Active NPI
Edward Charles Hobday, PA-C
- Physician Assistant
- Cromwell, CT
National Provider Identifier
1427062892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000003
- Practice address
- 160 West St
Ste a, BLDG 1
Cromwell, CT 06416-2441 - Phone
- (860) 632-0144
- Fax
- (860) 632-7882
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000003 | CT | Primary |
Addresses
Primary practice location
160 West St
Ste a, BLDG 1
Cromwell, CT 06416-2441
Mailing address
160 West St
Ste a, BLDG 1
Cromwell, CT 06416-2441
Phone (860) 632-0144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000003 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montano Wellness LLC | Past | Accepting new patients | |
| C. Brendan Montano MD PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18438/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Cromwell, CT
- NPI 1609062553
-
- Internal Medicine Physician
- Cromwell, CT
- NPI 1740776954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427062892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WEST ST",
"address_2": "STE A, BLDG 1",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162441",
"telephone_number": "860-632-0144",
"fax_number": "860-632-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 WEST ST",
"address_2": "STE A, BLDG 1",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162441",
"telephone_number": "860-632-0144",
"fax_number": "860-632-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBDAY",
"first_name": "EDWARD",
"middle_name": "CHARLES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.