Active NPI
Allan R Mayer, DO
- Gynecologic Oncology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 000250
- Practice address
- 1000 Asylum Ave
Ste 2110
Hartford, CT 06105-1719 - Phone
- (860) 714-7945
- Fax
- (860) 714-8880
- NPI assigned
- Jun 10, 2005
- Last updated
- Mar 19, 2015
- 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 000250 | CT | Primary |
Addresses
Primary practice location
1000 Asylum Ave
Ste 2110
Hartford, CT 06105-1719
Mailing address
1000 Asylum Ave
Ste 2110
Hartford, CT 06105-1719
Phone (860) 714-7945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010025000 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000250 | CT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Gynecologic Oncology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Prospect CT Medical Foundation, Inc. | Gynecologic Oncology | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
1000 Asylum Ave
Ste 2110
Hartford, CT 06105
Phone (860) 714-4508
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
Gynecologic Oncology
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Gynecologic Oncology
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1437153012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "STE 2110",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051719",
"telephone_number": "860-714-7945",
"fax_number": "860-714-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "STE 2110",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051719",
"telephone_number": "860-714-7945",
"fax_number": "860-714-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "ALLAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CT",
"license": "000250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010025000",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.