Organization Active NPI

Lifespring Pediatrics LLC

  • Pediatrics Physician
  • Southington, CT
National Provider Identifier
1033157722
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LIFESPRING PEDIATRICS LLC
Practice address
55 Meriden Ave
Suite 3a
Southington, CT 06489-3238
Phone
(860) 426-9440
Fax
(860) 426-9646
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Maureen Onyirimba, M.D.NPI 1821042953
Title
Owner
Phone
(860) 426-9440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0205X

Addresses

Primary practice location

55 Meriden Ave
Suite 3a
Southington, CT 06489-3238

Mailing address

63 Arlen Way
West Hartford, CT 06117-1104
Phone (860) 830-0238

National Provider Directory

National Provider Directory

Locations

479 Buckland Rd
South Windsor, CT 06074
Phone (860) 644-3491

55 Meriden Ave
Ste 3A
Southington, CT 06489
Phone (860) 426-9440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1033157722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ARLEN WAY",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171104",
            "telephone_number": "860-830-0238",
            "fax_number": "860-426-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERIDEN AVE",
            "address_2": "SUITE 3A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893238",
            "telephone_number": "860-426-9440",
            "fax_number": "860-426-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "ONYIRIMBA",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-426-9440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.