Laura C Popeleski, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001426 Issued in CT

Practice address

163 Broadway St
Colchester, CT 06415-1022

Phone

(860) 537-4601

Fax

(860) 537-6935

NPI assigned

Sep 1, 2006

Last updated

Apr 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Connecticut Orthopaedic and Hand Surgery Center, P.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Willimantic, CT
  • NPI 1194773382
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1982706990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602737",
            "telephone_number": "860-425-8701",
            "fax_number": "860-425-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151022",
            "telephone_number": "860-537-4601",
            "fax_number": "860-537-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPELESKI",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Pineiro, PA-C
• Amy Pinnock-Robinson, LCSW
• Natalia Pisklak
• Wendy Pizzoferrato, RN
• Barbara Pokorny, APRN
• Priya Tandon M.D. LLC
• Professional Dental Alliance of Colchester, PLLC (Life Long Dental Care of Colchester)
• Joshua Pruitt, PHARM.D.
• Psychotherapy Associates of CT, LLC
• Susan Gene Pugatch, RPT

• Medical Physician Assistant in Colchester, CT
• Providers in Colchester, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.