Hartford Dermatology Associates PC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

031336 Issued in CT

Legal business name

HARTFORD DERMATOLOGY ASSOCIATES PC

Practice address

65 Memorial Rd
Suite 450
West Hartford, CT 06107-2434

Phone

(860) 523-1087

Fax

(860) 523-1472

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Janet L Weisner

Title

Office Manager

Phone

(860) 523-1087

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aileen Marie Deamer, APRN

  • Nurse Practitioner
  • Newington, CT
  • NPI 1164418265
  Medicare reassignment Care Compare group NPD
• Lisa C Kugelman, MD

  • Procedural Dermatology Physician
  • West Hartford, CT
  • NPI 1235173873
  Medicare reassignment Care Compare group NPD
• Wendy Levinbook, M.D.

  • Dermatology Physician
  • West Hartford, CT
  • NPI 1528064722

  Procedural Dermatology

  Medicare reassignment Care Compare group NPD
• Mary W Chang, MD

  • Pediatric Dermatology Physician
  • Farmington, CT
  • NPI 1962407718
  NPD (past)
• Amy Ruth Payne, M.D.

  • Dermatology Physician
  • Clyde, NC
  • NPI 1245233030
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1467588343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MEMORIAL RD",
            "address_2": "SUITE 450",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072434",
            "telephone_number": "860-523-1087",
            "fax_number": "860-523-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MEMORIAL RD",
            "address_2": "SUITE 450",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072434",
            "telephone_number": "860-523-1087",
            "fax_number": "860-523-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "WEISNER",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-523-1087",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CT",
            "license": "031336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004394277",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anderson Geer Hart, DC, ATC
• Suzanne Ellen Hart, SLP
• Hartford Cardiology Group, LLC
• Hartford Clinical Associates, PC (Hartford Specialists)
• Hartford Dental Incorporated
• Hartford Family Institute, LLP
• Hartford Family Medicine Center, LLC
• Hartford Healthcare Medical Group Specialists LLC
• Hartford Healthcare Medical Group, Inc
• Julian Norris Hartt Jr., LCSW

• Procedural Dermatology Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Procedural Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.

Verify at the official NPI Registry.