JULIE MACNEIL (NPI# 1659766483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659766483 |
| Entity Type | Individual |
| Full Name | JULIE MACNEIL |
| Other Name | JULIE MACNEIL |
| Credential | M.D. |
| Practice Address |
290 Western Blvd Glastonbury CT 06033-1236 |
| Mailing Address |
360 State St Apt 2021 New Haven CT 06510-3619 |
| Practice Telephone | 8883440007 |
| Practice Fax Number | 8606529277 |
| Mailing Telephone | 5012317169 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 62394 | CT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | E-11029 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 228937001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 320 Western Blvd Ste 104, Glastonbury, CT 06033 | 8606575940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447719166 | Julie Anne Macneil | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-03-13 |
| Street Address |
290 WESTERN BLVD |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811381726 | Jessica Weyman Tutolo | Pediatrics | 290 Western Blvd, Glastonbury, CT 06033-1236 | 2015-03-28 |
| 1598138588 | Julie Peterson | Dietitian, Registered | 290 Western Blvd, Glastonbury, CT 06033-1236 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| 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 |
|---|---|---|---|---|
| 1740760032 | Glastonbury Pediatrics | Pediatrics | 131 New London Tpke Ste 322, Glastonbury, CT 06033-2246 | 2018-08-16 |
| 1811381726 | Jessica Weyman Tutolo | Pediatrics | 290 Western Blvd, Glastonbury, CT 06033-1236 | 2015-03-28 |
| 1871505461 | Kenneth R Inchalik | Pediatrics | 2130 Main St, Glastonbury, CT 06033-2283 | 2006-08-12 |
| 1730190737 | Steven L Craig | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-11 |
| 1154373405 | John Howard Lavalette | Pediatrics | 31 Sycamore Rd, Glastonbury, CT 06033 | 2006-05-16 |
| 1235254343 | Margaret Vacek | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2007-03-20 |
| 1528171824 | Christina A Kozar | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-17 |
| 1366455396 | Sharon K Pool | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-14 |
| 1962414490 | Cecille Freilich | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-13 |
| 1669484630 | Joy E Hong | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-11 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.