SOUTHINGTON PEDIATRIC ASSOCIATES LLC (NPI# 1659585149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659585149 |
| Entity Type | Organization |
| Organization Name | SOUTHINGTON PEDIATRIC ASSOCIATES LLC |
| Practice Address |
209 Main St 1st Floor Southington CT 06489 |
| Practice Telephone | 8606218331 |
| Practice Fax Number | 8606215169 |
| Mailing Telephone | 8606218331 |
| Mailing Fax Number | 8606215169 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GEORGE SKARVINKO (MD OWNER OF PRACTICE) |
| Authorized Official Telephone | 8606218331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 021344 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
209 MAIN ST 1ST FLOOR |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902275480 | Lisa A Burk | Nurse Practitioner | 209 Main St, Southington, CT 06489-2539 | 2015-09-15 |
| 1235463845 | Clinical Bridge | Psychologist | 209 Main St, Southington, CT 06489-2539 | 2009-09-29 |
| 1063548428 | Mary K Peterson | Pediatrics | 209 Main St, Southington, CT 06484 | 2007-02-27 |
| 1124164231 | Jonathan Frederick Michaelis | Clinical Neuropsychologist | 209 Main St, Suite A, Southington, CT 06489-2539 | 2007-01-29 |
| 1184647380 | George Skarvinko | Pediatrics | 209 Main St, Southington, CT 06489 | 2006-07-26 |
| 1104804541 | Katarzyna J. Wadolowski | Internal Medicine | 209 Main St, Southington, CT 06489 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1588669311 | Sari K Friedman | Pediatrics | 101 N Main St, Southington, CT 06489-2513 | 2005-06-17 |
| 1609010743 | Sari K Friedman Md LLC | Pediatrics | 101 N Main St, Southington, CT 06489-2513 | 2009-04-20 |
| 1063548428 | Mary K Peterson | Pediatrics | 209 Main St, Southington, CT 06484 | 2007-02-27 |
| 1467519793 | Mark Peterson | Pediatrics | 143 N Main St, Southington, CT 06489-2513 | 2007-01-03 |
| 1184647380 | George Skarvinko | Pediatrics | 209 Main St, Southington, CT 06489 | 2006-07-26 |
| 1821042953 | Maureen N Onyirimba | Pediatrics | 55 Meriden Ave, Suite 3a, Southington, CT 06489-3238 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514292 | Medical Center of East Hartford LLC | Pediatrics | 580 Burnside Ave Ste 2, East Hartford, CT 06108-3579 | 2020-07-01 |
| 1841856721 | Jutta Nemec | Pediatrics | 9 Meadow Pl, Old Greenwich, CT 06870-2114 | 2019-05-15 |
| 1396201307 | My Catholic Doctor, P.l.l.c. | Pediatrics | 711 Silvermine Rd, New Canaan, CT 06840-4329 | 2019-02-14 |
| 1710442694 | Staci Ruth Cicero | Pediatrics | 11 Crimmins Rd, Darien, CT 06820-5327 | 2019-02-05 |
| 1740760032 | Glastonbury Pediatrics | Pediatrics | 131 New London Tpke Ste 322, Glastonbury, CT 06033-2246 | 2018-08-16 |
| 1386158467 | Pm Pediatrics of Connecticut | Pediatrics | 1459 New Britain Ave, West Hartford, CT 06110-1659 | 2017-11-28 |
| 1366973679 | Jonathan Uhl | Pediatrics | 435 Highland Ave Ste 110, Cheshire, CT 06410-2583 | 2017-03-27 |
| 1801247861 | John Frederick Harper | Pediatrics | 175 Scott Swamp Rd, Farmington, CT 06032-3124 | 2016-06-30 |
| 1831540715 | Hilary Christina Hoffmeister | Pediatrics | 41 Jones Park Dr, Riverside, CT 06878-2205 | 2016-06-22 |
| 1811381726 | Jessica Weyman Tutolo | Pediatrics | 290 Western Blvd, Glastonbury, CT 06033-1236 | 2015-03-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
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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.