Gina F Lattanzio (NPI# 1972057917, PAC ID# 6002195658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1972057917 |
PAC ID by PECOS | 6002195658 |
Professional Enrollment ID | I20161122001718 |
Full Name | Gina F Lattanzio |
Organization Legal Name | WEST SIDE MEDICAL CENTER, LLC |
Address |
606 W Main St Norwich CT 06360-6084 |
Phone Number | 8608891400 |
Gender | F |
Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7810056355 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070024 | WILLIAM W BACKUS HOSPITAL |
Address | Phone | Organization |
---|---|---|
606 W Main St, Norwich, CT 06360-6084 | 8608891400 | WEST SIDE MEDICAL CENTER, LLC |
Organization Legal Name | WEST SIDE MEDICAL CENTER, LLC |
Physicians | 1 |
Street Address |
606 W MAIN ST |
City | NORWICH |
State | CT |
Zip | 06360-6084 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jai Chakrabarti | Cardiovascular Disease (cardiology) | Norwich Cardiac Medicine LLC | 130 New London Turnpike, Norwich, CT 06360 |
Amarillys Rodriguez | Family Practice | American Current Care Pa | 10 Connecticut Ave, Norwich, CT 06360-1502 |
Edward S Lim | Ophthalmology | 40 Connecticut Ave, Norwich, CT 06360-1502 | |
Angela L. Allen-peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
Michela Muggeo | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
Caleb P Peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
Amy Masse | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
Carol M Lahan | Clinical Social Worker | 276 Scotland Rd, Norwich, CT 06360-1600 | |
Clifford D Stirba | Internal Medicine | 7 Cuprak Rd, Norwich, CT 06360-2007 | |
Mahmoud S Okasha | Psychiatry | Comprehensive Psychiatric Care PC | 200 W Town St, Norwich, CT 06360-2112 |
Find all physicians in zip 06360 |
City | NORWICH |
Zip Code | 06360 |
Specialty | NURSE PRACTITIONER |
City + Specialty | NORWICH + NURSE PRACTITIONER |
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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.