DR. KENNETH LEE WICHMAN (NPI# 1922074020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922074020 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LEE WICHMAN |
| Credential | DPM |
| Practice Address |
117 E Center St Manchester CT 06040-5203 |
| Practice Telephone | 8606493338 |
| Practice Fax Number | 8606464938 |
| Mailing Telephone | 8606493338 |
| Mailing Fax Number | 8606464938 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0224 | CT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
117 E CENTER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659875045 | Realms of Life Counseling | Counselor | 117 E Center St, Manchester, CT 06040-5246 | 2018-03-20 |
| 1053813618 | Nuriye Rumeli | Counselor | 117 E Center St, Manchester, CT 06040-5246 | 2018-02-28 |
| 1437604840 | Igniting Hope Counseling Services | Social Worker | 117 E Center St, Manchester, CT 06040-5246 | 2016-08-16 |
| 1316490097 | Emily D Lewis | Social Worker | 117 E Center St, Manchester, CT 06040-5246 | 2016-07-28 |
| 1134574155 | Tracy Funke | Counselor | 117 E Center St, Manchester, CT 06040-5246 | 2016-04-27 |
| 1013353515 | Michael William Winakor | Counselor | 117 E Center St, Manchester, CT 06040-5246 | 2013-05-12 |
| 1477800837 | Eneida M. Silva | Psychologist | 117 E Center St, Manchester, CT 06040-5246 | 2012-08-04 |
| 1912253071 | Advanced Psychological Services, LLC | Psychologist | 117 E Center St, Manchester, CT 06040-5246 | 2012-07-26 |
| 1982961397 | Mongare Foot & Ankle Care | Durable Medical Equipment & Medical Supplies | 117 E Center St, Manchester, CT 06040-5246 | 2012-04-23 |
| 1518284421 | Family Transitions Psychotherapy, LLC | Marriage & Family Therapist | 117 E Center St, Manchester, CT 06040-5246 | 2010-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669516183 | Victor R Aybar | Podiatrist | 2963 Manchester Rd Ste D, Manchester, MD 21102 | 2007-02-17 |
| 1871588756 | Steven A Rothstein | Podiatrist | 384 Wilson St, Manchester, NH 03103-4912 | 2005-09-15 |
| 1962034561 | Azure Podiatric Concierge LLC | Podiatrist | 200 Alliance Way, Manchester, NH 03102-8400 | 2020-02-11 |
| 1033461454 | Hartford Healthcare Medical Group, Inc | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2012-10-09 |
| 1952669988 | N. Jake Summers | Podiatrist | 100 Hitchcock Way, Podiatry, Manchester, NH 03104-4125 | 2012-04-27 |
| 1386924264 | Hartford Clinical Associates, PC | Podiatrist | 29 Haynes St, Manchester, CT 06040-4139 | 2011-08-23 |
| 1487898615 | Lawrence B. Iken,dpm,llc | Podiatrist | 14615 Manchester Rd, 101, Manchester, MO 63011-3790 | 2009-05-01 |
| 1518142538 | Loren J. Schneider, Dpm PC | Podiatrist | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2008-01-09 |
| 1508045667 | Achilles Podiatry Pllc | Podiatrist | 384 Wilson St, Manchester, NH 03103-4912 | 2007-10-25 |
| 1972795367 | Victor R. Aybar,dpm,pa | Podiatrist | 2963 Manchester Rd Ste D, Manchester, MD 21102-1853 | 2007-08-09 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.