Hartford Clinical Associates, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HARTFORD CLINICAL ASSOCIATES, PC

Doing business as

Hartford Specialists

Practice address

455 Lewis Ave
Suite 210
Meriden, CT 06451-2121

Phone

(203) 238-1241

Fax

(203) 686-0791

NPI assigned

Aug 23, 2011

Last updated

Jan 3, 2012By the provider in NPPES

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 2

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": "1316227291",
    "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": "455 LEWIS AVE",
            "address_2": "SUITE 210",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512121",
            "telephone_number": "203-238-1241",
            "fax_number": "203-686-0791"
        }
    ],
    "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartford Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy L Hankey-Mangini, LCSW
• Debra W Hanratty, LCSW,BSW,MSW
• Jonathan Edward Harrington
• Apphia Rose Harris, APRN
• Amanda M Harte, PA-C
• Hartford Healthcare Medical Group Specialists LLC
• Hartford Healthcare Medical Group, Inc
• Jonathan E Hasson, M.D., P.A.
• Robert W. Hastings, CRNA
• Andrew Hatch, PA-C

• Durable Medical Equipment & Medical Supplies in Meriden, CT
• Providers in Meriden, 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.