National Provider Identifier Database

CAROLYN A RODERICK, PHYSICIANS ASSISTANT – NPI #1548336258
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

CAROLYN A RODERICK, PHYSICIANS ASSISTANT
9 FARM SPRINGS RD
FARMINGTON, CT06032-2576
Phone: 860-243-4899
Fax: 860-392-3571
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for CAROLYN A RODERICK

NPI Number 1548336258
Credentials PHYSICIANS ASSISTANT
Entity Individual
Enumeration date 11/27/2006
Last updated 07/30/2025 - About 10 months ago
Sole proprietor1 No
Identifiers
  • CT License #: 001360
  • CT Medicaid: 004224490
  • CT Other: 290001360CT05 BLUE CROSS & BLUE SHIELD
  • CT Other: 2V6845 HEALTHNET
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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