LAURA C POPELESKI


Address: 163 Broadway St, Colchester, CT 06415-1022
Phone: 8605374601

LAURA C POPELESKI (NPI# 1982706990) 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) 1982706990
Entity Type Individual
Full Name LAURA C POPELESKI
Credential PAC
Practice Address 163 Broadway St
Colchester
CT 06415-1022
Mailing Address 112 Lafayette St
Norwich
CT 06360-2737
Practice Telephone 8605374601
Practice Fax Number 8605376935
Mailing Telephone 8604258701
Mailing Fax Number 8604258707
Enumeration Date 2006-09-01
Last Update Date 2010-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
001426 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 163 BROADWAY ST
City COLCHESTER
State CT
Zip Code 06415-1022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235124272 Stephen J Kaye Internal Medicine 163 Broadway St, Colchester, CT 06415-1022 2005-09-15
1033602230 Micaela Rae Gobeille Optometrist 163 Broadway St, Colchester, CT 06415-1022 2018-06-12
1215387493 Laura Kwon Internal Medicine 163 Broadway St, Colchester, CT 06415-1022 2016-06-17
1265855068 Kathi Jean Karp Nurse Practitioner 163 Broadway St, Colchester, CT 06415-1022 2014-01-29
1427308105 Alexandra Anna Sadanowicz Optometrist 163 Broadway St, Colchester, CT 06415-1022 2012-09-11
1033489984 Backus Health Centers Nurse Practitioner 163 Broadway St, Colchester, CT 06415-1022 2012-01-10
1891072757 Community Medical Partners, Inc. Colon & Rectal Surgery 163 Broadway St, Colchester, CT 06415-1022 2011-11-07
1124215546 Janine Fonfara Social Worker 163 Broadway St, Colchester, CT 06415-1022 2007-09-30
1487869442 Colchester Eye Care, LLC Optometrist 163 Broadway St, Colchester, CT 06415-1022 2007-05-13
1700962040 Conncare Inc Nurse Practitioner 163 Broadway St, Colchester, CT 06415-1022 2006-10-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225553571 Coleman Pediatric Therapy LLC Occupational Therapist 155 Boretz Rd, Colchester, CT 06415 2017-08-08
1811346224 Katie Coleman Occupational Therapist 155 Boretz Road, Colchester, CT 06415 2016-06-07
1104217637 Beyond Autism Counseling Services and Supportive Guidance Community/Behavioral Health 85 Broadway Street, Colchester, CT 06415 2015-02-05
1235488701 Jennifer Grandpre Physical Therapist 7 Park Avenue Suite 4, Colchester, CT 06415 2012-08-30
1174781660 Mark Cahill Acupuncturist 79b Norwich Ave, Colchester, CT 06415 2008-05-30
1417166232 Shelly Lynn Ceceri Physical Therapy Assistant 59 Harirington Court, Colchester, CT 06415 2007-05-21
1134341142 Susan Gene Pugatch Physical Therapist 59 Harrington Court, Colchester, CT 06415 2007-05-02
1669699377 Janice K. Loomis Marriage & Family Therapist 244 South Main St, Colchester, CT 06415 2007-04-20
1952439176 Dona Gioco Hoff Social Worker 139 Mill Hill Rd, Colchester, CT 06415 2007-03-01
1194875294 Mary-margaret Ellen Freier Psychologist 4 Van Cedarfield Rd., Colchester, CT 06415 2007-01-11
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518128347 Janet L. Burton Physician Assistant 386 Cabin Rd, Colchester, CT 06415-1508 2008-06-24
1396754008 Mary Elizabeth Hughes Physician Assistant 354 Mountain View Dr Ste 300, Four Seasons Dermatology, Colchester, VT 05446-5988 2006-08-05
1992064489 Erin Elizabeth Primiano Physician Assistant 354 Mountain View Dr, Suite 300, Colchester, VT 05446-5988 2012-05-03
1063524452 Ilyo Lloyd Mccray Physician Assistant 162 Hegeman Ave, Colchester, VT 05446-3156 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578163671 Kirsten Alexandra Drobiak Physician Assistant 37 Jennifer Ln, Griswold, CT 06351-3500 2020-10-28
1255955019 Amanda Uscilla Physician Assistant 20 Hilltop Rd, Bethany, CT 06524-3514 2020-06-07
1689208571 Sage Ann Miele Physician Assistant 149 Water St Apt 32, Norwalk, CT 06854-3758 2020-02-28
1790319655 Erin Kelly Flynn Physician Assistant 464 Congress Ave # Suie260, New Haven, CT 06519-1361 2020-02-28
1659919702 Jeniece Kayla Wert Physician Assistant 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 2019-12-18
1811547508 Gabriela M Vargas Physician Assistant 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 2019-09-16
1275192049 Molly J Mable Physician Assistant 282 Washington St Fl 1, Hartford, CT 06106-3322 2019-06-06
1003377631 Stephan Anton Bayer Physician Assistant 205 Elm St Apt 5, West Haven, CT 06516-4659 2019-03-27
1578024105 Vance P Baughman Physician Assistant 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 2019-03-27
1588121354 Jason Michael Nies Physician Assistant 20 York St # 218, New Haven, CT 06510-3220 2019-02-27
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Competitor

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City COLCHESTER
Zip Code 06415

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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