Lawrence Ogbogu (NPI# 1760846042, PAC ID# 7810289931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760846042 |
| PAC ID by PECOS | 7810289931 |
| Professional Enrollment ID | I20160711002323 |
| Full Name | Lawrence Ogbogu |
| Organization Legal Name | MC DIAGNOSTIC OF CONNECTICUT PC |
| Address |
839 Farmington Ave Bristol CT 06010-3922 |
| Phone Number | 8663892727 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941382113 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070039 | MASONICARE HEALTH CENTER HOSPITAL |
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 24 Pershing Dr, Suite 36, Ansonia, CT 06401-2214 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 839 Farmington Ave, Bristol, CT 06010-3922 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 3514 Main St, Coventry, CT 06238-1551 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 2045 Dixwell Ave, Hamden, CT 06514-2405 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 162 Washington Ave, North Haven, CT 06473-1711 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 22 Depot Hill Rd, Southbury, CT 06488-2258 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 1279 W Main St, Waterbury, CT 06708-3101 | 8663892727 | MC DIAGNOSTIC OF CONNECTICUT PC |
| 687 Campbell Ave, West Haven, CT 06516-3774 | 2039320787 | PHYSICIANS ALLIANCE OF CONNECTICUT LLC |
| Organization Legal Name | MC DIAGNOSTIC OF CONNECTICUT PC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison M Negaro | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 1279 W Main St, Waterbury, CT 06708-3101 |
| Mary M Colburn | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 162 Washington Ave, North Haven, CT 06473-1711 |
| Chantell A Smith | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 2639 Main St, Glastonbury, CT 06033-2023 |
| Jessica Champagne | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 358 W Main St, Avon, CT 06001-3643 |
| Melanie F Paradis | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 119 S Main St, Colchester, CT 06415-1456 |
| Danielle L Deline | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 2045 Dixwell Ave, Hamden, CT 06514-2405 |
| Katharine E Sinnett | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 372 W Main St, Norwich, CT 06360-5415 |
| Stephania K. Kushnir | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 467 Main St, Ridgefield, CT 06877-4513 |
| Shadana Smith-grant | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 875 Enfield St, Enfield, CT 06082-3617 |
| Susan M Elles | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 54 E High St, East Hampton, CT 06424-1052 |
| Street Address |
839 FARMINGTON AVE |
| City | BRISTOL |
| State | CT |
| Zip | 06010-3922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manhouly Phouthachack | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 839 Farmington Ave, Bristol, CT 06010-3922 |
| Siama M Ramlogan | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 839 Farmington Ave, Bristol, CT 06010-3922 |
| April A Bontempo | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 839 Farmington Ave, Bristol, CT 06010-3922 |
| Jena R Mitchell | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 839 Farmington Ave, Bristol, CT 06010-3922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy R Himmelstein | Optometry | 440 N Main St, Suite B, Bristol, CT 06010-1902 | |
| Kai H Hammerich | Urology | Bristol Hospital Multi Specialty Group Inc | 8 Collins Rd, Bristol, CT 06010-3874 |
| Margaret T Rush | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Devorah Donnell | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Shelby A Rimetz | Physician Assistant | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Antonio Scappaticci | Internal Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Lea Bailey | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Stewart E Bober | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Jeffrey Kaye | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Christopher J Leary | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Find all physicians in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRISTOL + NURSE PRACTITIONER |
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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.