Mary Rose G Tantoco (NPI# 1336315969, PAC ID# 3072747666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1336315969 |
PAC ID by PECOS | 3072747666 |
Professional Enrollment ID | I20190307000921 |
Full Name | Mary Rose G Tantoco |
Organization Legal Name | SOUTHEASTERN CT NEPHROLOGY ASSOC PC |
Address |
88 Norwich New London Tpke Suite 2 Uncasville CT 06382-2518 |
Phone Number | 8603670087 |
Gender | F |
Graduation Year | 2009 |
Primary Specialty | NEPHROLOGY |
Group Practice PAC ID | 3971554197 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070007 | LAWRENCE & MEMORIAL HOSPITAL |
070024 | WILLIAM W BACKUS HOSPITAL |
420049 | CONWAY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 | 8603670087 | SOUTHEASTERN CT NEPHROLOGY ASSOC PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 66% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 4% | |
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 49% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
Organization Legal Name | SOUTHEASTERN CT NEPHROLOGY ASSOC PC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Saqib Inayatullah | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Mihaela O Negulescu | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Jay M Ginsberg | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Mihkel Haus | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Thomas C Peter | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Street Address |
88 NORWICH NEW LONDON TPKE SUITE 2 |
City | UNCASVILLE |
State | CT |
Zip | 06382-2518 |
Name | Specialty | Organization | Address |
---|---|---|---|
Saqib Inayatullah | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Mihaela O Negulescu | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Todd S Stelik | Occupational Therapy | 88 Norwich New London Tpke, Suite 1, Uncasville, CT 06382-2518 | |
Jay M Ginsberg | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Mihkel Haus | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Thomas C Peter | Nephrology | Southeastern Ct Nephrology Assoc PC | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 |
Name | Specialty | Organization | Address |
---|---|---|---|
Peter S Hahn | Cardiac Electrophysiology | 2020 Norwich New London Tpke, Suite 12, Uncasville, CT 06382-1374 | |
Danielle Lee Mallory | Nurse Practitioner | Kristin Mahan, Aprn, Fnp-c, LLC | 620 Norwich New London Tpke, Uncasville, CT 06382-2121 |
Stephanie Sloan | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382-2121 | |
Kristin M Mahan | Nurse Practitioner | Kristin Mahan, Aprn, Fnp-c, LLC | 620 Norwich New London Tpke, Uncasville, CT 06382-2121 |
Mallory Muzykoski | Nurse Practitioner | Kristin Mahan, Aprn, Fnp-c, LLC | 620 Norwich New London Tpke, Uncasville, CT 06382-2121 |
Michael L Murphy | Chiropractic | 9 Maple Ave Ext, Uncasville, CT 06382-2417 | |
Jill M Lombardo | Physical Therapy | Independence Physical Therapy, LLC | 80 Norwich New London Tpke, Suite 2e, Uncasville, CT 06382-2527 |
Cynthia A Holliday | Physical Therapy | Independence Physical Therapy, LLC | 80 Norwich New London Tpke, Suite 2e, Uncasville, CT 06382-2527 |
City | UNCASVILLE |
Zip Code | 06382 |
Specialty | NEPHROLOGY |
City + Specialty | UNCASVILLE + NEPHROLOGY |
Please comment or provide details below to improve the information on Mary Rose G Tantoco.
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.