Raymond Chagnon, MD.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

21539 Issued in CT

Practice address

490 Blue Hills Ave
PT and Rehab
Hartford, CT 06112-1513

Phone

(860) 714-2647

NPI assigned

Dec 14, 2006

Last updated

Oct 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1649332909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BLUE HILLS AVE",
            "address_2": "PT AND REHAB",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121513",
            "telephone_number": "860-714-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 BLUE HILLS AVE",
            "address_2": "PT AND REHAB",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121513",
            "telephone_number": "860-714-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGNON",
        "first_name": "RAYMOND",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "021539",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "21539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Cersosimo
• Kristin Leigh Chabot, MFT
• Yasmin Chadwick
• Sara Elizabeth Chaffee, PA-C
• Linda M Chaffkin, M.D.
• Catherine Ann Chakar-Iyengar, CRNA
• David M Chaletsky, MD
• Brianna Leigh Chamberlain
• Megan Chambers, APRN
• Sandra Elaine Chambers, PHD, LPCA

• Physical Medicine & Rehabilitation Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.