ELIZABETH REYNOLDS


Address: 500 Albany Ave, Hartford, CT 06120-2508
Phone: 8602499625

ELIZABETH REYNOLDS (NPI# 1932109162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932109162
Entity Type Individual
Full Name ELIZABETH REYNOLDS
Credential MD
Practice Address 500 Albany Ave
Hartford
CT 06120-2508
Practice Telephone 8602499625
Practice Fax Number 8608081536
Mailing Telephone 8602499625
Mailing Fax Number 8608081536
Enumeration Date 2005-07-29
Last Update Date 2013-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
52148 CT Allopathic & Osteopathic Physicians
N 207QA0505X Family Medicine
Specialization: Adult Medicine
211539 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 008046005 05

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Office Location

Street Address 500 ALBANY AVE
City HARTFORD
State CT
Zip Code 06120-2508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134128838 Avon Medical Pharmacy Inc Durable Medical Equipment & Medical Supplies 500 Albany Ave, Hartford, CT 06120-2508 2005-07-15
1093350324 Walgreen Co Durable Medical Equipment & Medical Supplies 500 Albany Ave, Hartford, CT 06120-2508 2019-11-11
1962047498 Laura Beth Troy Nurse Practitioner 500 Albany Ave, Hartford, CT 06120-2508 2019-11-07
1699317412 Oksana Roytburg Nurse Practitioner 500 Albany Ave, Hartford, CT 06120-2508 2019-10-14
1710537063 Chengping Wang Nurse Practitioner 500 Albany Ave, Hartford, CT 06120-2508 2019-09-18
1831749209 Chedene A Ewart Social Worker 500 Albany Ave, Hartford, CT 06120-2508 2019-09-17
1174189039 Nashka P. Carrion Social Worker 500 Albany Ave, Hartford, CT 06120-2508 2019-05-16
1801366646 Kerin Gilligan Nurse Practitioner 500 Albany Ave, Hartford, CT 06120-2508 2018-12-04
1194209213 Maria Elena Slajda Nurse Practitioner 500 Albany Ave, Hartford, CT 06120-2508 2018-09-25
1487131462 Deneisha Tamara Lindsay Nurse Practitioner 500 Albany Ave, Hartford, CT 06120-2508 2018-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245664770 Amy Rodriguez Social Worker 2550 Main Street, Hartford, CT 06120 2013-09-03
1144578741 Community Substance Abuse Center Case Management 55 Fish Fry Street, Hartford, CT 06120 2012-08-29
1225394190 Edward Billie Case Management 27 East St, Apt 2, Hartford, CT 06120 2012-04-05
1497065163 Sharron Lee Laplante General Practice 177 Weston Street, Hartford, CT 06120 2010-10-15
1417135195 Ling Li Nurse Practitioner 3580 Main Street, Hartford, CT 06120 2008-02-05
1750592564 Avon Medical Pharmacy Durable Medical Equipment & Medical Supplies Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 2007-05-24
1609942416 Gene David Kirschenbaum Obstetrics & Gynecology 360 Market Street, Hartford, CT 06120 2006-11-27
1740361179 Pamela Bond Ponichtera Nurse Practitioner 500 Albany Avenue, Pediatric Clinic, Hartford, CT 06120 2006-10-19
1841301876 Community Renewal Team, Inc. Clinic/Center 330 Market Street, Hartford, CT 06120 2006-08-31
1548803844 Courtney Anne Barnes Social Worker 330 Market St, Hartford, CT 06120 2019-10-20
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

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1760724165 John Ordway Alden Family Medicine 20 Loeffler Rd, T521c, Bloomfield, CT 06002-2276 2013-03-23
1598098881 Anita Boyd Bennett Family Medicine 1249 Boulevard, West Hartford, CT 06119-1603 2009-09-17
1740329168 Seymour Isaac Kummer Family Medicine 67 N Park St, Ellington, CT 06029-4135 2007-02-05
1225101991 Syed Hyder Reza Family Medicine 345 Main Ave, Pmcc, Norwalk, CT 06851-1547 2006-11-17
1356433486 Windsor Locks Medical Center, LLP Family Medicine 73 Old County Road, Windsor Locks, CT 06096 2006-09-28
1609982834 Angelika Jovin Family Medicine 27 Commerce St, Clinton, CT 06413-2054 2006-08-21
1720014798 James M. Perlotto Family Medicine 55 Lock St., New Haven, CT 06520-8237 2006-06-23
1184666430 Alicja Jadwiga Harbut IIi Family Medicine 25 Clinton St, New Britain, CT 06053-3509 2006-06-12
1740265925 Yogesh Kumar Katechia Family Medicine 2 Lathrop Ave, Norwich, CT 06360-2309 2005-12-11
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Competitor

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City HARTFORD
Zip Code 06120

Improve Information

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Dataset Information

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.

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