Andrew E Wakefield (NPI# 1407867708, PAC ID# 6204801319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1407867708 |
| PAC ID by PECOS | 6204801319 |
| Professional Enrollment ID | I20040901000513 |
| Full Name | Andrew E Wakefield |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Address |
1559 Sullivan Ave South Windsor CT 06074-2766 |
| Phone Number | 8607244443 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 3173866241 |
| Number of Group Practice Members | 437 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070025 | HARTFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1559 Sullivan Ave, South Windsor, CT 06074-2766 | 8607244443 | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Koral Z Ben-simon | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 1559 Sullivan Ave, South Windsor, CT 06074-2766 |
| Laurie Giemza | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 42 Town St, Suite 300, Norwich, CT 06360-2339 |
| Corey L. Jokl | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Regina K Stuart | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 5 Founders St, Suite 102, Willimantic, CT 06226-2050 |
| Marko Lujic | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 183 N Mountain Rd, New Britain, CT 06053-4325 |
| Rebecca L. Russo | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 339 W Main St, Avon, CT 06001-4322 |
| Marybeth A Moore | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Jillian M Kalinchak | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 164 Otrobando Ave, Norwich, CT 06360-2116 |
| John P Tauro | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Kathleen Kurowski | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 12 Case St, Suite 313, Norwich, CT 06360-2222 |
| Street Address |
1559 SULLIVAN AVE |
| City | SOUTH WINDSOR |
| State | CT |
| Zip | 06074-2766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Koral Z Ben-simon | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 1559 Sullivan Ave, South Windsor, CT 06074-2766 |
| Dana M Kupec | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 1559 Sullivan Ave, South Windsor, CT 06074-2766 |
| Natasha Bajwa | Family Medicine | Hartford Healthcare Medical Group Inc | 1559 Sullivan Ave, South Windsor, CT 06074-2712 |
| Anne Katrin U Weischedel | Family Medicine | Hartford Healthcare Medical Group Inc | 1559 Sullivan Ave, South Windsor, CT 06074-2712 |
| Irsal P Cabahug | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 1559 Sullivan Ave, South Windsor, CT 06074-2712 |
| William S Shieh | Family Medicine | Hartford Healthcare Medical Group Inc | 1559 Sullivan Ave, South Windsor, CT 06074-2712 |
| Marcie A Migliorato | Internal Medicine | Hartford Healthcare Medical Group Inc | 1559 Sullivan Ave, South Windsor, CT 06074-2712 |
| Cynthia B Heller | Internal Medicine | Hartford Healthcare Medical Group Inc | 1559 Sullivan Ave, South Windsor, CT 06074-2712 |
| Chelsey Martin | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 1559 Sullivan Ave, South Windsor, CT 06074-2712 |
| Beth E Cheney | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 1559 Sullivan Ave, South Windsor, CT 06074-2712 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara B Feehan | Qualified Audiologist | 22 Morgan Farms Dr, South Windsor, CT 06074-1385 | |
| Delia Foran | Nurse Practitioner | Physicians for Women's Health, LLC | 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 |
| Alyssa Kocak | Nurse Practitioner | Physicians for Women's Health, LLC | 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 |
| Gayle Barbara Harris | Obstetrics/gynecology | Physicians for Women's Health, LLC | 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 |
| Matthew Friedman | Family Medicine | 1050 Sullivan Ave, South Windsor, CT 06074-2000 | |
| Katrina M Neyer | Chiropractic | Chiropractic Family Health Center of Manchester LLC | 869 Sullivan Ave, Suite 9, South Windsor, CT 06074-2007 |
| Tracy M Lewis | Clinical Social Worker | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2080 | |
| Elizabeth M B Visone | Nurse Practitioner | Prime Healthcare, PC | 925 Sullivan Ave, Suite 1, South Windsor, CT 06074-2080 |
| William A Abrokwa | Nurse Practitioner | 925 Sullivan Ave, Suite 2, South Windsor, CT 06074-2080 | |
| Jeannie Dilworth | Certified Clinical Nurse Specialist (cns) | 925 Sullivan Ave, Suite 2, South Windsor, CT 06074-2080 | |
| Find all physicians in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| Specialty | NEUROSURGERY |
| City + Specialty | SOUTH WINDSOR + NEUROSURGERY |
Please comment or provide details below to improve the information on Andrew E Wakefield.
| 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.