Provider Demographics
NPI:1831196161
Name:HONOR, MICHAEL S (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:HONOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-832-8150
Mailing Address - Fax:860-224-6953
Practice Address - Street 1:300 KENSINGTON AVE
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-3916
Practice Address - Country:US
Practice Address - Phone:860-832-8150
Practice Address - Fax:860-224-6953
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT030186207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT01030186OtherCIGNA PROV ID
CT912410OtherHEALTH NET REF ID
CT001301861Medicaid
CT010030186CT02OtherBCBS N BCFP PROV ID
CT060029OtherHEALTH NET PROV ID
CT135692OtherWELLCARE MEDICARE
CT476793OtherAETNA REF ID
CT1255448155OtherGHMC GRP NPI ID
CT73678401OtherCONNECTICARE PROV ID
CTP369813OtherOXFORD PROV ID
CT004215324Medicaid
CTC01373Medicare ID - Type UnspecifiedGHMC GRP MEDICARE ID
CT004215324Medicaid
CT135692OtherWELLCARE MEDICARE