Eunice Safoah Asomaning, MD
Individual provider Active NPI Family Medicine Physician · Danielson, CT
NPI 1962758508 · NPPES record last updated Mar 29, 2024
Key facts
- NPI
- 1962758508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD455685 (PA)
- Practice address
- 45 Green Hollow Rd
Danielson, CT 06239-3509 - Phone
- (860) 774-1255
- NPI assigned
- Aug 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Day Kimball Medical Group Inc
Practice addresses (Care Compare)
45 Green Hollow Rd
Danielson, CT 06239-3509
Phone (860) 774-1255
Hospital & facility affiliations
- Day Kimball Healthcare
- Hartford Healthcare at Home
- Day Kimball Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191008000991 | CT | Practitioner - Family Practice | 6709105968 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD455685 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Kimball Medical Group Inc | Family Medicine | Current |
Accepting new patients |
Locations
132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225
45 Green Hollow Rd
Danielson, CT 06239
Phone (860) 774-1255
320 Pomfret St
#2
Putnam, CT 06260
7 Kennedy Dr
Putnam, CT 06260
Phone (860) 928-7704
Interoperability endpoints
- eunice.asomaning.1@1694.direct.athenahealth.com
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD455685 | PA | Yes |
Addresses
Primary practice location
45 Green Hollow Rd
Danielson, CT 06239-3509
Mailing address
320 Pomfret St
CSB #2
Putnam, CT 06260-1836
Phone (860) 928-6541
Other providers in Danielson, CT
- Tanya Abram
- Regina A Ackart
- Joseph Alessandro
- Kristin Allard
- Beverly L Allen
- Kimberly Austin
- Hope B Barton
- Joel Becker
- Callie Bennet
- Brittany Lee Besse
All providers in Danielson, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.