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PEDICORP, PC
NPI 1952581928
Pediatrics - Adolescent Medicine in West Hartford, CT

Active since November 07, 2007CLIA 07D0094535 · Waiver
345 N MAIN ST, SUITE 248, WEST HARTFORD, CT 06117(860) 231-8453(860) 523-4061 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pedicorp, Pc NPPES

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

PEDICORP, PC (NPI 1952581928) is a healthcare organization registered as an adolescent medicine in West Hartford, Connecticut and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Ellen Guertin, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1952581928
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDICORP, PC
Location Address345 N MAIN ST, SUITE 248West Hartford, CT 06117-2515
Mailing Address345 N Main St, Suite 248West Hartford, CT 06117-2515 · (860) 231-8453 · Fax (860) 523-4061
Phone(860) 231-8453
Fax(860) 523-4061
Organization SubpartNo
Authorized OfficialEllen GuertinPractice Manager · (860) 231-8453
Enumeration DateNovember 7, 2007
✔ NPI 1952581928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
345 N MAIN ST, West Hartford, CT 06117
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0094535

Pedicorp PC · West Hartford, CT
Active · expires Jun 15, 2027
CLIA Number07D0094535
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorAllyson Duffy
Laboratory Phone(860) 231-8345
Laboratory LocationPedicorp PC345 North Main Street Suite 248, West Hartford, CT 06117
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ERIN HANNAN NP
Nurse Practitioner (Family)
345 N MAIN ST, SUITE 248
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 231-8345
MEGHAN DUNN
Counselor (Mental Health)
345 N MAIN ST
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 937-3875
MRS. ALEXIS LEVESQUE
Behavior Technician
345 N MAIN ST
WEST HARTFORD, CT 06117
Capitol Planning Region (959) 223-3077
KELLY ANN RIGGIERI APRN
Nurse Practitioner (Family)
345 N MAIN ST, SUITE 245
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 236-3000
MARIAN KELLNER MD
Obstetrics & Gynecology (Gynecology)
345 N MAIN ST, SUITE 201
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 231-2476
TRINH TU TRAN PA-C
Physician Assistant
345 N MAIN ST, SUITE 200
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 236-1300
TAMERA HOLLEY
Behavior Technician
345 N MAIN ST
WEST HARTFORD, CT 06117
Capitol Planning Region (203) 816-0091
EPSTEIN & RAPOPORT P.C.
Dentist (Pediatric Dentistry)
345 N MAIN ST, SUITE 320
WEST HARTFORD, CT 06117
Capitol Planning Region (860) 523-4213

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 Pedicorp, PC's NPI number?

The NPI number for Pedicorp, PC is 1952581928. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is Pedicorp, PC located?

Pedicorp, PC is located at 345 N Main St Suite 248, West Hartford, CT 06117. The listed phone number is (860) 231-8453.

What is Pedicorp, PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Pedicorp, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0094535) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pedicorp, PC was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.