Individual provider Active NPI

Laurie Schedgick-Davis, DO

  • Internal Medicine Physician
  • Brookfield, CT
National Provider Identifier
1023097763
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043256 Issued in CT
Practice address
401 Federal Rd
Brookfield, CT 06804-2037
Phone
(203) 775-6365
Fax
(203) 740-3010
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 238204 NY
Pediatrics Physician 208000000X 043256 CT
Pediatrics Physician 208000000X 238204 NY
Internal Medicine Physician 207R00000X 043256 CT Primary

Addresses

Primary practice location

401 Federal Rd
Brookfield, CT 06804-2037

Mailing address

401 Federal Rd
Brookfield, CT 06804-2037
Phone (203) 775-6365

Other identifiers 1

IdentifierTypeStateIssuer
001432567MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000941 CT Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 0345261020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Nova Southeastern College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

60 Old New Milford Rd
Brookfield, CT 06804-2430
Phone (203) 775-6365

Hospital & facility affiliations

  • Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
238204NYMDInternal Medicine Physician
043256CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Internal Medicine CurrentSince Nov 8, 2011 Accepting new patients
Southbury Medical Associates, LLP Internal Medicine PastSince May 31, 2020 Accepting new patients
Eastern New York Medical Services PC Internal Medicine PastSince Apr 1, 2013 Accepting new patients

Locations

401 Federal Rd
Brookfield, CT 06804
Phone (203) 775-6365

60 Old New Milford Rd
Brookfield, CT 06804
Phone (203) 740-2900

60 Old New Milford Rd
Ste 2A
Brookfield, CT 06804
Phone (203) 350-6999

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

38 N Main St
Kent, CT 06757
Phone (860) 927-3725

3423 Danbury Rd
Brewster, NY 10509
Phone (845) 279-7200

36 Charles Colman Blvd
Pawling, NY 12564
Phone (845) 855-1258

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1023097763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042037",
            "telephone_number": "203-775-6365",
            "fax_number": "203-740-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042037",
            "telephone_number": "203-775-6365",
            "fax_number": "203-740-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEDGICK-DAVIS",
        "first_name": "LAURIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238204",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "043256",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "238204",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001432567",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.