A Walk-in Medical Center LLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

036038 Issued in CT

Legal business name

A WALK-IN MEDICAL CENTER LLC

Practice address

365 Willard Ave
Suite 2E
Newington, CT 06111-2373

Phone

(860) 436-3226

Fax

(860) 436-3229

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Stuart Calle, M.DNPI 1740399302

Title

Owner

Phone

(860) 436-3226

Specialties & licenses 1

Addresses

Tax ID family

A Walk-in Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Walk-in Medical Center

  • Urgent Care Clinic/Center
  • Newington, CT
  • NPI 1043346539
  NPD tax ID

Locations

Practitioners 1

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

• Stuart C Calle, MD

  • Emergency Medicine Physician
  • Newington, CT
  • NPI 1740399302
  NPD (past) Authorized official

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1053864348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WILLARD AVE",
            "address_2": "SUITE 2E",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112373",
            "telephone_number": "860-436-3226",
            "fax_number": "860-436-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WILLARD AVE",
            "address_2": "SUITE 2E",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112373",
            "telephone_number": "860-436-3226",
            "fax_number": "860-436-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WALK-IN MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "CALLE",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-436-3226",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CT",
            "license": "036038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medical Services (Emergency Medicine) Physician in Newington, CT
• Providers in Newington, CT by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.