ROSE K KNITTEL M.D. NPI 1942657671

NPI Information

NPI: 1942657671
Provider Name: ROSE K KNITTEL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 SEABURY DR FL 5
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 380-5150
Get Directions

Rose K Knittel, M.D. is a family medicine in Bloomfield, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Rose K Knittel, M.D. NPI is 1942657671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 SEABURY DR FL 5
BLOOMFIELD, CT
ZIP 06002-618
Phone: (860) 380-5150
Fax: (860) 726-2230

The NPI 1942657671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2016 and was last updated on 9/21/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		ML60661994	WASHINGTON	No
2	207Q00000X	Family Medicine		MD60876085	WASHINGTON	No
3	207QA0505X	Family Medicine	Adult Medicine	MD60876085	WASHINGTON	No
4	207Q00000X	Family Medicine		75693	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2059441	MEDICAID	WASHINGTON
2	01414618	OTHER	WASHINGTON	LABOR AND INDUSTRIES

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

NPI Synchronization or Removal

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