Alex C Gonzalez (NPI# 1962884205, PAC ID# 6709192529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962884205 |
| PAC ID by PECOS | 6709192529 |
| Professional Enrollment ID | I20150825002914 |
| Full Name | Alex C Gonzalez |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
420 Saybrook Rd Suite A Middletown CT 06457-4747 |
| Phone Number | 8603474258 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070020 | MIDDLESEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 | 8603474258 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 51 Main St, Old Saybrook, CT 06475-1511 | 8603883564 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 | 8602765144 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 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 |
420 SAYBROOK RD SUITE A |
| City | MIDDLETOWN |
| State | CT |
| Zip | 06457-4747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manju M John | Internal Medicine | Hartford Healthcare Medical Group Inc | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lewis R Labbadia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Candito C Carroccia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| William F Weiss | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Janet S Shapiro-weiss | Psychiatry | 7 Spring St, Middletown, CT 06457-2238 | |
| Paige Abby Mcmullen | Clinical Social Worker | 136 Lincoln St, Middletown, CT 06457-2641 | |
| Tiffany T Perri | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jola Rzegocki | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jenny Y Cha | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Michael Vajda | Chiropractic | 761 Washington St, Middletown, CT 06457-2903 | |
| Jyoti Mittal | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Find all physicians in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MIDDLETOWN + 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.