WINDSOR PARK FAMILY MEDICINE, LLC (NPI# 1922230200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922230200 |
| Entity Type | Organization |
| Organization Name | WINDSOR PARK FAMILY MEDICINE, LLC |
| Practice Address |
85 Felt Road Suite 501 South Windsor CT 06074 |
| Practice Telephone | 8602282750 |
| Practice Fax Number | 8607835460 |
| Mailing Telephone | 8602282750 |
| Mailing Fax Number | 8607835460 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | HYOUNGSUP PARK (OWNER) |
| Authorized Official Telephone | 8602882750 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 043254 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
85 FELT ROAD SUITE 501 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801204086 | Heart & Soul Psychiatry | Clinical Nurse Specialist | 85 Felt Road, Suite 603, South Windsor, CT 06074-3871 | 2014-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| 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 |
|---|---|---|---|---|
| 1396721833 | Frances O Natale | Family Medicine | 2400 Tamarack Rd, South Windsor, CT 06074-5555 | 2005-12-16 |
| 1437155850 | Matthew Friedman | Family Medicine | 1050 Sullivan Ave, Ste B1, South Windsor, CT 06074-2000 | 2005-06-21 |
| 1396193488 | Climb Innovations LLC | Family Medicine | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2016-05-30 |
| 1861523466 | Robert Joseph Sasse | Family Medicine | 1559 Sullivan Ave, South Windsor, CT 06074-2766 | 2007-03-08 |
| 1376670646 | Gayethri Narayanswamy | Family Medicine | 2701 Tamarack Ave, South Windsor, CT 06074-5561 | 2007-02-27 |
| 1003966342 | Raymond Charles Kurker | Family Medicine | 25 Oakland Rd, Suite 1, South Windsor, CT 06074-2834 | 2007-01-11 |
| 1417903089 | Anne-katrin U Weischedel | Family Medicine | 1559 Sullivan Ave, South Windsor, CT 06074-2712 | 2006-05-25 |
| 1497731509 | William S Shieh | Family Medicine | 1559 Sullivan Ave, Hartford Medical Group, South Windsor, CT 06074-2712 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638299 | Alyssa Mary Brown | Family Medicine | 82 Welles Dr, Newington, CT 06111-2625 | 2020-10-29 |
| 1598370389 | Korinne Fern Croce X | Family Medicine | 52 Meadowood Dr, New Milford, CT 06776-5732 | 2020-09-09 |
| 1619580263 | Chelsea Nicole Alves | Family Medicine | 111 Connecticut Blvd, East Hartford, CT 06108-3015 | 2020-08-24 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1598397192 | Healthmed Family Care | Family Medicine | 1209 S Broad St, Wallingford, CT 06492-1714 | 2020-02-11 |
| 1457991333 | Diane Iannini | Family Medicine | 16 Bridge End Farm Ln, Sandy Hook, CT 06482-1055 | 2020-01-08 |
| 1396382685 | Optimum Regenerative Care LLC | Family Medicine | 46 Benson Dr, Danbury, CT 06810-7231 | 2019-12-05 |
| 1801455761 | Steven John Rigatti | Family Medicine | 157 Uconn Ave, Glastonbury, CT 06033-1348 | 2019-06-13 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1336703586 | Shazia Josephine Joseph | Family Medicine | 12 Village St Ste 5, North Haven, CT 06473-3828 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on WINDSOR PARK FAMILY MEDICINE, 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.