Active NPI
David L Ozimek, PA-C
- Physician Assistant
- Enfield, CT
National Provider Identifier
1528399763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000245
- Practice address
- 140 Hazard Ave
Suite 101
Enfield, CT 06082-4520 - Phone
- (860) 763-7668
- Fax
- (860) 763-7676
- NPI assigned
- Jan 28, 2010
- 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 | 000245 | CT | Primary |
Addresses
Primary practice location
140 Hazard Ave
Suite 101
Enfield, CT 06082-4520
Mailing address
140 Hazard Ave
Suite 101
Enfield, CT 06082-4520
Phone (860) 763-7668
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 |
|---|---|---|---|
| 000245 | CT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1528399763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HAZARD AVE",
"address_2": "SUITE 101",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824520",
"telephone_number": "860-763-7668",
"fax_number": "860-763-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HAZARD AVE",
"address_2": "SUITE 101",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824520",
"telephone_number": "860-763-7668",
"fax_number": "860-763-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZIMEK",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.