Wylie D Hosmer (NPI# 1720136757, PAC ID# 8628175262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1720136757 |
| PAC ID by PECOS | 8628175262 |
| Professional Enrollment ID | I20101008000560 |
| Full Name | Wylie D Hosmer |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Address |
22 Pine St Suite 104 Bristol CT 06010-6949 |
| Phone Number | 8603142002 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2004 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3173866241 |
| Number of Group Practice Members | 437 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070035 | THE HOSPITAL OF CENTRAL CONNECTICUT |
| Address | Phone | Organization |
|---|---|---|
| 22 Pine St, Suite 104, Bristol, CT 06010-6949 | 8603142002 | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| 100 Grand St, New Britain, CT 06052-2016 | THE HOSPITAL OF CENTRAL CONNECTICUT | |
| 61 Hart St, New Britain, CT 06052-2016 | 8602245900 | THE HOSPITAL OF CENTRAL CONNECTICUT |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Koral Z Ben-simon | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 1559 Sullivan Ave, South Windsor, CT 06074-2766 |
| Laurie Giemza | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 42 Town St, Suite 300, Norwich, CT 06360-2339 |
| Corey L. Jokl | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Regina K Stuart | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 5 Founders St, Suite 102, Willimantic, CT 06226-2050 |
| Marko Lujic | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 183 N Mountain Rd, New Britain, CT 06053-4325 |
| Rebecca L. Russo | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 339 W Main St, Avon, CT 06001-4322 |
| Marybeth A Moore | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Jillian M Kalinchak | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 164 Otrobando Ave, Norwich, CT 06360-2116 |
| John P Tauro | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Kathleen Kurowski | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 12 Case St, Suite 313, Norwich, CT 06360-2222 |
| Street Address |
22 PINE ST SUITE 104 |
| City | BRISTOL |
| State | CT |
| Zip | 06010-6949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uma A Trivedi | Physician Assistant | The Hospital of Central Connecticut | 22 Pine St, Bristol, CT 06010-6948 |
| Fawzu F Mohammadu | Internal Medicine | Hartford Healthcare Medical Group Inc | 22 Pine St, Bristol, CT 06010-6948 |
| David M Spitz | Chiropractic | 22 Pine St, Suite 216, Bristol, CT 06010-6950 | |
| Kara A Emmett | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 22 Pine St, Suite 104, Bristol, CT 06010-6949 |
| Jodi E Walsh | Physician Assistant | Hartford Healthcare Medical Group Inc | 22 Pine St, Bristol, CT 06010-6948 |
| Jayme L Mickelson | Internal Medicine | Hartford Healthcare Medical Group Inc | 22 Pine St, Bristol, CT 06010-6948 |
| Rita M Brzozowski | Clinical Social Worker | 22 Pine St, Suite 300c, Bristol, CT 06010-6950 | |
| Lolither R Darling | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 22 Pine St, Bristol, CT 06010-6948 |
| Aiste Norberg | Internal Medicine | Hartford Healthcare Medical Group Inc | 22 Pine St, Bristol, CT 06010-6948 |
| Christopher A Cavanna | Physician Assistant | The Hospital of Central Connecticut | 22 Pine St, Bristol, CT 06010-6948 |
| Find all physicians in the same address | |||
| 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 | HEMATOLOGY/ONCOLOGY |
| City + Specialty | BRISTOL + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Wylie D Hosmer.
| 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.