Gary Keith Griffin (NPI# 1457389231, PAC ID# 9133010101) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1457389231 |
| PAC ID by PECOS | 9133010101 |
| Professional Enrollment ID | I20100330001049 |
| Full Name | Gary Keith Griffin |
| Organization Legal Name | RADIOLOGIC ASSOCIATES OF MIDDLETOWN PC |
| Address |
57 S Main St Middletown CT 06457-3606 |
| Phone Number | 8603468481 |
| Gender | M |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5799765186 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070020 | MIDDLESEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 57 S Main St, Middletown, CT 06457-3606 | 8603468481 | RADIOLOGIC ASSOCIATES OF MIDDLETOWN PC |
| 32 Strawberry Hill Ct, Fl 2, Stamford, CT 06902-2594 | 2032762323 | STAMFORD HEALTH MEDICAL GROUP INC |
| Organization Legal Name | RADIOLOGIC ASSOCIATES OF MIDDLETOWN PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravi Jain | Diagnostic Radiology | Radiologic Associates of Middletown PC | 12 Jones Hollow Rd, Marlborough, CT 06447-1139 |
| Diana Hull | Diagnostic Radiology | Radiologic Associates of Middletown PC | 12 Jones Hollow Rd, Marlborough, CT 06447-1139 |
| Bruce Kovalenko | Diagnostic Radiology | Radiologic Associates of Middletown PC | 12 Jones Hollow Rd, Marlborough, CT 06447-1139 |
| Nancy J Rini | Diagnostic Radiology | Radiologic Associates of Middletown PC | 12 Jones Hollow Rd, Marlborough, CT 06447-1139 |
| Komal Sharma | Diagnostic Radiology | Radiologic Associates of Middletown PC | 28 Crescent St, Middletown, CT 06457-3654 |
| Robert Wolek | Diagnostic Radiology | Radiologic Associates of Middletown PC | 12 Jones Hollow Rd, Marlborough, CT 06447-1139 |
| Sarah H O Connell | Diagnostic Radiology | Radiologic Associates of Middletown PC | 57 S Main St, Middletown, CT 06457-3606 |
| Anna M Gatewood | Physician Assistant | Radiologic Associates of Middletown PC | 57 S Main St, Middletown, CT 06457-3606 |
| Street Address |
57 S MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip | 06457-3606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah H O Connell | Diagnostic Radiology | Radiologic Associates of Middletown PC | 57 S Main St, Middletown, CT 06457-3606 |
| Gary Roegiers | Physical Therapy | 57 S Main St, Fl 2, Middletown, CT 06457-3606 | |
| Anna M Gatewood | Physician Assistant | Radiologic Associates of Middletown PC | 57 S Main St, Middletown, CT 06457-3606 |
| Daniel Dastrup | Chiropractic | Monroe Mountain Chiropractic Pllc | 57 S Main St, Monroe, UT 84754-4613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lewis R Labbadia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Candito C Carroccia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| William F Weiss | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Janet S Shapiro-weiss | Psychiatry | 7 Spring St, Middletown, CT 06457-2238 | |
| Paige Abby Mcmullen | Clinical Social Worker | 136 Lincoln St, Middletown, CT 06457-2641 | |
| Tiffany T Perri | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jola Rzegocki | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jenny Y Cha | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Michael Vajda | Chiropractic | 761 Washington St, Middletown, CT 06457-2903 | |
| Jyoti Mittal | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Find all physicians in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MIDDLETOWN + DIAGNOSTIC RADIOLOGY |
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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.