Concepcion Cabantac Ochotorena, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

035190 Issued in CT

Practice address

335 Broad St
Manchester, CT 06040-4036

Phone

(860) 643-3200

Fax

(860) 643-3201

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Concepcion Cabantac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hartford Dispensary

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
  • NPI 1104949973
  NPD (past)
• Hartford Dispensary

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hartford, CT
  • NPI 1184794257
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1093883761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BANCROFT LN",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742463",
            "telephone_number": "231-880-3894",
            "fax_number": "860-291-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BROAD ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404036",
            "telephone_number": "860-643-3200",
            "fax_number": "860-643-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHOTORENA",
        "first_name": "CONCEPCION",
        "middle_name": "CABANTAC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "035190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONCEPCION",
            "last_name": "CABANTAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma A O'Shea
• Oak North
• Kimberly Oates
• Paul Matthew Oberle, PT
• Occupational Health Centers of the Southwest PA
• Corrine Alise Ochsner, LCSW
• Odyssey Community School
• David Paul Oellerich, CRNA
• Jessica Adefusika Olayanju, M.D.
• Michael Olkovsky, DDS

• General Practice Physician in Manchester, CT
• Providers in Manchester, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.