Sarena L Kelly (NPI# 1124392352, PAC ID# 2860653045) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1124392352 |
PAC ID by PECOS | 2860653045 |
Professional Enrollment ID | I20120416000294 |
Full Name | Sarena L Kelly |
Organization Legal Name | JOAO NASCIMENTO MD LLC |
Address |
3203 Main St Bridgeport CT 06606-4225 |
Phone Number | 2033710009 |
Gender | F |
Graduation Year | 2011 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6507001195 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070010 | BRIDGEPORT HOSPITAL |
Address | Phone | Organization |
---|---|---|
3203 Main St, Bridgeport, CT 06606-4225 | 2033710009 | JOAO NASCIMENTO MD LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % |
Organization Legal Name | JOAO NASCIMENTO MD LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joao Nascimento | Rheumatology | Joao Nascimento Md LLC | 3203 Main St, Bridgeport, CT 06606-4225 |
Street Address |
3203 MAIN ST |
City | BRIDGEPORT |
State | CT |
Zip | 06606-4225 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joao Nascimento | Rheumatology | Joao Nascimento Md LLC | 3203 Main St, Bridgeport, CT 06606-4225 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen Dean Breda | Otolaryngology | 4695 Main St, Suite 1, Bridgeport, CT 06606-1802 | |
Jeffrey D Small | Urology | 4695 Main St, Bridgeport, CT 06606-1802 | |
Abed Alkhatib | Oral Surgery | Oral Surgery Associates, L.l.c | 4747 Main St, Bridgeport, CT 06606-1804 |
Robert P Horne | Oral Surgery | Oral Surgery Associates, L.l.c | 4747 Main St, Bridgeport, CT 06606-1804 |
Howard B Twersky | Oral Surgery | Oral Surgery Associates, L.l.c | 4747 Main St, Bridgeport, CT 06606-1804 |
David Brown | Orthopedic Surgery | Orthocare Specialists,llc | 4747 Main St, Bridgeport, CT 06606-1804 |
Chiquana Allman | Nurse Practitioner | Sanitas of Connecticut LLC | 4551 Main St, Bridgeport, CT 06606-1818 |
Noel S Thompson | Chiropractic | Chiropractic Associates of Bridgeport LLC | 4444 Main St, Bridgeport, CT 06606-1820 |
Victor M Ribeiro | Chiropractic | Chiropractic Associates of Bridgeport LLC | 4444 Main St, Bridgeport, CT 06606-1820 |
Patricia A Collins | Chiropractic | Chiropractic Associates of Bridgeport LLC | 4444 Main St, Bridgeport, CT 06606-1820 |
Find all physicians in zip 06606 |
City | BRIDGEPORT |
Zip Code | 06606 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BRIDGEPORT + NURSE PRACTITIONER |
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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.