MARK ROBERT BELLUCCI (NPI# 1790700979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790700979 |
| Entity Type | Individual |
| Full Name | MARK ROBERT BELLUCCI |
| Credential | D.C. |
| Practice Address |
155 Hazard Ave Enfield CT 06082-4580 |
| Practice Telephone | 8607634848 |
| Practice Fax Number | 8607634850 |
| Mailing Telephone | 8607634848 |
| Mailing Fax Number | 8607634850 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 000701 | CT | Chiropractic Providers |
| Street Address |
155 HAZARD AVE |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982672564 | Brian Thomas Maurer | Physician Assistant | 155 Hazard Ave, Suite 14, Enfield, CT 06082-4580 | 2006-03-09 |
| 1154842920 | Caryn Hannah Cohen Sloate | Nurse Practitioner | 155 Hazard Ave, Enfield, CT 06082-4580 | 2017-07-03 |
| 1518373398 | Cynthia Bodeur | Registered Nurse | 155 Hazard Ave, Suite 14, Enfield, CT 06082-4580 | 2014-07-01 |
| 1316260284 | Theresa F Fay | Pharmacist | 155 Hazard Ave, Suite16-18, Enfield, CT 06082-4580 | 2010-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518254275 | Access Family Chiropractic II, LLC | Chiropractor | 31 Palomba Dr, #288, Enfield, CT 06082-9994 | 2011-07-01 |
| 1174770259 | Scott Charles Hayden | Chiropractor | 3 Plainfield St, Enfield, CT 06082-5813 | 2008-08-20 |
| 1265606511 | Ya-ling Lo | Chiropractor | 150 Hazard Ave Ste C7, Enfield, CT 06082-4587 | 2008-04-17 |
| 1487720009 | Joseph Hobson Kalk | Chiropractor | 258 Hazard Ave, Enfield, CT 06082-4613 | 2006-11-27 |
| 1811095391 | Darek Stanley Olearczyk | Chiropractor | 139 Hazard Ave Bldg 2, Enfield, CT 06082-4585 | 2006-09-20 |
| 1851342992 | Kenneth Landry | Chiropractor | 546 Enfield St, Enfield, CT 06082-2408 | 2006-05-13 |
| 1023271970 | Spine Dynamics, Inc. | Chiropractor | 701 Enfield St, Suite 170, Enfield, CT 06082-2961 | 2008-07-09 |
| 1104017870 | Emily Chiropractic Inc | Chiropractor | 258 Hazard Ave, Enfield, CT 06082-4613 | 2007-08-07 |
| 1467667923 | Primary Spine & Rehab LLC | Chiropractor | 143 Hazard Ave, Enfield, CT 06082 | 2007-05-10 |
| 1003038613 | The Landry Chiropractic Center, LLC | Chiropractor | 546 Enfield St, Enfield, CT 06082-2408 | 2007-05-03 |
| Find all providers in ENFIELD | ||||
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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.