Jodi E Walsh (NPI# 1497722649, PAC ID# 3274421599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1497722649 |
| PAC ID by PECOS | 3274421599 |
| Professional Enrollment ID | I20040309000153 |
| Full Name | Jodi E Walsh |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
22 Pine St Bristol CT 06010-6948 |
| Phone Number | 8605848291 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070029 | BRISTOL HOSPITAL |
| 070035 | THE HOSPITAL OF CENTRAL CONNECTICUT |
| Address | Phone | Organization |
|---|---|---|
| 22 Pine St, Bristol, CT 06010-6948 | 8605848291 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 | 8602765144 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Physicians | 230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kefah Raed A Al-ramahi | Internal Medicine | Hartford Healthcare Medical Group Inc | 2 Northwestern Dr, Bloomfield, CT 06002-3480 |
| Laura Celeste Black | Internal Medicine | Hartford Healthcare Medical Group Inc | 336 N Main St, West Hartford, CT 06117-2675 |
| Surayda J Herrera | Internal Medicine | Hartford Healthcare Medical Group Inc | 5 Founders Dr, Willimantic, CT 06226-2048 |
| Aimee C Eaton | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 39 Kennedy Dr, Suite D, Putnam, CT 06260-1957 |
| Daniela M La Rosa | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 |
| Lori D Lerner | Family Medicine | Hartford Healthcare Medical Group Inc | 1060 Day Hill Rd, Suite 202, Windsor, CT 06095-5720 |
| Kulsoom H Maudoodi | Internal Medicine | Hartford Healthcare Medical Group Inc | 100 Hazard Ave, Suite 101, Enfield, CT 06082-5447 |
| Sarah J Robertson | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Sarah Louise Tyler | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 324 Flanders Rd, East Lyme, CT 06333-1735 |
| Manju M John | Internal Medicine | Hartford Healthcare Medical Group Inc | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 |
| Street Address |
22 PINE ST |
| City | BRISTOL |
| State | CT |
| Zip | 06010-6948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uma A Trivedi | Physician Assistant | The Hospital of Central Connecticut | 22 Pine St, Bristol, CT 06010-6948 |
| Fawzu F Mohammadu | Internal Medicine | Hartford Healthcare Medical Group Inc | 22 Pine St, Bristol, CT 06010-6948 |
| David M Spitz | Chiropractic | 22 Pine St, Suite 216, Bristol, CT 06010-6950 | |
| Kara A Emmett | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 22 Pine St, Suite 104, Bristol, CT 06010-6949 |
| Jayme L Mickelson | Internal Medicine | Hartford Healthcare Medical Group Inc | 22 Pine St, Bristol, CT 06010-6948 |
| Rita M Brzozowski | Clinical Social Worker | 22 Pine St, Suite 300c, Bristol, CT 06010-6950 | |
| Wylie D Hosmer | Hematology/oncology | Hartford Healthcare Medical Group Specialists LLC | 22 Pine St, Suite 104, Bristol, CT 06010-6949 |
| Lolither R Darling | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 22 Pine St, Bristol, CT 06010-6948 |
| Aiste Norberg | Internal Medicine | Hartford Healthcare Medical Group Inc | 22 Pine St, Bristol, CT 06010-6948 |
| Christopher A Cavanna | Physician Assistant | The Hospital of Central Connecticut | 22 Pine St, Bristol, CT 06010-6948 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy R Himmelstein | Optometry | 440 N Main St, Suite B, Bristol, CT 06010-1902 | |
| Kai H Hammerich | Urology | Bristol Hospital Multi Specialty Group Inc | 8 Collins Rd, Bristol, CT 06010-3874 |
| Margaret T Rush | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Devorah Donnell | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Shelby A Rimetz | Physician Assistant | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Antonio Scappaticci | Internal Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Lea Bailey | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Stewart E Bober | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Jeffrey Kaye | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Christopher J Leary | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Find all physicians in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRISTOL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jodi E Walsh.
| 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.