Carol A Petruff (NPI# 1083691794, PAC ID# 0749181964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1083691794 |
| PAC ID by PECOS | 0749181964 |
| Professional Enrollment ID | I20040120000244 |
| Full Name | Carol A Petruff |
| Organization Legal Name | PRIME HEALTHCARE, PC |
| Address |
30 Jordan Ln Wethersfield CT 06109-1278 |
| Phone Number | 8602630253 |
| Gender | F |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1991 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6709787930 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070002 | ST FRANCIS HOSPITAL & MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 30 Jordan Ln, Wethersfield, CT 06109-1278 | 8602630253 | PRIME HEALTHCARE, PC |
| 350 Silas Deane Hwy, Suite 102, Wethersfield, CT 06109-1700 | 8605298670 | PRIME HEALTHCARE, PC |
| Organization Legal Name | PRIME HEALTHCARE, PC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jude Martine Hall | Nurse Practitioner | Prime Healthcare, PC | 30 Hyde Ave, Vernon, CT 06066-4503 |
| Aida Becker | Family Medicine | Prime Healthcare, PC | 75 Great Pond Rd, Suite 200, Simsbury, CT 06070-1980 |
| Amber Christel Berry | Nurse Practitioner | Prime Healthcare, PC | 353 Franklin Ave, Hartford, CT 06114-2540 |
| Anthony Zaldonis | Gastroenterology | Prime Healthcare, PC | 19 Woodland St, Suite 23, Hartford, CT 06105-2368 |
| Gregory C Walsh | Internal Medicine | Prime Healthcare, PC | 20 Isham Rd, Suite 150a, West Hartford, CT 06107-2204 |
| Alan Soroka | Internal Medicine | Prime Healthcare, PC | 3 Concorde Way, Suite 103, Windsor Locks, CT 06096-1578 |
| William R Preskenis | Pulmonary Disease | Prime Healthcare, PC | 30 W Avon Rd, Suite D, Avon, CT 06001-3678 |
| Anthony M Roselli | Family Medicine | Prime Healthcare, PC | 54 W Avon Rd, Suite 101, Avon, CT 06001-3680 |
| Santo Buccheri | Internal Medicine | Prime Healthcare, PC | 357 Franklin Ave, Hartford, CT 06114-2540 |
| Ablan Hope Berko | Nurse Practitioner | Prime Healthcare, PC | 30 Hyde Ave, Vernon, CT 06066-4503 |
| Street Address |
30 JORDAN LN |
| City | WETHERSFIELD |
| State | CT |
| Zip | 06109-1278 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrice Horan | Nurse Practitioner | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Sybil L Sandoval | Internal Medicine | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Golam R Gazi | Gastroenterology | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Sarah L Cabelus | Physician Assistant | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Susan M Johnson | Physician Assistant | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Stephen J Milewski | Internal Medicine | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Hoo Ching Wong | Physician Assistant | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Catherine Louise Francis | Nurse Practitioner | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Brian B Gomes | Nurse Practitioner | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Wayne C Paulekas | Internal Medicine | Prime Healthcare, PC | 30 Jordan Ln, Wethersfield, CT 06109-1278 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phuong Nguyen | Optometry | Dr Nguyen Associates LLC | 1402 Berlin Tpke, Wethersfield, CT 06109-1010 |
| Nicole A Colasurdo | Optometry | Optometric Specialty Group of Wethersfield, Pllc | 185 Silas Deane Hwy, Suite 1, Wethersfield, CT 06109-1219 |
| Andrew J Sokolik | Optometry | Optometric Specialty Group of Wethersfield, Pllc | 185 Silas Deane Hwy, Suite 1, Wethersfield, CT 06109-1219 |
| Rekha Ranade Kapur | Psychiatry | 185 Silas Deane Hwy, Suite 340, Wethersfield, CT 06109-1219 | |
| William C Mitchard | Podiatry | 185 Silas Deane Hwy, Wethersfield, CT 06109-1219 | |
| Christina Ruddy | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Guy Dc Carbone | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Melissa Tulisano | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Matthew J Carbone | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Andrew Crape | Chiropractic | Carbone Chiropractic Center LLC | 82 86 Wolcott Hill Rd, Suite 1, Wethersfield, CT 06109-1252 |
| Find all physicians in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | WETHERSFIELD + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Carol A Petruff.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.