Healthcare Provider Details

I. General information

NPI: 1619090396
Provider Name (Legal Business Name): JAMES KRISTOPHER WARE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 SEYMOUR STREET SUITE 100
HARTFORD CT
06106-5501
US

IV. Provider business mailing address

74 BATTERSON PARK RD STE 107
FARMINGTON CT
06032-2565
US

V. Phone/Fax

Practice location:
  • Phone: 860-244-1017
  • Fax: 860-524-8965
Mailing address:
  • Phone: 860-549-8276
  • Fax: 860-674-8084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD15396
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number56366
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number040-0003455
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: