Med- East Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MED- EAST ASSOCIATES LLC

Practice address

200 Merrow Rd
Tolland, CT 06084-3416

Phone

(860) 456-1252

Fax

(860) 456-2278

NPI assigned

Dec 19, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Marie A Hakmiller

Title

Administrator

Phone

(860) 456-1252

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Med East Medical Walk In Center Other name

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1639155997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERROW RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843416",
            "telephone_number": "860-456-1252",
            "fax_number": "860-456-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERROW RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843416",
            "telephone_number": "860-456-1252",
            "fax_number": "860-456-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED- EAST ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HAKMILLER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-456-1252",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004088755",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med East Medical Walk In Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan William Maringola, PA
• Zachary Gavin Martinez, D.D.S.
• Tara McCann
• Catharine B McDonald, MS, NCC, LPC
• Jennifer McMillan, M.ED
• Ana Maria Mejia
• Michelle Gaston LLC
• Nicole Marie Millar, PHARMD
• Lisa Ann Miller, MS, RD
• Laura Mills, PT

• Internal Medicine Physician in Tolland, CT
• Providers in Tolland, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.