Michael E Keenan (NPI# 1760430102, PAC ID# 6204975147) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760430102 |
| PAC ID by PECOS | 6204975147 |
| Professional Enrollment ID | I20091205000112 |
| Full Name | Michael E Keenan |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
1244 Storrs Rd Storrs CT 06268-2200 |
| Phone Number | 8604299321 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070021 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| 070025 | HARTFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 | 8602765144 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 1244 Storrs Rd, Storrs, CT 06268-2200 | 8604299321 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 112 Mansfield Ave, Willimantic, CT 06226-2045 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Physicians | 230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kefah Raed A Al-ramahi | Internal Medicine | Hartford Healthcare Medical Group Inc | 2 Northwestern Dr, Bloomfield, CT 06002-3480 |
| Laura Celeste Black | Internal Medicine | Hartford Healthcare Medical Group Inc | 336 N Main St, West Hartford, CT 06117-2675 |
| Surayda J Herrera | Internal Medicine | Hartford Healthcare Medical Group Inc | 5 Founders Dr, Willimantic, CT 06226-2048 |
| Aimee C Eaton | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 39 Kennedy Dr, Suite D, Putnam, CT 06260-1957 |
| Daniela M La Rosa | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 |
| Lori D Lerner | Family Medicine | Hartford Healthcare Medical Group Inc | 1060 Day Hill Rd, Suite 202, Windsor, CT 06095-5720 |
| Kulsoom H Maudoodi | Internal Medicine | Hartford Healthcare Medical Group Inc | 100 Hazard Ave, Suite 101, Enfield, CT 06082-5447 |
| Sarah J Robertson | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Sarah Louise Tyler | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 324 Flanders Rd, East Lyme, CT 06333-1735 |
| Manju M John | Internal Medicine | Hartford Healthcare Medical Group Inc | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 |
| Street Address |
1244 STORRS RD |
| City | STORRS |
| State | CT |
| Zip | 06268-2200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corey L. Jokl | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Jennifer Quinn Mitchell | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Christopher C Tagliavini | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Jill E Fuller | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 1244 Storrs Rd, Storrs, CT 06268-2200 |
| Mary Benoit | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Jonica M Pagnucco | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Sarah G Coffin | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Lisa Marie Ambrogio-decola | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Jessica M Lawton | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Rosemary I Maduka | Family Medicine | Hartford Healthcare Medical Group Inc | 1244 Storrs Rd, Storrs, CT 06268-2200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew P Chella | Chiropractic | Loving Hands Chiropractic LLC | 1733 Storrs Rd, Suite 11, Storrs, CT 06268-1263 |
| Jennifer R Veit | Chiropractic | Loving Hands Chiropractic LLC | 1733 Storrs Rd, Suite 11, Storrs, CT 06268-1263 |
| Jean Elaine Walikonis | Nurse Practitioner | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Kenneth Dardick | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Sandra M Hughes | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Ross Winakor | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Tatyana Divino | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Maura Baker | Nurse Practitioner | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Ayaz T Madraswalla | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Michele Cooper | Physician Assistant | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Find all physicians in zip 06268 | |||
| City | STORRS |
| Zip Code | 06268 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STORRS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael E Keenan.
| 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.