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HEALING EDGE MEDICAL ASSOCIATES LLC
NPI 1134450828
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in East Granby, CT

Active since January 20, 2010
29 KRIPES RD, SUITE M, EAST GRANBY, CT 06026(860) 413-3883(860) 413-3884 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healing Edge Medical Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALING EDGE MEDICAL ASSOCIATES LLC (NPI 1134450828) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in East Granby, Connecticut and active in the NPI registry since January 2010. The organization lists Ronald Dale Agnes, President/physician, as its authorized official.

NPPES Registry Identity

NPI1134450828
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameHEALING EDGE MEDICAL ASSOCIATES LLC
Location Address29 KRIPES RD, SUITE MEast Granby, CT 06026-9669
Mailing AddressPo Box 152Simsbury, CT 06070-0152 · (860) 978-8825
Phone(860) 413-3883
Fax(860) 413-3884
Organization SubpartNo
Authorized OfficialRonald Dale AgnesPresident/physician · (860) 978-8825
Enumeration DateJanuary 20, 2010
Last NPPES UpdateJune 19, 2013
✔ NPI 1134450828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in CT · 036511
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036511 (CT)
29 KRIPES RD, East Granby, CT 06026
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF23694IL
OtherJ13195IL · Medicare
Medicaid3097037IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN MOFFATT AGNES RD
Dietitian, Registered
29 KRIPES RD
EAST GRANBY, CT 06026
Capitol Planning Region (860) 413-3883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healing Edge Medical Associates LLC's NPI number?

The NPI number for Healing Edge Medical Associates LLC is 1134450828. It was assigned to this organization in the NPPES registry on January 20, 2010.

Where is Healing Edge Medical Associates LLC located?

Healing Edge Medical Associates LLC is located at 29 Kripes Rd Suite M, East Granby, CT 06026. The listed phone number is (860) 413-3883.

What is Healing Edge Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Healing Edge Medical Associates LLC was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.