Sultan A Quraishi (NPI# 1144200122, PAC ID# 7214837590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1144200122 |
PAC ID by PECOS | 7214837590 |
Professional Enrollment ID | I20081212000554 |
Full Name | Sultan A Quraishi |
Organization Legal Name | STAFFORD MEDICAL GROUP LLC |
Address |
146 Main St Somers CT 06071-1825 |
Phone Number | 8607498018 |
Gender | M |
Graduation Year | 1967 |
Primary Specialty | GENERAL SURGERY |
Secondary Specialties | FAMILY MEDICINE |
Group Practice PAC ID | 0941100291 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070027 | MANCHESTER MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
677 Silver Ln, East Hartford, CT 06118-1257 | 8605687243 | MEDICAL CARE CENTER OF EAST HARTFORD LLC |
146 Main St, Somers, CT 06071-1825 | 8607498018 | STAFFORD MEDICAL GROUP LLC |
Organization Legal Name | STAFFORD MEDICAL GROUP LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Anne Briggs | Nurse Practitioner | Stafford Medical Group LLC | 146 Main St, Somers, CT 06071-1825 |
Street Address |
146 MAIN ST |
City | SOMERS |
State | CT |
Zip | 06071-1825 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Anne Briggs | Nurse Practitioner | Stafford Medical Group LLC | 146 Main St, Somers, CT 06071-1825 |
Karen M Nolan | Nurse Practitioner | 146 Main St, Suite 2b, Norfolk, MA 02056-1322 | |
Charles G Evans | Chiropractic | 146 Main St, Montpelier, VT 05602-2920 | |
George Blumental | Dermatology | Kmn Dermatology and Aesthetics PC | 146 Main St, Suite 2b, Norfolk, MA 02056-1322 |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven R Squillace | Optometry | 48 S Rd Rte, Suite 8, Somers, CT 06071 | |
Jesse M Kavumpurath | Nurse Practitioner | Trinity Health of New England Provider Network Organization Inc | 24 Battle St, Suite 1a, Somers, CT 06071-1629 |
Ian S Tucker | Family Medicine | Trinity Health of New England Provider Network Organization Inc | 24 Battle St, Suite 1a, Somers, CT 06071-1629 |
Timothy Robert Silvis I | Internal Medicine | 24 Battle St, Somers, CT 06071-1629 | |
Karen B Christensen | Clinical Social Worker | Solstice Healthcare LLC | 53 Bailey Ln, Somers, CT 06071-1686 |
Stephanie R Settevendemie | Nurse Practitioner | Solstice Healthcare LLC | 53 Bailey Ln, Somers, CT 06071-1686 |
City | SOMERS |
Zip Code | 06071 |
Specialty | GENERAL SURGERY |
City + Specialty | SOMERS + GENERAL SURGERY |
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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.