NORTHWEST HILLS PEDIATRICS PC (NPI# 1639220676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639220676 |
| Entity Type | Organization |
| Organization Name | NORTHWEST HILLS PEDIATRICS PC |
| Practice Address |
538 Litchfield St Suite G-02 Torrington CT 06790-6669 |
| Practice Telephone | 8604895068 |
| Practice Fax Number | 8604893725 |
| Mailing Telephone | 8604895068 |
| Mailing Fax Number | 8604893725 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | DR. EDWARD CARLETON KAVLE (PRESIDENT) |
| Authorized Official Telephone | 8604895068 |
| Authorized Official Credential | M.D. |
| 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 | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
538 LITCHFIELD ST SUITE G-02 |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-6669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821096579 | James F. Devanney | Specialist | 538 Litchfield St, Suite 102, Torrington, CT 06790-6669 | 2005-07-07 |
| 1811239817 | Kateryna Bertuch | Internal Medicine | 538 Litchfield St, Torrington, CT 06790-6669 | 2013-03-18 |
| 1548591902 | New England Orthopaedic Center LLC | Durable Medical Equipment & Medical Supplies | 538 Litchfield St, Suite #204, Torrington, CT 06790-6669 | 2010-01-26 |
| 1295978070 | April E. Mott Md LLC | Internal Medicine | 538 Litchfield St, Suite 204, Torrington, CT 06790-6669 | 2009-04-09 |
| 1053509067 | Stacey M Langsam | Pediatrics | 538 Litchfield St, Torrington, CT 06790-6669 | 2007-10-04 |
| 1750401675 | Boris J. Sawula, M.d., P.C. | Obstetrics & Gynecology | 538 Litchfield St, Suite 202, Torrington, CT 06790-6669 | 2007-04-02 |
| 1619020153 | Ctr Adv Ortho & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 538 Litchfield St, Suite G-01, Torrington, CT 06790-6669 | 2007-01-19 |
| 1982751426 | Arthritis and Allergy Associates, PC | Internal Medicine | 538 Litchfield St, Suite 101, Torrington, CT 06790-6669 | 2007-01-05 |
| 1871605907 | Kate Irene Pesce | Nurse Practitioner | 538 Litchfield St, Suite G-02, Torrington, CT 06790-6669 | 2006-08-31 |
| 1447262498 | Kenrick E Hom | Internal Medicine | 538 Litchfield St, Suite 103, Torrington, CT 06790-6669 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
| 1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
| 1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
| Find all providers in zip 06790 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154363430 | Karen Dettmer | Pediatrics | 20 Felicity Ln, Torrington, CT 06790-6101 | 2006-06-12 |
| 1982899316 | Litchfield County Pediatrics, L.L.C. | Pediatrics | 52 Peck Rd, Torrington, CT 06790-6107 | 2007-09-10 |
| 1972547297 | Sophia Z Grant | Pediatrics | 20 Felicity Ln, Torrington, CT 06790-6101 | 2006-06-16 |
| 1346282092 | Richard T Tenczar | Pediatrics | 52 Peck Rd, Torrington, CT 06790-6107 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246306 | Pediatric Health Associates of Coneecticut, LLC | Pediatrics | 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 | 2019-07-03 |
| 1073943668 | Pediatric Walk In Care LLC | Pediatrics | 141 B Hazard Avenue, Enfield, CT 06082-5412 | 2013-11-18 |
| 1225319445 | Enfield Pediatric Associates,p.c. | Pediatrics | 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 | 2011-09-01 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
| 1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
| 1649314279 | Charles Ray Jones | Pediatrics | 111 Park St Ste F, New Haven, CT 06511-5412 | 2007-02-16 |
| 1427110469 | Radhika Malhotra | Pediatrics | 100 Bank St, Suite 307, Seymour, CT 06483-2806 | 2006-12-15 |
| 1386704682 | Andrews Adu Adade | Pediatrics | 18 Hillandale Ave, Stamford, CT 06902-2808 | 2006-12-11 |
| 1982706032 | John Gerald Pitegoff | Pediatrics | 1225 Silver St, Middletown, CT 06457-3920 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
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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.