PAVILION HAND SURGEONS, INC (NPI# 1992109284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992109284 |
| Entity Type | Organization |
| Organization Name | PAVILION HAND SURGEONS, INC |
| Other Organization Name | THE HAND CENTER OF WESTERN MASSACHUSETTS |
| Practice Address |
115 Elm St Ste 208 Enfield CT 06082-3735 |
| Mailing Address |
3550 Main St Ste 204 Springfield MA 01107-1078 |
| Practice Telephone | 8606986966 |
| Practice Fax Number | 4137340587 |
| Mailing Telephone | 4137332204 |
| Mailing Fax Number | 4137340587 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | JEFFREY C WINT (PRESIDENT) |
| Authorized Official Telephone | 4137332204 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICARE PTAN | M11285 | 01 |
| MA | NPI | 1871655662 | 01 |
| CT | MEDICARE PTAN | D100172348 | 01 |
| Other Name | Type Code |
|---|---|
| The Hand Center of Western Massachusetts | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PAVILION HAND SURGEONS, INC. | 3550 Main Street, Springfield, MA 01107 |
| Street Address |
115 ELM ST STE 208 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659655686 | Northern Connecticut Endocrinology and Wellness Center PC | Specialist | 140 Hazard Ave Ste 102, Enfield, CT 06082-4520 | 2011-10-10 |
| 1669680278 | Dennis Morgan Md | Specialist | 142 Hazard Avenue, Enfield, CT 06082-4520 | 2007-05-18 |
| 1346281565 | Michelle Quirk | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2006-06-09 |
| 1821421942 | Np Skincare | Specialist | 113 Elm St, Suite 304, Enfield, CT 06082-3700 | 2013-08-12 |
| 1194033977 | Edward H Benjamin Md PC | Specialist | 115 Elm St, Suite 205, Enfield, CT 06082-3712 | 2010-09-15 |
| 1003121336 | Shannon G Scarola | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2010-08-11 |
| 1700199619 | Keelin Godsey | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2010-07-20 |
| 1497925283 | Stefanie Bourassa | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2008-03-07 |
| 1144254475 | Christianna Keough | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2006-07-11 |
| 1730133232 | Abdul Hami Khaliq | Specialist | 146 Hazard Ave, Enfield, CT 06082-4571 | 2006-05-19 |
| Find all providers in ENFIELD | ||||
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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.