ELIZABETH WILSON (NPI# 1992791487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992791487 |
| Entity Type | Individual |
| Full Name | ELIZABETH WILSON |
| Credential | MD |
| Practice Address |
111 Founders Plz Ste 400 East Hartford CT 06108-3240 |
| Practice Telephone | 8602893375 |
| Mailing Telephone | 8602893375 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 55002 | MA | Other Service Providers |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
55002 | MA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
55002 | MA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
55002 | MA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
55002 | MA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
55002 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3056520 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942836556 | Elizabeth Wilson | Dietitian, Registered | 937 S 3rd St Apt A, Columbus, OH 43206-2542 | 2020-03-15 |
| 1437799012 | Elizabeth E Wilson | Social Worker | 2917 N Highland Ave, Jackson, TN 38305-3407 | 2020-01-10 |
| 1760023543 | Elizabeth Wilson | Technician | 157 Lee Road 215, Phenix City, AL 36870-8849 | 2019-10-03 |
| 1992356968 | Elizabeth Wilson | Social Worker | 5236 Meadowdale St, Metairie, LA 70006-3926 | 2019-09-21 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1023573755 | Elizabeth Wilson | Dietitian, Registered | 8424 4th St N, Saint Petersburg, FL 33702-3659 | 2019-02-06 |
| 1467989111 | Elizabeth Wilson | Technician | 1216 Granby St Ste 7, Norfolk, VA 23510-2622 | 2017-05-12 |
| 1841643947 | Elizabeth Wilson | Contractor | 3511 Legation St Nw, Washington, DC 20015-1715 | 2016-07-13 |
| 1073913091 | Elizabeth Wilson | Counselor | 102 Attu Rd, Seaside, CA 93955-6600 | 2014-08-27 |
| 1093080541 | Elizabeth L. Wilson | Nurse Practitioner | 2225 U S Highway 41 N, Tifton, GA 31794 | 2012-03-16 |
| Street Address |
111 FOUNDERS PLZ STE 400 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206568 | Susan Davis | Specialist | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | 2005-09-20 |
| 1427588276 | Andre Curiel | Physician Assistant | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2017-06-14 |
| 1588003818 | Daniel Collins | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2013-06-20 |
| 1619312006 | Joseph A Lembo IIi | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | 2013-04-30 |
| 1033553508 | Pallavi Nadendla | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2013-04-26 |
| 1316200769 | Payam Sajedi | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2012-06-20 |
| 1174816003 | Sean Richardson | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | 2011-05-25 |
| 1841466430 | David B. Blonder | Radiology | 111 Founders Plz Ste 400, East Hartford, CT 06108 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
| 1164055810 | First Choice Health Center Inc | Durable Medical Equipment & Medical Supplies | 110 Connecticut Blbd, East Hartford, CT 06108 | 2020-02-20 |
| 1457848731 | Heavenly Care LLC | Home Health | 35 Greene Terrace, East Hartford, CT 06108 | 2018-04-22 |
| 1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
| 1851802474 | Empathic Care Counseling LLC | Counselor | 357 East Center Street, Manchester, CT 06108 | 2017-10-23 |
| 1235654427 | Kacey Megquier | Specialist/Technologist | 132 Arbutus Street, East Hartford, CT 06108 | 2017-08-08 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1205361599 | Freda Osei-parker | Pharmacist | 16a Saint Regis Street, East Hartford, CT 06108 | 2017-04-25 |
| 1831648740 | Marcia Loving Care Home Care Agency | Home Health | 23 Bidwell Street, East Hartford, CT 06108 | 2016-10-04 |
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| Find all providers in zip 06108 | ||||
| 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 |
|---|---|---|---|---|
| 1912232646 | Sunil K Yerragondu | Specialist | 478 Burnside Ave, East Hartford, CT 06108-2425 | 2009-10-14 |
| 1043206568 | Susan Davis | Specialist | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | 2005-09-20 |
| 1396004784 | Accessible Wellness Center, LLC. | Specialist | 870 Burnside Ave, East Hartford, CT 06108-2711 | 2012-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261212 | Diana Louise Botticelli | Specialist | 5 Jackson Pl, Darien, CT 06820-2725 | 2020-06-26 |
| 1205465382 | Center for Vascular Medicine Ct, Pllc | Specialist | 136 Berlin Rd Ste 202, Cromwell, CT 06416-2622 | 2020-04-02 |
| 1679103931 | Gail Joan Dalby | Specialist | 1360 Whitney Ave, Hamden, CT 06517-2400 | 2020-01-24 |
| 1982248902 | Tracy Cook | Specialist | 1533 New Britain Ave Ste 2, Farmington, CT 06032-3378 | 2019-11-02 |
| 1477106482 | Elevate Pt- Stamford Pllc | Specialist | 1234 Summer St Ste 102, Stamford, CT 06905-5558 | 2019-07-18 |
| 1598238321 | Amanda Andrade | Specialist | 40 Whippoorwill Rd, Bethel, CT 06801-2723 | 2019-01-03 |
| 1366921827 | Matt Dutton | Specialist | 1 Highpoint Ct, Woodbury, CT 06798-3228 | 2018-08-07 |
| 1013422591 | Connecticut Orthopaedic Specialists, PC | Specialist | 2499 Main St Ste 6, Stratford, CT 06615-5843 | 2017-12-06 |
| 1114430782 | Elevate Professional Services, LLC | Specialist | 19 Old Kings Hwy S Ste 120, Darien, CT 06820-4532 | 2017-11-06 |
| 1417476052 | Lauri Weil | Specialist | 104 Old Washington Rd, Ridgefield, CT 06877-5918 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
| City | EAST HARTFORD |
| Zip Code | 06108 |
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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.