PAUL DAVID TORTLAND (NPI# 1902899800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902899800 |
| Entity Type | Individual |
| Full Name | PAUL DAVID TORTLAND |
| Credential | D.O. |
| Practice Address |
59 Sycamore St #301 Glastonbury CT 06033-4535 |
| Practice Telephone | 8604302821 |
| Mailing Telephone | 8604302821 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 004060 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
59 SYCAMORE ST #301 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003303595 | Nancy Nguon | Specialist/Technologist | 59 Sycamore St, Glastonbury, CT 06033-4535 | 2018-04-19 |
| 1184987992 | Jeffrey Robert Lavallee | Physical Medicine & Rehabilitation | 59 Sycamore St, #301, Glastonbury, CT 06033-4535 | 2012-06-18 |
| 1679667604 | Glastonbury Osteopathic, LLC | Family Medicine | 59 Sycamore St, Suite 301, Glastonbury, CT 06033-4535 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407876733 | William Joseph Garrity | Neuromusculoskeletal Medicine, Sports Medicine | 230b Mountain Rd, Suffield, CT 06078-2094 | 2006-07-20 |
| 1841283744 | Albert J Kozar | Neuromusculoskeletal Medicine, Sports Medicine | 54 W Avon Rd, Suite 202, Avon, CT 06001-3680 | 2005-08-25 |
| 1730186222 | Kevin J Reagan | Neuromusculoskeletal Medicine, Sports Medicine | 35 Kennedy Dr, Putnam, CT 06260-1939 | 2005-06-30 |
| 1053713800 | Connecticut Headache and Migraine Relief Center LLC | Neuromusculoskeletal Medicine, Sports Medicine | 235 Glenville Rd, Suite 2b, Greenwich, CT 06831-4148 | 2014-09-24 |
| 1831429885 | Westsports Medicine Inc | Neuromusculoskeletal Medicine, Sports Medicine | 166 East Ave, Norwalk, CT 06851-5725 | 2010-01-13 |
| 1649403320 | Integrated Medical of Danbury, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 46 Mill Plain Rd, Danbury, CT 06811-5140 | 2009-08-28 |
| 1871799635 | Valley Sports Physicians & Orthopedic Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 54 W Avon Rd, Suite 202, Avon, CT 06001-3680 | 2007-06-26 |
| 1063628295 | Ward J Mcfarland Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 32 Trumbull St, C/o R Fabbri, M.d., New Haven, CT 06511-6310 | 2007-05-15 |
| 1598898843 | Joshua B Frank | Neuromusculoskeletal Medicine, Sports Medicine | 761 Main Ave, Suite 115, Norwalk, CT 06851-1080 | 2007-03-14 |
| 1740311208 | Michael Lance Gerstenfeld | Neuromusculoskeletal Medicine, Sports Medicine | 46 Mill Plain Rd, Danbury, CT 06811-5140 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.