-06-20 |
| 1215115472 | Zhenxiang Liu | Internal Medicine | 527 West Thames Street, Unit 23, Norwich, CT 06360 | 2008-02-08 |
| 1053598540 | Paras Satish Bhatt | Internal Medicine | 164 Ontrobando Ave, Norwich, CT 06360 | 2008-01-28 |
| 1255428132 | Constantin Carseli | Internal Medicine | 119 Sachem St., Norwich, CT 06360-4128 | 2006-10-10 |
| 1982791877 | Cornelio R Hong | Internal Medicine | 26 Lafayette St, Norwich, CT 06360-3408 | 2006-10-10 |
| 1528165131 | John Norbert Cruz | Internal Medicine | 24 Conkey Ave, Norwich, NY 13815-1774 | 2006-09-19 |
| 1780789453 | Cornelio R Hong Md | Internal Medicine | 167 Washington St, Norwich, CT 06360-4211 | 2006-09-14 |
| 1205938230 | Nicole Iona Simpson | Internal Medicine | 112 Lafayette Street, Norwich, CT 06360 | 2006-09-01 |
| 1609982560 | Steven Max Curland | Internal Medicine | 118 New London Turnpike, Norwich, CT 06360 | 2006-08-22 |
| Find all providers in NORWICH | ||||
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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.