Mark D Deponte (NPI# 1265434583, PAC ID# 9335282029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265434583 |
| PAC ID by PECOS | 9335282029 |
| Professional Enrollment ID | I20100203000351 |
| Full Name | Mark D Deponte |
| Address |
2 Lee Rd Lisbon CT 06351-3015 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070024 | WILLIAM W BACKUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Lee Rd, Lisbon, CT 06351-3015 |
| Street Address |
2 LEE RD |
| City | LISBON |
| State | CT |
| Zip | 06351-3015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bert Anthony Coppotelli | Family Medicine | 2 Lee Rd, Lisbon, CT 06351-3015 | |
| Melanie Irene Hopkins | Physician Assistant | Bert Coppotelli Md LLC | 2 Lee Rd, Lisbon, CT 06351-3015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea S Dameron | Nurse Practitioner | 144 Banjo Sullivan Rd, Griswold, CT 06351-1201 | |
| James D Gaudreau | Chiropractic | 141 A Brown Ave, Jewett City, CT 06351-1927 | |
| Joel Zuckerbraun | Optometry | 8 N Main St, Jewett City, CT 06351-2012 | |
| Donna Alice Johnston | Clinical Social Worker | 17 Mathewson St, Jewett City, CT 06351-2213 | |
| Christopher T Kolker | Family Medicine | United Community and Family Services, Inc | 70 Main St, Griswold, CT 06351-2226 |
| Carter C Fish | Certified Nurse Midwife (cnm) | United Community and Family Services, Inc | 70 Main St, Griswold, CT 06351-2226 |
| Richard F Bloom | Psychologist, Clinical | 35 Baron Dr, Lisbon, CT 06351-2802 | |
| Robyn J Tarinelli | Physical Therapy | Eastern Connecticut Rehabilitation Centers | 2 B Lee Rd, Lisbon, CT 06351-3042 |
| Barbara R Love | Physical Therapy | Eastern Connecticut Rehabilitation Centers | 2 B Lee Rd, Lisbon, CT 06351-3042 |
| Audrey J Traylor | Physical Therapy | Eastern Connecticut Rehabilitation Centers | 2 B Lee Rd, Lisbon, CT 06351-3042 |
| Find all physicians in zip 06351 | |||
| City | LISBON |
| Zip Code | 06351 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LISBON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark D Deponte.
| 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.