THE URGENT CARE CENTER OF CONNECTICUT, LLC (NPI# 1841526068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841526068 |
| Entity Type | Organization |
| Organization Name | THE URGENT CARE CENTER OF CONNECTICUT, LLC |
| Practice Address |
421 Cottage Grove Rd Suite B Bloomfield CT 06002-3119 |
| Practice Telephone | 8602423933 |
| Practice Fax Number | 8602423301 |
| Mailing Telephone | 8602423933 |
| Mailing Fax Number | 8602423301 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2018-01-03 |
| Authorized Official Name | GILBERTO RAMIREZ (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8602420034 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COLLINS MEDICAL ASSOCIATES 2 PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 018911 | CT | Allopathic & Osteopathic Physicians |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 207R00000X | Internal Medicine | 018911 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008017921 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | THE URGENT CARE CENTER OF CONNECTICUT, LLC | 95 Woodland St, 4th Floor, Hartford, CT 06105 |
| Street Address |
421 COTTAGE GROVE RD SUITE B |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226406 | Eric Robin Goldberg | Family Medicine | 421 Cottage Grove Rd, Suite B, Bloomfield, CT 06002-3119 | 2005-09-23 |
| 1104365071 | Mattia Brose | Nurse Practitioner | 421 Cottage Grove Rd, Bloomfield, CT 06002-3336 | 2017-02-13 |
| 1902254725 | Natalie M Cooper | Nurse Practitioner | 421 Cottage Grove Rd, Bloomfield, CT 06002-3170 | 2016-06-02 |
| 1275971905 | Christine Marie Hanna | Family Medicine | 421 Cottage Grove Rd, Bloomfield, CT 06002-3170 | 2013-06-04 |
| 1013133628 | Richard Siahaan | Internal Medicine | 421 Cottage Grove Rd, Bloomfield, CT 06002-3170 | 2007-04-18 |
| 1518981448 | Gilberto Ramirez | Family Medicine | 421 Cottage Grove Rd, Suite A, Bloomfield, CT 06002-3119 | 2006-07-26 |
| 1740235282 | Donald Maxwell | Internal Medicine | 421 Cottage Grove Rd, Suite B, Bloomfield, CT 06002-3119 | 2006-05-23 |
| 1164493243 | Jill T Nelson | Nurse Practitioner | 421 Cottage Grove Rd, Suite A, Bloomfield, CT 06002-3119 | 2006-01-27 |
| 1578554499 | Robert Allen Green | Orthopaedic Surgery | 421 Cottage Grove Rd, Suite A, Bloomfield, CT 06002-3170 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264659 | Urgent Care Center of Bloomfield Pllc | Internal Medicine | 699 Cottage Grove Rd, Bloomfield, CT 06002-3059 | 2020-10-28 |
| 1023524550 | Cp Primary Care PC | Internal Medicine | 206 Belleville Ave Ste 204a, Bloomfield, NJ 07003-3589 | 2017-12-20 |
| 1801307871 | Nidhi Shishu | Internal Medicine | 4521 River Trl, Bloomfield, MI 48301-3642 | 2017-10-18 |
| 1669995247 | Oksana Kloyzner,md LLC | Internal Medicine | 701 Cottage Grove Rd Ste F, Bloomfield, CT 06002-3080 | 2017-07-25 |
| 1710431291 | Clark Medical Service LLC | Internal Medicine | 135 Bloomfield Ave Ste F, Bloomfield, NJ 07003-5902 | 2016-08-12 |
| 1861806721 | Arhin Internal Medicine Clinic LLC | Internal Medicine | 35 Jolley Dr # 201, Bloomfield, CT 06002-3062 | 2014-06-18 |
| 1013276062 | Esira Jaimie Beaubrun | Internal Medicine | 323 Belleville Ave Fl 2, Bloomfield, NJ 07003-3648 | 2012-05-11 |
| 1801178389 | Robert Jay Dobrow | Internal Medicine | 15 Cherry Hills Cir, Bloomfield, CT 06002-2919 | 2011-09-12 |
| 1285952960 | Leandro Lencina | Internal Medicine | 85 E Passaic Ave, Bloomfield, NJ 07003-3752 | 2010-05-05 |
| 1336314475 | Roy A. Kellerman, Md, LLC | Internal Medicine | 701 Cottage Grove Rd Ste A110, Bloomfield, CT 06002-3082 | 2008-04-29 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on THE URGENT CARE CENTER OF CONNECTICUT, LLC.
| 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.