Individual provider Active NPI

Daniel Ward, PA-C

  • Medical Physician Assistant
  • Hartford, CT
National Provider Identifier
1528329240
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002760 Issued in CT
Practice address
114 Woodland St
Dept of Surgery
Hartford, CT 06105-1208
Phone
(860) 714-5237
Fax
(860) 714-8097
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X CT
Medical Physician Assistant 363AM0700X 002760 CT Primary

Addresses

Primary practice location

114 Woodland St
Dept of Surgery
Hartford, CT 06105-1208

Mailing address

1000 Asylum Ave
Suite 2109a
Hartford, CT 06105-1770
Phone (860) 714-5058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120827000731 CT Practitioner - Physician Assistant 7719134725 Reassigns benefits to 3 organizations
I20231010003866 MA Practitioner - Physician Assistant 7719134725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Hartford PLLCGroup PAC ID 6002703246, 14 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208

31 Sycamore St
Glastonbury, CT 06033-4540
Phone (860) 969-6400

673 Cottage Grove Rd
Bloomfield, CT 06002-3033
Phone (860) 964-6400

80 Cone St
Hartford, CT 06105-2504
Phone (860) 969-6400

9 Cranbrook Blvd
Enfield, CT 06082-3889
Phone (860) 969-6400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2760CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 9, 2012 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

148 Hazard Ave
Enfield, CT 06082
Phone (413) 567-6860

9 Cranbrook Blvd
Ste 102
Enfield, CT 06082

31 Sycamore St
Ste 102
Glastonbury, CT 06033
Phone (860) 714-8424

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1528329240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 2109A",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-5058",
            "fax_number": "860-714-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "DEPT OF SURGERY",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208",
            "telephone_number": "860-714-5237",
            "fax_number": "860-714-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "002760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.