Gary W Kravetz (NPI# 1164432209, PAC ID# 2769459957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1164432209 |
| PAC ID by PECOS | 2769459957 |
| Professional Enrollment ID | I20040916000305 |
| Full Name | Gary W Kravetz |
| Organization Legal Name | EASTERN CONNECTICUT IMAGING PC |
| Address |
71 Haynes St Manchester CT 06040-4131 |
| Phone Number | 86064612223561 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1983 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2668462078 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070027 | MANCHESTER MEMORIAL HOSPITAL |
| 070012 | ROCKVILLE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 71 Haynes St, Manchester, CT 06040-4131 | 86064612223561 | EASTERN CONNECTICUT IMAGING PC |
| 2800 Tamarack Ave, Suite 1, South Windsor, CT 06074-5553 | 86064612223561 | EASTERN CONNECTICUT IMAGING PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | EASTERN CONNECTICUT IMAGING PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc D Haber | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Matthew H Smith | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Ted S Metzger | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Christopher A Taubes | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Edward G Denstman | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Frederick J Shuler | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Thomas E Kilkenny | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Alok A Anand | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Deepak Bramhavar | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Edward M Rosenblatt | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Street Address |
71 HAYNES ST |
| City | MANCHESTER |
| State | CT |
| Zip | 06040-4131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enoch Darko | Emergency Medicine | Emergency Care Services of Connecticut PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Marc D Haber | Diagnostic Radiology | Eastern Connecticut Imaging PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Allana R Lee | Psychiatry | Prospect Manchester Hospital Inc | 71 Haynes St, Manchester, CT 06040-4131 |
| Mary B Keenan | Clinical Social Worker | Prospect Manchester Hospital Inc | 71 Haynes St, Manchester, CT 06040-4131 |
| Andreas J Bojko | Emergency Medicine | Emergency Care Services of Connecticut PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Eric J Edgerton | Clinical Social Worker | Prospect Ct Medical Foundation, Inc. | 71 Haynes St, Manchester, CT 06040-4131 |
| Dennis G Oneill | Pathology | Eastern Connecticut Pathology Consultants, PC | 71 Haynes St, Manchester Memorial Hospital, Manchester, CT 06040-4131 |
| Jesse A Fisk | Emergency Medicine | Emergency Care Services of Connecticut PC | 71 Haynes St, Manchester, CT 06040-4131 |
| Angela M Gaither | Clinical Social Worker | Prospect Ct Medical Foundation, Inc. | 71 Haynes St, Manchester, CT 06040-4131 |
| Alison Schneider | Clinical Social Worker | Prospect Manchester Hospital Inc | 71 Haynes St, Manchester, CT 06040-4131 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Elizabeth Wood | Physician Assistant | Family Medicine Center,llc | 574 Middle E Tpke, Manchester, CT 06040-3730 |
| Christine M Knight | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Jordan Taylor Honahan | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Krista A Catalan | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Zachary David Crickmore | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Eric Stearns | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Kelsey Magrisso | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Kristen Lindsay | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Matthew Reynolds | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Isaac Okyere Ampofo | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 629 Middle Tpke E, Manchester, CT 06040-3731 |
| Find all physicians in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MANCHESTER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Gary W Kravetz.
| 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.