PROHEALTH PHYSICIANS PC (NPI# 1912175639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912175639 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PHYSICIANS PC |
| Practice Address |
4 Farm Springs Rd Farmington CT 06032-2573 |
| Practice Telephone | 8602845200 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2017-07-03 |
| Authorized Official Name | MR. PHILIP M PIN (SR. VP & CEO) |
| Authorized Official Telephone | 8602845200 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROHEALTH PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720194053 | Prohealth Physicians PC | Clinical Nurse Specialist | 3 Farm Glen Blvd, Prohealth Physicians, Farmington, CT 06032-1981 | 2006-08-21 |
| Street Address |
4 FARM SPRINGS RD |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245296573 | Jong Gil Oh | Internal Medicine | 4 Farm Springs Rd, Farmington, CT 06032-2573 | 2006-04-25 |
| 1801024302 | Kasia Koziol-dube | Pediatrics | 4 Farm Springs Rd, Farmington, CT 06032-2573 | 2009-06-23 |
| 1063681351 | Prohealth Ultrasound | Radiologic Technologist | 4 Farm Springs Rd, Farmington, CT 06032-2573 | 2008-02-21 |
| 1396913554 | Prohealth Bone Density | Radiologic Technologist | 4 Farm Springs Rd, Farmington, CT 06032-2573 | 2008-02-11 |
| 1457530743 | Susan Rammer Huntington | Physician Assistant | 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 | 2007-11-02 |
| 1942391081 | Dennis John Roman | Physical Therapist | 4 Farm Springs Rd, Farmington, CT 06032-2573 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1538521679 | Focus Point Diagnostics LLC | Radiology | 23337 Orchard Lake Rd, Farmington, MI 48336-3238 | 2016-03-28 |
| 1619103306 | Christopher Michael Garcia | Radiology | 23 Hidden Oak Dr, Farmington, CT 06032-2735 | 2009-06-08 |
| 1992715122 | Kenneth L Miller | Radiology | 1101 W Liberty, Parkland Health Center Dept of Radiology, Farmington, MO 63640 | 2006-08-09 |
| 1497761795 | Medical Diagnostic Services Ltd | Radiology | 657a W Maple, Farmington, NM 87401 | 2006-07-31 |
| 1336182393 | Lynne F Bliss | Radiology | 801 W. Maple, Farmington, NM 87401 | 2006-06-14 |
| 1073507596 | Joseph B Alley | Radiology | 111 Farmington Health Commons, Farmington, ME 04938-6144 | 2005-09-12 |
| 1841284783 | John R Webster | Radiology | 801 W Maple Street, Farmington, NM 87401 | 2005-09-07 |
| 1144222779 | David Ray Dedrickson | Radiology | 1433 N 1075 W, Ste 104, Farmington, UT 84025-2746 | 2005-08-12 |
| 1629075684 | Steven Brent Lee | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2005-07-06 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
Please comment or provide details below to improve the information on PROHEALTH PHYSICIANS PC.
| 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.