Amanda L Conti (NPI# 1952561821, PAC ID# 7810011228) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1952561821 |
| PAC ID by PECOS | 7810011228 |
| Professional Enrollment ID | I20120307000364 |
| Full Name | Amanda L Conti |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
350 Liberty St Pawcatuck CT 06379-1354 |
| Phone Number | 8605999961 |
| Gender | F |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410013 | WESTERLY HOSPITAL |
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| 070024 | WILLIAM W BACKUS HOSPITAL |
| 410010 | WOMEN & INFANTS HOSPITAL OF RHODE ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 350 Liberty St, Pawcatuck, CT 06379-1354 | 8605999961 | 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 |
350 LIBERTY ST |
| City | PAWCATUCK |
| State | CT |
| Zip | 06379-1354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edmund A West | Internal Medicine | Hartford Healthcare Medical Group Inc | 350 Liberty St, Pawcatuck, CT 06379-1354 |
| Hartmut A Doerwaldt | Family Medicine | Hartford Healthcare Medical Group Inc | 350 Liberty St, Pawcatuck, CT 06379-1354 |
| Kara J Mignosa | Physician Assistant | Hartford Healthcare Medical Group Inc | 350 Liberty St, Pawcatuck, CT 06379-1354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Applegate | Family Medicine | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| Jacqueline M Lagasse | Nurse Practitioner | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| Stephen J Phelan | Endocrinology | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| William Kober | Family Medicine | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| Louis Iovino | Internal Medicine | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| Mae Whelan | Internal Medicine | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| Kristen Lichtenberg | Family Medicine | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| Brandi L Iovino | Family Medicine | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| Bridget Mejza | Nurse Practitioner | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| Angela Younger | Nurse Practitioner | Northeast Medical Group Inc | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 |
| Find all physicians in zip 06379 | |||
| City | PAWCATUCK |
| Zip Code | 06379 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PAWCATUCK + INTERNAL MEDICINE |
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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.