JOHNSON OCCUPATIONAL MEDICINE CENTER (NPI# 1740314061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740314061 |
Entity Type | Organization |
Organization Name | JOHNSON OCCUPATIONAL MEDICINE CENTER |
Practice Address |
3 Weymouth Rd Enfield CT 06083-1153 |
Mailing Address |
Po Box 1153 3 Weymouth Road Enfield CT 06083-1153 |
Practice Telephone | 8607637668 |
Practice Fax Number | 8607637676 |
Mailing Telephone | 8607637668 |
Mailing Fax Number | 8607637676 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. MICHAEL ERDIL (MEDICAL DIRECTOR) |
Authorized Official Telephone | 8607637668 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | CONNECTICARE | 010245 | 01 |
CT | CIGNA | 3015101 | 01 |
CT | OXFORD | P3201009 | 01 |
CT | HEALTHNET | 2V4744 | 01 |
CT | ANTHEM | 010023596CT11 | 01 |
CT | HEALTHNET | CU7369 | 01 |
Street Address |
3 WEYMOUTH RD |
City | ENFIELD |
State | CT |
Zip Code | 06083-1153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124123872 | Jacob David Ibey | Specialist/Technologist | 3 Weymouth Rd, Enfield, CT 06082 | 2006-09-14 |
1033772637 | Healthtrax Physical Therapy, Pllc | Clinic/Center | 3 Weymouth Rd, Enfield, CT 06082-6006 | 2019-04-18 |
1952863524 | Enfield Club Properties, LLC | Physical Therapist | 3 Weymouth Rd, Enfield, CT 06082-6006 | 2019-04-03 |
1366680548 | Echn Johnson Health Care, Inc. | Clinic/Center | 3 Weymouth Rd, Enfield, CT 06083-1153 | 2009-01-27 |
1548386261 | Brian J. Ferreira | Physical Therapist | 3 Weymouth Rd, Enfield, CT 06082-6006 | 2007-03-22 |
1073641841 | Michael Joseph Flynn | Specialist/Technologist | 3 Weymouth Rd, Enfield, CT 06082 | 2007-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316070691 | Brian Andrew Bracci | Registered Nurse | 391 Shaker Road, Unit 1, Enfield, CT 06083 | 2007-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669070827 | Hometown Health, LLC | Clinic/Center | 54 Hazard Ave # 161, Enfield, CT 06082-3845 | 2020-10-10 |
1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
1528672722 | Hartford Orthopedic Surgeons, PC | Podiatrist | 9 Cranbrook Blvd Fl 2, Enfield, CT 06082-3889 | 2020-09-04 |
1003428897 | Francesca Nicole Porter | Counselor | 39 Burnham St, Enfield, CT 06082-6144 | 2020-08-21 |
1386253102 | Damien C Grimsley | Massage Therapist | 123 Windsor St, Enfield, CT 06082-2850 | 2020-07-28 |
1487271680 | Zachary Leone | Physician Assistant | 74 Raffia Rd, Enfield, CT 06082-5161 | 2020-07-03 |
1952925083 | Amanda Govine | Occupational Therapist | 50 Brett Ln, Enfield, CT 06082-4102 | 2020-06-04 |
1669007076 | Pain Management Partners LLC | Anesthesiology | 7 Elm St Ste 202, Enfield, CT 06082-3670 | 2020-03-05 |
1487295168 | Kestin Bunnell | Specialist/Technologist | 327 Bog Rd, Enfield, NH 03748-4103 | 2019-10-03 |
1093366924 | Gaetano Balsamo | Technician | 188 Post Office Rd Unit 1, Enfield, CT 06082-5686 | 2019-09-23 |
Find all providers in ENFIELD |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366680548 | Echn Johnson Health Care, Inc. | Clinic/Center | 3 Weymouth Rd, Enfield, CT 06083-1153 | 2009-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003280397 | Medworks, LLC | Clinic/Center | 375 E Cedar St, Newington, CT 06111-1528 | 2015-11-24 |
1922556547 | Connecticut Orthopaedic Specialists, PC | Clinic/Center | 2416 Whitney Ave, Occnow, Hamden, CT 06518-3248 | 2016-09-12 |
1134468143 | General Dynamics | Clinic/Center | 75 Eastern Point Rd, Groton, CT 06340-4905 | 2013-02-11 |
1295071942 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 967 Parker St, Manchester, CT 06042-2208 | 2012-12-28 |
1376815274 | The Hospital of Saint Raphael | Clinic/Center | 175 Sherman Ave, 5th Fl., New Haven, CT 06511-4357 | 2012-02-08 |
1962731869 | New Britain Occupational Health | Clinic/Center | 440 New Britain Ave, Plainville, CT 06062-2036 | 2009-12-24 |
1700019932 | United Methodist Home of Sharon | Clinic/Center | 27 Hospital Hill Rd, Sharon, CT 06069 | 2009-09-04 |
1740424969 | Ellis Medical Center, LLC | Clinic/Center | 701 Cottage Grove Rd, Bloomfield, CT 06002-3080 | 2009-05-01 |
Please comment or provide details below to improve the information on JOHNSON OCCUPATIONAL MEDICINE CENTER.
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.