James B Fanning Jr. (NPI# 1023022282, PAC ID# 8729269253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1023022282 |
| PAC ID by PECOS | 8729269253 |
| Professional Enrollment ID | I20110216000935 |
| Full Name | James B Fanning Jr. |
| Organization Legal Name | PHYSICIANS FOR WOMEN'S HEALTH, LLC |
| Address |
455 Lewis Ave Suite 201 Meriden CT 06451-2121 |
| Phone Number | 2032384488 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3274430665 |
| Number of Group Practice Members | 259 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070017 | MIDSTATE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 455 Lewis Ave, Suite 201, Meriden, CT 06451-2121 | 2032384488 | PHYSICIANS FOR WOMEN'S HEALTH, LLC |
| 185 Ctr St, Suite H, Wallingford, CT 06492-4100 | 2032841060 | PHYSICIANS FOR WOMEN'S HEALTH, LLC |
| Organization Legal Name | PHYSICIANS FOR WOMEN'S HEALTH, LLC |
| Physicians | 243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delia Foran | Nurse Practitioner | Physicians for Women's Health, LLC | 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 |
| Emily J Mills | Obstetrics/gynecology | Physicians for Women's Health, LLC | 345 N Main St, 201 Greater Hartford Womens Health Asso, West Hartford, CT 06117-2508 |
| Seema Sheth | Urology | Physicians for Women's Health, LLC | 499 Farmington Ave, Suite 220, Farmington, CT 06032-1933 |
| Monika M Sullivan | Nurse Practitioner | Physicians for Women's Health, LLC | 122 Maple St, Bristol, CT 06010-5093 |
| Bhavana Daruvuri | Obstetrics/gynecology | Physicians for Women's Health, LLC | 50 Amenia Rd, Sharon, CT 06069-2268 |
| Marlaine Jean-miller | Obstetrics/gynecology | Physicians for Women's Health, LLC | 1084 Cromwell Ave, Suite A, Rocky Hill, CT 06067-3445 |
| Jaime Liebig | Certified Nurse Midwife (cnm) | Physicians for Women's Health, LLC | 388 W Ctr St, Manchester Obgyn Associates, Manchester, CT 06040-4735 |
| Kerry E Wright | Obstetrics/gynecology | Physicians for Women's Health, LLC | 103 Newtown Rd, Candlewood Center for Womens Health, Danbury, CT 06810-4195 |
| Joanne Wible Kant | Obstetrics/gynecology | Physicians for Women's Health, LLC | 3180 Main St, Suite 202, Bridgeport, CT 06606-4237 |
| Peter T Auerbach | Obstetrics/gynecology | Physicians for Women's Health, LLC | 491 Gold Star Hwy, Suite 100, Groton, CT 06340-6226 |
| Street Address |
455 LEWIS AVE SUITE 201 |
| City | MERIDEN |
| State | CT |
| Zip | 06451-2121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aurangzeb A Ali | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 455 Lewis Ave, Suite 216, Meriden, CT 06451-2121 |
| Barry J Gordon | Neurology | Hartford Healthcare Medical Group Specialists LLC | 455 Lewis Ave, Suite 221, Meriden, CT 06451-2121 |
| Fiore F Soviero Jr. | Physician Assistant | Comprehensive Orthopedics and Musculoskeletal Care LLC | 455 Lewis Ave, Suite 101, Meriden, CT 06451-2121 |
| Adam Quinn Ferguson | Orthopedic Surgery | Comprehensive Orthopedics and Musculoskeletal Care LLC | 455 Lewis Ave, Suite 101, Meriden, CT 06451-2121 |
| Kenneth M Schwartz | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 455 Lewis Ave, Suite 208, Meriden, CT 06451-2121 |
| Susan Alsamarai | Hematology/oncology | Hartford Healthcare Medical Group Specialists LLC | 455 Lewis Ave, Suite 220, Meriden, CT 06451-2121 |
| Michelle L Dagostine | Neurology | Hartford Healthcare Medical Group Specialists LLC | 455 Lewis Ave, Suite 221, Meriden, CT 06451-2121 |
| Lynn Elizabeth Cochran | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 |
| Aziz Benbrahim | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 455 Lewis Ave, Suite 208, Meriden, CT 06451-2121 |
| Aaron Covey | Orthopedic Surgery | Comprehensive Orthopedics and Musculoskeletal Care LLC | 455 Lewis Ave, Suite 101, Meriden, CT 06451-2121 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roopkiranjot K Kahlon | Nephrology | Connecticut Nephrology Associates LLC | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Henry L Vladyka | Physician Assistant | Midstate Medical Center | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Manjunath Ramaiah | Internal Medicine | Midstate Medical Center | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Sheila Santhappa | Neurology | Midstate Medical Center | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Anthony Joseph Boguslawski | Physician Assistant | Midstate Medical Center | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Harold V Adams Jr. | Family Medicine | Midstate Medical Center | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Monica M Dufour | Clinical Social Worker | Midstate Medical Center | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Thomas J Gilmore | Emergency Medicine | Nems Pllc | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Edward Roden | Certified Registered Nurse Anesthetist (crna) | Integrated Anesthesia Associates LLC | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Onyema Eberech Ogbuagu | Internal Medicine | Midstate Medical Center | 435 Lewis Ave, Meriden, CT 06451-2101 |
| Find all physicians in zip 06451 | |||
| City | MERIDEN |
| Zip Code | 06451 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MERIDEN + OBSTETRICS/GYNECOLOGY |
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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.