| Entity Name: | NUVANCE HEALTH MEDICAL PRACTICE CT, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 28 Jun 1985 |
| Business ALEI: | 0171304 |
| Annual report due: | 28 Jun 2025 |
| NAICS code: | 621498 - All Other Outpatient Care Centers |
| Business address: | 100 Reserve Road, Danbury, CT, 06810, United States |
| Mailing address: | 100 Reserve Road, Danbury, CT, United States, 06810 |
| ZIP code: | 06810 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| E-Mail: | CLS-CTARMSevidence@wolterskluwer.com |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | NUVANCE HEALTH MEDICAL PRACTICE CT, INC., NEW YORK | 3349444 | NEW YORK |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Christopher Lehrach MD | Officer | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Patrick Broderick MD | Officer | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Daniel DeBarba | Officer | 100 Reserve Road, Danbury, CT, 06810, United States | 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States |
| Brian Wyatt | Officer | 100 Reserve Road, Danbury, CT, 06810, United States | 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States |
| Shantala Sonnad MD | Officer | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Lorraine Allegro-Skinner MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Patrick Broderick MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Craig Serin MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Paul Fiedler MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Amber Mitchell MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Thomas Koobatian MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| James Nitzkorski MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Charles Herrick MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Aarti Campo MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Steven Gorelick MD | Director | 100 Reserve Road, Danbury, CT, 06810, United States | 100 Reserve Road, Danbury, CT, 06810, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | WESTERN CONNECTICUT MEDICAL GROUP, INC. | NUVANCE HEALTH MEDICAL PRACTICE CT, INC. | 2020-06-05 |
| Name change | WESTERN CONNECTICUT MEDICAL GROUP, P.C. | WESTERN CONNECTICUT MEDICAL GROUP, INC. | 2013-12-31 |
| Name change | DANBURY OFFICE OF PHYSICIAN SERVICES, P.C. | WESTERN CONNECTICUT MEDICAL GROUP, P.C. | 2011-09-15 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0013273632 | 2024-12-02 | No data | Mass Agent Change � Address | Agent Address Change | No data |
| BF-0012049423 | 2024-05-29 | No data | Annual Report | Annual Report | No data |
| BF-0011078171 | 2023-05-30 | No data | Annual Report | Annual Report | No data |
| BF-0010402939 | 2022-06-02 | No data | Annual Report | Annual Report | 2022 |
| 0007359659 | 2021-06-03 | No data | Annual Report | Annual Report | 2021 |
| 0007326070 | 2021-04-28 | 2021-04-28 | Change of Agent | Agent Change | No data |
| 0006918369 | 2020-06-05 | 2020-06-05 | Amendment | Amend Name | No data |
| 0006904228 | 2020-05-14 | No data | Annual Report | Annual Report | 2020 |
| 0006626927 | 2019-08-20 | No data | Annual Report | Annual Report | 2019 |
| 0006178113 | 2018-05-07 | No data | Interim Notice | Interim Notice | No data |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website
