MEDICARE: DR. JONATHAN PENDLETON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	022201	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	135678	OTHER	CT	WELLCARE MEDICARE
8	110116250	OTHER	CT	RAIL ROAD MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P369805	OTHER	CT	OXFORD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1255448155	OTHER	CT	GHMC GROUP NPI ID
5	5978401	OTHER	CT	CONNECTICARE
6	010022201CT01	OTHER	CT	BCBS & BCFP ID
7	060031	OTHER	CT	HEALTH NET
9	477354	OTHER	CT	AETNA
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	01022201	OTHER	CT	CIGNA

General Provider Information

NPI Number	:	1568464212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN PENDLETON M.D.

Provider Business Mailing Address
First Line	:	300 KENSINGTON AVE
Second Line	:	GROVE HILL MEDICAL CENTER
City	:	NEW BRITAIN
State	:	CT
Zip	:	06051-3916
Country	:	US
Telephone Number	:	860-747-5766
Fax Number	:	860-747-2028

Provider Business Practice Location Address
First Line	:	184 EAST ST
Second Line	:	GROVE HILL MEDICAL CENTER
City	:	PLAINVILLE
State	:	CT
Zip	:	06062-2913
Country	:	US
Telephone Number	:	860-747-5766
Fax Number	:	860-747-2028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/09/2007

Similar Medicare Providers

1316943285 — DR. ANGELA G GEDDIS M.D.
Practice Location Address:

184 EAST ST
PLAINVILLE, CT
06062-2913

Practice Phone: 860-747-1132
Practice Fax: 860-747-2028

1457357246 — DR. PETER J HARRIS M.D.
Practice Location Address:

184 EAST ST
PLAINVILLE, CT
06062-2913

Practice Phone: 860-747-5766
Practice Fax: 860-747-2028

1275539066 — DR. KAREN P HAVERLY M.D.
Practice Location Address:

184 EAST ST
PLAINVILLE, CT
06062-2913

Practice Phone: 860-747-5766
Practice Fax: 860-747-2028

1750377701 — DR. DAVID P ROY M.D.
Practice Location Address:

184 EAST ST , GROVE HILL MEDICAL CENTER
PLAINVILLE, CT
06062-2913

Practice Phone: 860-747-5766
Practice Fax: 860-747-2028

1104813377 — DR. DAVID E SOWA M.D.
Practice Location Address:

184 EAST ST , GROVE HILL MEDICAL CENTER
PLAINVILLE, CT
06062-2913

Practice Phone: 860-747-0730
Practice Fax: 860-747-2028

1538543368 — MRS. ASHLEY MARIE BOGUE PA-C
Practice Location Address:

184 EAST ST
PLAINVILLE, CT
06062-2913

Practice Phone: 860-747-5766
Practice Fax: 860-747-2028

Directions to “ DR. JONATHAN PENDLETON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.