Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELYSSA L ROOT, PA
ActiveELYSSA L ROOT, PA is a Physician Assistant healthcare provider located in FARMINGTON, Connecticut. NPI 1801040613 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FARMINGTON, CT
Registration Details
- NPI Number
- 1801040613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2008 (17.766304675134 yrs)
- Last Updated
- Apr 2, 2025
- Licenses
-
23-012973 (NY)002262 (CT)
Practice Information
- Address
-
263 FARMINGTON AVENUEFARMINGTON, CT, 060304038Browse CT providers · Browse ZIP 06030
- Phone
- 8606796600
- Fax
- 8606796604
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| DAVID MALCHMAN | PA | 1881692085 |
| JUDE J ADE | PA | 1508865585 |
| LISA A MALONE | PA-C | 1740263409 |
| KIM A STANOWSKI | PA-C | 1346224771 |
| COREY A CHAMPEAU | P.A. | 1992756308 |
| MR. THOMAS VINCENT GOCKE III | PA-C | 1508819749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.