Richard A St Dennis (NPI# 1306879242, PAC ID# 4486547098) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1306879242 |
| PAC ID by PECOS | 4486547098 |
| Professional Enrollment ID | I20040206000402 |
| Full Name | Richard A St Dennis |
| Organization Legal Name | MEDEXPRESS URGENT CARE CONNECTICUT, P.C. |
| Address |
68 Division St Derby CT 06418-1447 |
| Phone Number | 2037326802 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749552388 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 358 W Main St, Avon, CT 06001-3643 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 3514 Main St, Coventry, CT 06238-1551 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 68 Division St, Derby, CT 06418-1447 | 2037326802 | MEDEXPRESS URGENT CARE CONNECTICUT, P.C. |
| 54 E High St, East Hampton, CT 06424-1052 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 875 Enfield St, Enfield, CT 06082-3617 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 1057 Boston Post Rd, Guilford, CT 06437-2644 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 875 E Main St, Meriden, CT 06450-6006 | 2032356827 | MEDEXPRESS URGENT CARE CONNECTICUT, P.C. |
| 752 Washington St, Middletown, CT 06457-2904 | 8603431685 | MEDEXPRESS URGENT CARE CONNECTICUT, P.C. |
| 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 525 Buckland Rd, South Windsor, CT 06074-3746 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| Organization Legal Name | MEDEXPRESS URGENT CARE CONNECTICUT, P.C. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail Klein | Nurse Practitioner | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Jessica P Little | Physician Assistant | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Camille Alecia Payne | Nurse Practitioner | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Jacqueline Braunworth | Physician Assistant | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Troy Frazer | Family Medicine | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Byron Kennedy | Preventative Medicine | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Lara T Bailey | Nurse Practitioner | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Paul Orin Rollins | Hospitalist | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Michael A Ascenzia | Physician Assistant | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Street Address |
68 DIVISION ST |
| City | DERBY |
| State | CT |
| Zip | 06418-1447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail Klein | Nurse Practitioner | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Jessica P Little | Physician Assistant | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Camille Alecia Payne | Nurse Practitioner | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Jacqueline Braunworth | Physician Assistant | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Troy Frazer | Family Medicine | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Byron Kennedy | Preventative Medicine | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Lara T Bailey | Nurse Practitioner | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Paul Orin Rollins | Hospitalist | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Michael A Ascenzia | Physician Assistant | Medexpress Urgent Care Connecticut, P.C. | 68 Division St, Derby, CT 06418-1447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Harrison | Nurse Practitioner | The Griffin Hospital | 130 Division St, Derby, CT 06418-1326 |
| Krithika Srinivasan | Emergency Medicine | Ct Emergency Medicine Specialists, LLC | 130 Division St, Derby, CT 06418-1326 |
| Samuel Buck | Emergency Medicine | Ct Emergency Medicine Specialists, LLC | 130 Division St, Derby, CT 06418-1326 |
| Richard P Salzano | Thoracic Surgery | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Stephen Woodworth | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 130 Division St, Derby, CT 06418-1326 |
| Gerald G Fette | Internal Medicine | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Andrea H Lynch | Physician Assistant | Griffin Faculty Physicians Inc | 130 Division St, Derby, CT 06418-1326 |
| Jonathan Meldrum | Emergency Medicine | Ct Emergency Medicine Specialists, LLC | 130 Division St, Derby, CT 06418-1326 |
| Howard L Quentzel | Infectious Disease | 130 Division St, Derby, CT 06418-1326 | |
| Gregory D Bell | Emergency Medicine | Ct Emergency Medicine Specialists, LLC | 130 Division St, Derby, CT 06418-1326 |
| Find all physicians in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DERBY + PHYSICIAN ASSISTANT |
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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.