Active NPI
Hartford Hospital
- Surgical Physician Assistant
- Hartford, CT
National Provider Identifier
1073390357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- HARTFORD HOSPITAL
- Practice address
- 80 Seymour St
Hartford, CT 06102-8000 - Phone
- (860) 545-5000
- NPI assigned
- Sep 11, 2023
- Last updated
- Sep 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Freund
- Title
- Ap Manager
- Phone
- (860) 209-3315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | Primary |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06102-8000
Mailing address
21 Stowe St
Middlefield, CT 06455-1206
Phone (860) 803-7621
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695168000000",
"number": "1073390357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 STOWE ST",
"city": "MIDDLEFIELD",
"state": "CT",
"postal_code": "064551206",
"telephone_number": "860-803-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061028000",
"telephone_number": "860-545-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTFORD HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A",
"authorized_official_last_name": "FREUND",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "AP MANAGER",
"authorized_official_telephone_number": "860-209-3315"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.