Provider Demographics
NPI:1487602447
Name:NUGENT, JAMES (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:NUGENT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 409
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:860-547-0616
Mailing Address - Fax:860-524-2655
Practice Address - Street 1:1 LIBERTY SQ
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2636
Practice Address - Country:US
Practice Address - Phone:860-547-0616
Practice Address - Fax:860-524-2655
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000516213E00000X, 213ER0200X, 213ES0103X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4348116OtherAETNA
CT061406459OtherCOMMUNITY HEALTH NETWORK
CT1487602447OtherANTHEM BCBS
CT3V4809OtherHEALTH NET
CT061406459OtherGREAT WEST HEALTHCARE
CT1487602447Medicaid
CT061406459OtherPRIME HEALTH
CTP4083484OtherOXFORD
CT061406459OtherCARESYS MCMC
CT061406459OtherMULTIPLAN
CT061406459OtherCHN PPO
CT06140645903OtherTRICARE
CT051600OtherCONNECTICARE
CT061406459OtherBERKLEY ADMINISTRATORS
CT061406459OtherCORVEL
CT061406459OtherPRIVATE HEALTHCARE SYSTEMS
CT061406459OtherUNITED HEALTHCARE
CT118248OtherWELLCARE
CT061406459OtherPIONEER
CT8139253OtherCIGNA
CT061406459OtherPIONEER
CT061406459OtherUNITED HEALTHCARE