Frederick T. Conlin, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New Haven, CT
NPI 1992943989 · NPPES record last updated Nov 1, 2012
Key facts
- NPI
- 1992943989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 20 York St # T-209
Yale New Haven Hospital
New Haven, CT 06510-3220 - Phone
- (203) 688-2259
- Fax
- (203) 688-5599
- NPI assigned
- Jan 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Temple University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baystate Medical Practices Inc
Practice addresses (Care Compare)
280 Chestnut St
Suite 2
Springfield, MA 01199-1001
40 Wright St
Palmer, MA 01069-1138
Phone (413) 370-5356
759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439
Hospital & facility affiliations
- Baystate Medical Center
- Baystate Wing Hospital
- Baystate Noble Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20121114000655 | MA | Practitioner - Anesthesiology | 9032369731 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Current |
Accepting new patients | |
| Springfield Anesthesia Service, Inc. | Current |
Accepting new patients | |
| Umass Memorial Medical Group Inc | Past | Accepting new patients |
Locations
164 High St
Greenfield, MA 01301
Phone (413) 772-0211
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385
908 Allen St
Springfield, MA 01118
Phone (413) 732-5139
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
20 York St # T-209
Yale New Haven Hospital
New Haven, CT 06510-3220
Mailing address
400 Blake St
Apt. 1104
New Haven, CT 06515-4410
Phone (413) 530-0319
Other providers in New Haven, CT
- Caitlin Condon
- David Christopher Cone
- Giulia Conley
- Julie Anne Conley
- Molly Conley
- Connecticut Center for Psychiatric Wellness LLC
- Connecticut Children & Family Ctr. Inc
- Connecticut Children and Family Center
- Connecticut CVS Pharmacy, L.L.C.
- Connecticut CVS Pharmacy, L.L.C.
All providers in New Haven, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2012. 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.