NPIMap

Organization Active NPI

St. Vincents Urgent Care LLC

  • Internal Medicine Physician
  • Trumbull, CT
National Provider Identifier
1043852569
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST. VINCENTS URGENT CARE LLC
Practice address
900 White Plains Rd
Trumbull, CT 06611-5727
Phone
(203) 696-3500
NPI assigned
Oct 16, 2019
Last updated
Oct 16, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ST VINCENT'S MULTISPECIALTY GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Ms. Llatoya Gayle
Title
Credentialing Coordinator
Phone
(475) 210-5346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

900 White Plains Rd
Trumbull, CT 06611-5727

Mailing address

2720 Main St
Bridgeport, CT 06606-5363
Phone (475) 210-5346

National Provider Directory

National Provider Directory

Locations

1640 Barnum Ave
Bridgeport, CT 06610
Phone (203) 334-1774

2720 Main St
Ste 1
Bridgeport, CT 06606

900 White Plains Rd
Ste D
Trumbull, CT 06611
Phone (203) 696-3500

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1043852569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065363",
            "telephone_number": "475-210-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115727",
            "telephone_number": "203-696-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENTS URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST VINCENT'S MULTISPECIALTY GROUP",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "LLATOYA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "475-210-5346",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.