Hamden Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HAMDEN MEDICAL GROUP, LLC

Practice address

2340 Whitney Ave
Hamden, CT 06518-3511

Phone

(203) 248-8142

Fax

(203) 248-7764

NPI assigned

Jul 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Garth Oliver, M.D.

Title

President/Owner

Phone

(203) 248-8142

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hamden Medical Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1013147602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183511",
            "telephone_number": "203-248-8142",
            "fax_number": "203-248-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183511",
            "telephone_number": "203-248-8142",
            "fax_number": "203-248-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMDEN MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "GARTH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "203-248-8142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004215605",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT TAX ID",
            "identifier": "0003949400",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamden Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hamden Family Dental Center
• Hamden Health Care Limited Partnership
• Hamden Injury Center, Inc
• Hamden Injury Rehabilitation Center, Inc.
• Hamden Markets LLC
• Hamden Medical LLC
• Hamden Medical Services, P.C.
• Hamden Pediatrics
• Hamden Pharmacy Inc.
• Hamden Rehabilitation LLC

• Family Medicine Physician in Hamden, CT
• Providers in Hamden, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.