Ethan T Nguyen (NPI# 1568475614, PAC ID# 4688602048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1568475614 |
| PAC ID by PECOS | 4688602048 |
| Professional Enrollment ID | I20050728000049 |
| Full Name | Ethan T Nguyen |
| Organization Legal Name | PROHEALTH PHYSICIANS PC |
| Address |
340 Bantam Rd Litchfield CT 06759-3318 |
| Phone Number | 8605679493 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355246950 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070011 | CHARLOTTE HUNGERFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 340 Bantam Rd, Litchfield, CT 06759-3318 | 8605679493 | PROHEALTH PHYSICIANS PC |
| Organization Legal Name | PROHEALTH PHYSICIANS PC |
| Physicians | 401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Afsaneh Sharsan | Internal Medicine | Prohealth Physicians PC | 146 Danbury Rd A, New Milford, CT 06776-3427 |
| Stephanie Evette Kilburn | Nurse Practitioner | Prohealth Physicians PC | 631 Quaker S Ln, West Hartford, CT 06110-1026 |
| Jeffrey Goodsell | Family Medicine | Prohealth Physicians PC | 415 Killingworth Rd, Higganum, CT 06441-4370 |
| Isis Sacramento Ferreira | Internal Medicine | Prohealth Physicians PC | 8 D Canal Ct, Avon, CT 06001-3747 |
| Sara Cathleen Reynolds | Nurse Practitioner | Prohealth Physicians PC | 330 Pomfret St, Putnam, CT 06260-1854 |
| Julia Wells | Nurse Practitioner | Prohealth Physicians PC | 52 Peck Rd, Torrington, CT 06790-6107 |
| Lindsey E Quinn | Nurse Practitioner | Prohealth Physicians PC | 116 Washington Ave, Suite 2, North Haven, CT 06473-1721 |
| Holly A Fitzgerald | Nurse Practitioner | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Margaret T Rush | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Sarah Corrigan | Nurse Practitioner | Prohealth Physicians PC | 4 Farm Springs Rd, Farmington, CT 06032-2573 |
| Street Address |
340 BANTAM RD |
| City | LITCHFIELD |
| State | CT |
| Zip | 06759-3318 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary N Shields | Podiatry | 340 Bantam Rd, 1 B, Litchfield, CT 06759-3318 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beatrice Dias | Dermatology | 409 Bantam Rd, A2, Litchfield, CT 06759-3200 | |
| Jennifer Anne Nolan | Nurse Practitioner | 457 Bantam Rd, Suite 9, Litchfield, CT 06759-3225 | |
| G Marie Marie Darrow | Physician Assistant | Orthoconnecticut PC | 338 Bantam Rd, Litchfield, CT 06759-3318 |
| Mindy Ellen Markowitz | Occupational Therapy | Lifelong Therapeutics Ot Pllc | 19 Constitution Way, Litchfield, CT 06759-3428 |
| Murtaza Khumri | Physical Therapy | Lifelong Therapeutics Ot Pllc | 19 Constitution Way, Litchfield, CT 06759-3428 |
| Annamma Palackamannil Mathew | Physical Therapy | Lifelong Therapeutics Ot Pllc | 19 Constitution Way, Litchfield, CT 06759-3428 |
| Robert Messina | Physical Therapy | Lifelong Therapeutics Ot Pllc | 19 Constitution Way, Litchfield, CT 06759-3428 |
| Roberto Regis Avila | Physical Therapy | Lifelong Therapeutics Ot Pllc | 19 Constitution Way, Litchfield, CT 06759-3428 |
| Tommasina Pasqua Sideris | Optometry | 17 C Commons Dr, Suite 3, Litchfield, CT 06759-3448 | |
| Randolph Clay Kinkade | Optometry | 63 W St, A2, Litchfield, CT 06759-3502 | |
| Find all physicians in zip 06759 | |||
| City | LITCHFIELD |
| Zip Code | 06759 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LITCHFIELD + INTERNAL MEDICINE |
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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.