Vernon Manor

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

014401 Issued in CT

Legal business name

VERNON MANOR

Practice address

385 W Center St
Manchester, CT 06040-4738

Phone

(860) 871-0385

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Ann Cohun

Title

Office Manager

Phone

(860) 871-0385

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1013951466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 W CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404738",
            "telephone_number": "860-871-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 W CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404738",
            "telephone_number": "860-871-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "COHUN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-871-0385"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "014401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C03080",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Manchester, CT
• Providers in Manchester, 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 Mar 5, 2008; 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.