KENT MED PEDS, LLC (NPI# 1861447799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861447799 |
| Entity Type | Organization |
| Organization Name | KENT MED PEDS, LLC |
| Practice Address |
38 N Main St Kent CT 06757-1511 |
| Practice Telephone | 8609274365 |
| Practice Fax Number | 8609274366 |
| Mailing Telephone | 8609274365 |
| Mailing Fax Number | 8609274366 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | JOSEPH P FROLKIS (PRESIDENT & CEO) |
| Authorized Official Telephone | 8603507200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004230538 | 05 |
| Street Address |
38 N MAIN ST |
| City | KENT |
| State | CT |
| Zip Code | 06757-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841651957 | Peter B.c. Daprile | Pharmacist | 38 N Main St, Kent, CT 06757-1511 | 2016-03-16 |
| 1588812176 | Kent Apothecary LLC | Durable Medical Equipment & Medical Supplies | 38 N Main St, Kent, CT 06757-1511 | 2008-09-08 |
| 1811976699 | David K Mcintosh | Internal Medicine | 38 N Main St, Kent, CT 06757-1511 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831544030 | Samantha K Case | Social Worker | 62 Carter Road, Kent, CT 06757 | 2016-04-26 |
| 1639545015 | Stephanie Mauri | Dental Hygienist | 8 Green Pastures Ln, Kent, CT 06757 | 2015-08-19 |
| 1275946881 | High Watch Recovery Center | Substance Abuse Rehabilitation Facility | 62 Carter Rd., Kent, CT 06757 | 2014-06-11 |
| 1538592225 | Mary E. Smith Bowen | Licensed Practical Nurse | 46 Maple St, The Kent, Kent, CT 06757 | 2013-08-16 |
| 1629390620 | Kent Volunteer Fire Department, Inc. | Ambulance | 28 Maple St., Kent, CT 06757 | 2010-02-18 |
| 1407021959 | Gayle Pantaleo | Social Worker | 17 Old Barn Road, Kent, CT 06757 | 2008-04-25 |
| 1891992160 | Margaret Farley Mcmorrow | Acupuncturist | Progressive Medicine, 17 Old Barn Road, Kent, CT 06757 | 2007-06-29 |
| 1407981681 | Dan Traub | Specialist/Technologist | Kent School 1 Macedonia Rd., Kent, CT 06757 | 2007-02-21 |
| 1518057942 | Michael G Monsarrat | Dentist | 37 N Main St, Kent, CT 06757 | 2006-10-14 |
| 1891800512 | Leonard Jerome Astrauskas | Internal Medicine | 27 North Main Street, Unit 7a, Kent, CT 06757 | 2006-08-20 |
| Find all providers in zip 06757 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409273 | Josiah B Belzer | Family Medicine | 26004 104th Ave Se Ste 101, Kent, WA 98030-7677 | 2017-03-31 |
| 1538554019 | Rachel Elena Cullison | Family Medicine | 401 Devon Pl Ste 215, Kent, OH 44240-6483 | 2015-04-01 |
| 1528222569 | Payal Mitesh Shah | Family Medicine | 1314 Central Ave S Ste 102, Kent, WA 98032-7430 | 2008-07-17 |
| 1457521619 | Russell W Faria Do PC | Family Medicine | 15215 Se 272nd St Ste 103, Kent, WA 98042-4215 | 2008-03-04 |
| 1437215472 | Sui M Twe | Family Medicine | 10056 Se 240th St Ste D, Kent, WA 98031-5126 | 2006-12-27 |
| 1780746172 | Charanjit K Lamba | Family Medicine | 24703 38th Ave S, Kent, WA 98032-4111 | 2006-12-14 |
| 1487765442 | Lester Pittle | Family Medicine | 325 W Gowe St, Kent, WA 98032-5892 | 2006-08-31 |
| 1568471621 | Rashid Daud | Family Medicine | 219 State Ave N Ste 100, Kent, WA 98030-4543 | 2006-08-07 |
| 1043235427 | Angela Jane Dejulius | Family Medicine | 1365 Kelso Rd, Kent, OH 44240 | 2006-07-13 |
| 1194779629 | Harpreet Singh Chhokar | Family Medicine | 10830 Se Kent Kangley Rd, 100a, Kent, WA 98030-9959 | 2006-05-20 |
| Find all providers in KENT | ||||
Please comment or provide details below to improve the information on KENT MED PEDS, 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.