ASHANTI MEDICAL ASSOCIATES LLC (NPI# 1881713337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881713337 |
| Entity Type | Organization |
| Organization Name | ASHANTI MEDICAL ASSOCIATES LLC |
| Practice Address |
675 Tower Ave Suite 402 Hartford CT 06112-1260 |
| Practice Telephone | 8607142992 |
| Practice Fax Number | 8607148990 |
| Mailing Telephone | 8607142992 |
| Mailing Fax Number | 8607148990 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-12-09 |
| Authorized Official Name | DR. KOFI ATTA-MENSAH (OWNER) |
| Authorized Official Telephone | 8607142992 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 26698 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
26698 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | RAILROAD MEDICARE | 100002036 | 01 |
| CT | WELLCARE | 311575 | 01 |
| CT | 001266980 | 05 | |
| CT | CIGNA HEALTHCARE | 0577990 | 01 |
| CT | RAILROAD MEDICARE PART B | DN7801 | 01 |
| CT | WELLCARE SPECIALTY | 298481 | 01 |
| CT | BCBS | 010026698CT04 | 01 |
| CT | EVERCARE | 29-00882 | 01 |
| CT | CONNECTICARE | 026698 | 01 |
| CT | HEALTHNET | 2V9515 | 01 |
| CT | AETNA | 566029 | 01 |
| CT | OXFORD HEALTHCARE | HAP358 | 01 |
| Street Address |
675 TOWER AVE SUITE 402 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448878 | Kimberly L Beaulieu | Physician Assistant | 675 Tower Ave, Hartford, CT 06112-1264 | 2005-09-21 |
| 1053833475 | Mona Anne Chiurillo | Nurse Practitioner | 675 Tower Ave, Hartford, CT 06112-1273 | 2017-07-07 |
| 1457758179 | Shivanna Subramani Gonzalez | Nurse Practitioner | 675 Tower Ave, Hartford, CT 06112-1273 | 2014-11-24 |
| 1750626032 | Melissa Leigh Costanzo | Marriage & Family Therapist | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2012-11-28 |
| 1477846319 | Susana L Mealha | Social Worker | 675 Tower Ave, Suite 303, Hartford, CT 06112-1273 | 2011-05-25 |
| 1396038691 | Javeeria Manzoor | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2011-05-18 |
| 1912204504 | Elaine F Pratt | Nurse Practitioner | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2011-02-17 |
| 1053613752 | Community Renewal Team | Case Management | 675 Tower Ave, 303, Hartford, CT 06112-1273 | 2010-12-01 |
| 1144522160 | Community Renewal Team Inc. | Case Management | 675 Tower Ave, Hartford, CT 06451 | 2010-11-23 |
| 1154638815 | Mahreen Raza | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2010-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1417063025 | Nancy F Arena | Internal Medicine | 85 Seymour Street, Suite 700, Hartford, CT 06106 | 2006-08-23 |
| 1114954203 | Michael Aaron Selden | Internal Medicine | 85 Seymour St Ste 1000, Hartford, CT 06106-5529 | 2006-06-26 |
| 1548262918 | Charles W Riccio | Internal Medicine | 112 E Mcmurtry Ave, Hartford, KY 42347-1634 | 2005-08-15 |
| 1720375090 | Nihal Patel | Internal Medicine | 85 Seymour St Ste 1000, Hartford, CT 06106 | 2011-07-06 |
| 1316193055 | David M Chaletsky | Internal Medicine | 85 Seymour Street, Suite 1000, Hartford, CT 06106 | 2008-08-13 |
| 1033300728 | Maria Elena Johnson | Internal Medicine | 85 Seymour St, Suite 1000, Hartford, CT 06106-5501 | 2007-08-07 |
| 1881891703 | Jonathan Blair Williamson | Internal Medicine | 85 Seymour St, Suite 1000, Hartford, CT 06106-5501 | 2007-07-03 |
| 1801015854 | Kristin J Marcous | Internal Medicine | 85 Seymour St, Suite 1000, Hartford, CT 06106-5501 | 2007-04-25 |
| 1275653933 | Lisa Rossi | Internal Medicine | 1000 Asylum Ave, Suite 3212, Hartford, CT 06105-1770 | 2007-03-29 |
| 1700917523 | Connecticut Gastroenterology Assoc PC | Internal Medicine | 1000 Asylum Ave, Suite 3212, Hartford, CT 06105 | 2007-03-07 |
| Find all providers in HARTFORD | ||||
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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.