Individual provider Active NPI

Loretta Ruth Hallock, D.O.

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1881960201
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
055640 Issued in CT
Practice address
114 Woodland St.
St. Francis Hospital
Hartford, CT 06105
Phone
(860) 720-4529
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CT
Obstetrics & Gynecology Physician 207V00000X 055640 CT Primary

Addresses

Primary practice location

114 Woodland St.
St. Francis Hospital
Hartford, CT 06105

Mailing address

114 Woodland St.
Dept. OB/GYN
Hartford, CT 06105
Phone (860) 714-5170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161003000966 CT Practitioner - Obstetrics/Gynecology 7517254766 Reassigns benefits to 2 organizations
I20210108000932 ME Practitioner - Obstetrics/Gynecology 7517254766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

10 Main St S
Specialists in Womens Healthcare
Southbury, CT 06488-2260
Phone (203) 754-2535

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

134 Grandview Ave
Waterbury, CT 06708-2507
Phone (203) 754-2535

Hospital & facility affiliations

  • Waterbury Hospital Hospital, Waterbury, CT, CCN 070005

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center Current Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 10, 2023 Accepting new patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Sep 11, 2023 Accepting new patients
Northeast Medical Group, Inc. Obstetrics & Gynecology CurrentSince Sep 19, 2016 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 10, 2023 Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

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

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

4 Corporate Dr
Ste 286
Shelton, CT 06484
Phone (203) 929-9000

10 Main St S
Southbury, CT 06488
Phone (203) 264-6334

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

134 Grandview Ave
Waterbury, CT 06708
Phone (203) 573-6270

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: loretta.hallock.1@10170.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1881960201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST.",
            "address_2": "DEPT. OB/GYN",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-714-5170",
            "fax_number": "860-714-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST.",
            "address_2": "ST. FRANCIS HOSPITAL",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-720-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOCK",
        "first_name": "LORETTA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "055640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.