CT OSTEOPATHIC, LLC (NPI# 1720603087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720603087 |
| Entity Type | Organization |
| Organization Name | CT OSTEOPATHIC, LLC |
| Practice Address |
41 Baldwin Ln Glastonbury CT 06033-3845 |
| Practice Telephone | 8609223493 |
| Mailing Telephone | 8609223493 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | GREGORY R CZARNECKI (PHYSICIAN) |
| Authorized Official Telephone | 8609223493 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CT OSTEOPATHIC, LLC | 41 Baldwin Lane, Glastonbury, CT 06033 |
| Street Address |
41 BALDWIN LN |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-3845 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1932560281 | Suhradam Medical Practice, LLC | Clinic/Center | 50 Toll Gate Rd, Berlin, CT 06037-3606 | 2016-03-15 |
| 1538561832 | Comprehensive Occupational Medical Associates of Connecticut P C | Clinic/Center | 201 Tresser Blvd Bldg Lobby, Stamford, CT 06901-3432 | 2014-09-18 |
| 1083214407 | Neuropathy Treatment Center LLC | Clinic/Center | 132 Federal Rd Ste 103, Danbury, CT 06811-4047 | 2020-10-26 |
| 1114526688 | Stravada Wellness Care LLC | Clinic/Center | 203 Broad St Unit C-4, Milford, CT 06460-4750 | 2020-10-25 |
| 1417475252 | Community Econsult Network, Inc. | Clinic/Center | 631 Main St, Middletown, CT 06457-2762 | 2017-08-31 |
| 1659779452 | Caring Hands Therapy Services LLC | Clinic/Center | 126 Carey Ave, Meriden, CT 06451-1907 | 2014-12-09 |
| 1992135396 | Margo Ruth Gross LLC | Clinic/Center | 15 Poverty Hollow Rd, 27 Governors Street, Riddgefield, Ct 06877, Redding, CT 06896-3005 | 2013-11-21 |
| Find all providers with the same taxonomy | ||||
| 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.