Hartford Clinical Associates, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HARTFORD CLINICAL ASSOCIATES, PC

Practice address

330 Western Blvd
Glastonbury, CT 06033-4383

Phone

(860) 547-0616

Fax

(860) 524-2655

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

John L Fundock

Title

Vice President

Phone

(860) 545-7188

Specialties & licenses 3

Addresses

Other names 1

• Hartford Specialists Doing business as

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1275813156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TALCOTT NOTCH RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321818",
            "telephone_number": "860-524-2626",
            "fax_number": "860-677-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WESTERN BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334383",
            "telephone_number": "860-547-0616",
            "fax_number": "860-524-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD CLINICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "FUNDOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-545-7188"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartford Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Wayne Harrington, M.ED., LPC
• Evan Wynne Harris, M.D.
• Nyja Lascia Jean Hart
• Sandra E. Hartdagen, PH.D.
• Kara Lynn Harte, LMFT
• Hartford County Cardiology PC
• Hartford Eye Physicians PC
• Hartford Healthcare Medical Group Specialists LLC
• Hartford Healthcare Medical Group, Inc
• Hartford Hospital

• Durable Medical Equipment & Medical Supplies in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.