Landry Deuboue (NPI# 1013337252, PAC ID# 1759503162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013337252 |
| PAC ID by PECOS | 1759503162 |
| Professional Enrollment ID | I20180627000256 |
| Full Name | Landry Deuboue |
| Organization Legal Name | CHARTER OAK HEALTH CENTER, INC |
| Address |
21 Grand St Hartford CT 06106-1541 |
| Phone Number | 8605507500 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3870401078 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070020 | MIDDLESEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 21 Grand St, Hartford, CT 06106-1541 | 8605507500 | CHARTER OAK HEALTH CENTER, INC |
| 14 Jones Hollow Rd, Suite 5, Marlborough, CT 06447-1448 | 8602958751 | ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC |
| 512 Saybrook Rd, Suite 100, Middletown, CT 06457-4788 | 8603477636 | ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC |
| Organization Legal Name | CHARTER OAK HEALTH CENTER, INC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omprakash Bhaskara Pillai | Internal Medicine | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Mohit Manandhar | Psychiatry | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Stephenie C Thurber | Family Medicine | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Samantha Ann Windoloski | Physician Assistant | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Anabell Ramos-merced | Clinical Social Worker | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Henry Fedus | Podiatry | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Katie Oleyer | Nurse Practitioner | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Steven H Madonick | Psychiatry | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Cynthia Neuberger Breen | Nurse Practitioner | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Stephanie Marie Watson | Physician Assistant | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Street Address |
21 GRAND ST |
| City | HARTFORD |
| State | CT |
| Zip | 06106-1541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omprakash Bhaskara Pillai | Internal Medicine | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Mohit Manandhar | Psychiatry | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Sophie B Peltzer-rollo | Nurse Practitioner | Planned Parenthood of The Mid-hudson Valley Inc | 21 Grand St, Kingston, NY 12401-3933 |
| Kari Y Phillips | Clinical Social Worker | Access Supports for Living Inc | 21 Grand St, Newburgh, NY 12550-5628 |
| Stephenie C Thurber | Family Medicine | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Samantha Ann Windoloski | Physician Assistant | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Anabell Ramos-merced | Clinical Social Worker | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Henry Fedus | Podiatry | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Katie Oleyer | Nurse Practitioner | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Steven H Madonick | Psychiatry | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Hernandez | Clinical Social Worker | 56 Arbor St, Suite 410, Hartford, CT 06106-1226 | |
| Radmila Paneva | Clinical Social Worker | 4 Park Ter, Hartford, CT 06106-1318 | |
| Cynthia Neuberger Breen | Nurse Practitioner | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Stephanie Marie Watson | Physician Assistant | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Andrea Fachini | Physician Assistant | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| John J Ricardo | Internal Medicine | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Shaun Biggers | Obstetrics/gynecology | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Pamela J Glines | Nurse Practitioner | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Thomas W Winters | Podiatry | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Irshad Ahmed | Psychiatry | Charter Oak Health Center, Inc | 21 Grand St, Hartford, CT 06106-1541 |
| Find all physicians in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HARTFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Landry Deuboue.
| 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.