Katerina M Michaels-bogdan (NPI# 1164484762, PAC ID# 9335111384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1164484762 |
PAC ID by PECOS | 9335111384 |
Professional Enrollment ID | I20040810000754 |
Full Name | Katerina M Michaels-bogdan |
Organization Legal Name | OBGYN GROUP OF EASTERN CONNECTICUT PC |
Address |
622 Hebron Ave Suite 104a Glastonbury CT 06033-5003 |
Phone Number | 8606461157 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
Graduation Year | 2000 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 2769370352 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070012 | ROCKVILLE GENERAL HOSPITAL |
070027 | MANCHESTER MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
622 Hebron Ave, Suite 104a, Glastonbury, CT 06033-5003 | 8606461157 | OBGYN GROUP OF EASTERN CONNECTICUT PC |
2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 | 8606461157 | OBGYN GROUP OF EASTERN CONNECTICUT PC |
Organization Legal Name | OBGYN GROUP OF EASTERN CONNECTICUT PC |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lydia E Lormand | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 |
Pamela L Frappier | Physician Assistant | Obgyn Group of Eastern Connecticut PC | 2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 |
Danielle M Grieco | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 |
Alexis K Warren | Certified Nurse Midwife (cnm) | Obgyn Group of Eastern Connecticut PC | 2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 |
Pamela L Lewis | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 622 Hebron Ave, Suite 104a, Glastonbury, CT 06033-5003 |
Martin J Hancock | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 |
Maryanne Mcdonnell | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 |
Sarah E Graceffa | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 622 Hebron Ave, Suite 104a, Glastonbury, CT 06033-5003 |
Katherine M Riddle | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 |
Jacqueline E Calvo | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 2600 Tamarack Ave, Suite 200, South Windsor, CT 06074-5560 |
Street Address |
622 HEBRON AVE SUITE 104A |
City | GLASTONBURY |
State | CT |
Zip | 06033-5003 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diana N Striffler | Nurse Practitioner | Prohealth Physicians PC | 622 Hebron Ave, Suite 101, Glastonbury, CT 06033-5003 |
Karren L Slade | Nurse Practitioner | Dermatology Associates of Eastern Ct LLC | 622 Hebron Ave, Suite 107, Glastonbury, CT 06033-5003 |
Pamela L Lewis | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 622 Hebron Ave, Suite 104a, Glastonbury, CT 06033-5003 |
Sarah E Graceffa | Obstetrics/gynecology | Obgyn Group of Eastern Connecticut PC | 622 Hebron Ave, Suite 104a, Glastonbury, CT 06033-5003 |
Laura G Benedetto | Osteopathic Manipulative Medicine | Dermatology Associates of Eastern Ct LLC | 622 Hebron Ave, Suite 107, Glastonbury, CT 06033-5003 |
Manon Diana Marie Guida | Nurse Practitioner | Dermatology Associates of Eastern Ct LLC | 622 Hebron Ave, Suite 107, Glastonbury, CT 06033-5003 |
Donna A Aiudi | Dermatology | Dermatology Associates of Eastern Ct LLC | 622 Hebron Ave, Suite 107, Glastonbury, CT 06033-5003 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard Molk | Ophthalmology | 257 New London Tnpk, Glastonbury, CT 06033 | |
Jeannie M Kenkare | Family Medicine | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
David J Mccormick | Physician Assistant | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
Alissa Umstead | Physician Assistant | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
Riccardo I Ambrogio | Maxillofacial Surgery | 2928 Main St, Glastonbury, CT 06033-1007 | |
David Kennedy | Physician Assistant | Urgent Care Medical Associates, LLC | 2928 Main St, Suite 101, Glastonbury, CT 06033-1007 |
Timothy L Durant | Physical Therapy | Timothy Durant Physical Therapy LLC | 2928 Main St, Suite 2, Glastonbury, CT 06033-1007 |
Michael V Maiorino | Physical Therapy | Timothy Durant Physical Therapy LLC | 2928 Main St, Suite 2, Glastonbury, CT 06033-1007 |
Justyna Pachowska | Physician Assistant | Ali Banki, D.o., P.C. | 2928 Main St, Suite 200, Glastonbury, CT 06033-1007 |
Siobhan Collins | Dermatology | 2928 Main St, Suite 100, Glastonbury, CT 06033-1007 | |
Find all physicians in zip 06033 |
City | GLASTONBURY |
Zip Code | 06033 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | GLASTONBURY + 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.