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DR. JONATHAN PENDLETON M.D. NPI 1568464212


NPI Information

NPI: 1568464212
Provider Name: DR. JONATHAN PENDLETON, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
184 EAST ST
GROVE HILL MEDICAL CENTER
PLAINVILLE, CT
ZIP 06062
Phone: (860) 747-5766
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DR. Jonathan Pendleton, M.D. is an internal medicine in Plainville, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Jonathan Pendleton, M.D. NPI is 1568464212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

184 EAST ST
GROVE HILL MEDICAL CENTER
PLAINVILLE, CT
ZIP 06062-913
Phone: (860) 747-5766
Fax: (860) 747-2028

The enumeration date for this NPI number is 8/12/2005 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine022201CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1060031OTHERCONNECTICUTHEALTH NET
2P369805OTHERCONNECTICUTOXFORD
3010022201CT01OTHERCONNECTICUTBCBS & BCFP ID
4C01373MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTGHMC GROUP MEDICARE ID
55978401OTHERCONNECTICUTCONNECTICARE
6B39647MEDICARE UPIN
7135678OTHERCONNECTICUTWELLCARE MEDICARE
81255448155OTHERCONNECTICUTGHMC GROUP NPI ID
9110000999MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
10004215324MEDICAIDCONNECTICUT
11001222017MEDICAIDCONNECTICUT
12110116250OTHERCONNECTICUTRAIL ROAD MEDICARE ID
13477354OTHERCONNECTICUTAETNA
1401022201OTHERCONNECTICUTCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.