PATRICK GAGNON LLC (NPI# 1740643071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740643071 |
| Entity Type | Organization |
| Organization Name | PATRICK GAGNON LLC |
| Practice Address |
3017 Main St Stratford CT 06614-4977 |
| Practice Telephone | 4752250537 |
| Practice Fax Number | 2034392087 |
| Mailing Telephone | 4752250537 |
| Mailing Fax Number | 2034392087 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | PATRICK GAGNON (OWNER) |
| Authorized Official Telephone | 4752250537 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
000894 | CT | Nursing Service Providers |
| Street Address |
3017 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-4977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289513 | John Kirkland | Internal Medicine | 3017 Main St, Stratford, CT 06614-4977 | 2006-03-22 |
| 1356854400 | Mdcarenow LLC | Internal Medicine | 3017 Main St, Stratford, CT 06614 | 2017-11-12 |
| 1831553726 | Paul Furino Aprn LLC | Registered Nurse | 3017 Main St, Stratford, CT 06614-4977 | 2016-04-07 |
| 1396861191 | Richard William Pecoroni | Counselor | 3017 Main St, 2nd Floor, Stratford, CT 06614-4977 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790764991 | Elouie Easter Wakefield | Registered Nurse | 101 Laurel Rd E, Stratford, NJ 08084-1324 | 2006-01-16 |
| 1114207289 | Kathleen Carius, Aprn | Registered Nurse | 1129 Essex Pl, Stratford, CT 06615-5867 | 2011-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415953 | Simmi S Narula | Registered Nurse | 1 Brenner Rd, Wilton, CT 06897-4701 | 2020-07-27 |
| 1356968887 | Heather Hogaboom | Registered Nurse | 139 Coe Rd, Wolcott, CT 06716-2513 | 2020-07-01 |
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1174144539 | Barbara Joy Wetzel | Registered Nurse | 84 Donahue Rd, North Granby, CT 06060-1402 | 2020-04-27 |
| 1538790050 | Patrycja Olechniej | Registered Nurse | 90 S Main St Ste 202, Middletown, CT 06457-3649 | 2020-02-03 |
| 1669018123 | Megan Mary Kelly Gilman | Registered Nurse | 264 Church St, Guilford, CT 06437-2439 | 2019-11-20 |
| 1245875434 | Maryann Carter | Registered Nurse | 139 Newent Rd, Lisbon, CT 06351-2927 | 2019-11-12 |
| 1811531171 | Kathleen Mildred Humpage | Registered Nurse | 138 Wood Pond Rd, Glastonbury, CT 06033-3702 | 2019-10-30 |
| 1396398061 | Aprn4u LLC | Registered Nurse | 304 Main St Ste 401d, Farmington, CT 06032-2985 | 2019-07-22 |
| 1720543267 | Rebeca Davis-tellez | Registered Nurse | 29 Weantinock Dr, New Milford, CT 06776-3084 | 2019-02-08 |
| Find all providers with the same taxonomy | ||||
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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.