Eric J Edgerton (NPI# 1083164230, PAC ID# 3971883810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1083164230 |
| PAC ID by PECOS | 3971883810 |
| Professional Enrollment ID | I20161209001564 |
| Full Name | Eric J Edgerton |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Address |
71 Haynes St Manchester CT 06040-4131 |
| Phone Number | 8606476800 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7416244496 |
| Number of Group Practice Members | 261 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 71 Haynes St, Manchester, CT 06040-4131 | 8606476800 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| 31 Union St, Vernon, CT 06066-3126 | 8606476800 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Physicians | 222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eyone Jones | General Surgery | Prospect Ct Medical Foundation, Inc. | 18 Haynes St, Uppr Level, Manchester, CT 06040-4111 |
| Isaac Okyere Ampofo | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 629 Middle Tpke E, Manchester, CT 06040-3731 |
| Kelli A Harper | Family Medicine | Prospect Ct Medical Foundation, Inc. | 175 W Rd, Ellington, CT 06029-3730 |
| Marcy A Calsetta | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 520 Hartford Tpke, Suite M, Vernon, CT 06066-5044 |
| Michele P Barry | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Khadijat O Balogun | Gastroenterology | Prospect Ct Medical Foundation, Inc. | 353 Main St, Manchester, CT 06040-4145 |
| Juan Diego Holguin | General Surgery | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 |
| Michael D Waddington | Neurology | Prospect Ct Medical Foundation, Inc. | 29 Haynes St, Suite D, Manchester, CT 06040-4139 |
| Wendy S Garvin | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Charles A Mandelberg | Family Medicine | Prospect Ct Medical Foundation, Inc. | 28 Main St, East Hartford, CT 06118-3243 |
| 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 |
| 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 |
| Aleksandr Gorenbeyn | Emergency Medicine | Emergency Care Services of Connecticut PC | 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 | CLINICAL SOCIAL WORKER |
| City + Specialty | MANCHESTER + CLINICAL SOCIAL WORKER |
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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.