Edward Stanley Sawicki, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1163922 Issued in CT

Practice address

1703 Main St
Willimantic, CT 06226-1162

Phone

(860) 456-1781

Fax

(860) 450-1660

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1013916097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HHC CVO ENROLLMENT",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 MAIN ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261162",
            "telephone_number": "860-456-1781",
            "fax_number": "860-450-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWICKI",
        "first_name": "EDWARD",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "1163922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "16392",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary K Salustri, LCSW
• Alexa Veley Sampino, CRNA
• Shawn Samuels
• Liz Sanchez
• Patricia Sanchez, MSW
• Nicole E Sbalcio
• SBS Pharmacy LLC (Willimantic Pharmacy)
• Karla Renee Scanlon, DPM
• Michael James Scanlon, DPM
• Stephen F. Scarangella, M.D.

• Internal Medicine Physician in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.