Kelley Scanlon Piechowicz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001563 Issued in CT

Practice address

80 Seymour Street
Hartford Hospital Medicine Dept
Hartford, CT 06102-5037

Phone

(860) 545-5176

NPI assigned

Feb 27, 2006

Last updated

Sep 2, 2010By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1306812623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415933",
            "address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415933",
            "telephone_number": "860-545-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL MEDICINE DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061025037",
            "telephone_number": "860-545-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECHOWICZ",
        "first_name": "KELLEY",
        "middle_name": "SCANLON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "015630",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Pianka, APRN
• Bryan J Piccirillo, M.D.
• Erin Pickett, M.D.
• Riley Elizabeth Pickett
• Agnieszka Malgorzata Piechota, APRN
• Mark J Pierce, APRN
• Richard William Pierce, M.D.
• Steven Collings Pierce, PSYD
• Joanne Theressa Pierre-Louis, MD
• Kaemaii Meisha Pierre, LCSW

• Physician Assistant in Hartford, CT
• Providers in Hartford, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.