CT.Gastroenterology Assoc. PC

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

001824 Issued in CT

Legal business name

CT.GASTROENTEROLOGY ASSOC. PC

Practice address

1000 Asylum Ave
Suite 3212
Hartford, CT 06105-1770

Phone

(860) 522-1171

Fax

(860) 493-6524

NPI assigned

Mar 19, 2009

Organization subpart

No

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

Authorized official

Name

John Polio, M.D.

Title

President

Phone

(860) 522-1171

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Connecticut Gastroenterology Assoc PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Connecticut Gastroenterology Assoc PC

  • Gastroenterology Physician
  • Manchester, CT
  • NPI 1801481825
  NPD tax ID

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1295976397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3212",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-522-1171",
            "fax_number": "860-493-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3212",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-522-1171",
            "fax_number": "860-493-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT.GASTROENTEROLOGY ASSOC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "POLIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-522-1171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Occupational Health",
            "state": "CT",
            "license": "001824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004221941",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Clear Family Dentistry of CT
• CT Childrens Medical Center/Betances
• CT Childrens Medical Center/Betances
• CT Optimal Wellness, LLC
• CT Psychological Consulting Services, LLC
• Dariana Cuadrado, DC
• Casey C Cuccio, DO
• Kelsey Lynne Culbertson, AUD
• Amanda J Cullen, PA-C
• Susan Cullen

• Occupational Health Registered Nurse in Hartford, CT
• Providers in Hartford, CT by specialty
• Occupational Health Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.