Active NPI
Maryann Igoe, APRN
- Internal Medicine Physician
- Vernon, CT
National Provider Identifier
1083681555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 000646
- Practice address
- 57 Hartford Tpke
Vernon, CT 06066-5258 - Phone
- (860) 645-1112
- Fax
- (860) 533-1289
- NPI assigned
- Mar 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 000646 | CT | Primary |
Addresses
Primary practice location
57 Hartford Tpke
Vernon, CT 06066-5258
Mailing address
PO Box 3249
Vernon, CT 06066-2149
Phone (860) 872-2289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000648 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 000646 | CT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Manchester Hospital, Inc. | Past | Accepting new patients | |
| Healthwise Medical Associates, LLP | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Vernon, CT
- NPI 1891749933
Internal Medicine
-
- Health Educator
- South Windsor, CT
- NPI 1821695222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083681555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3249",
"city": "VERNON",
"state": "CT",
"postal_code": "060662149",
"telephone_number": "860-872-2289",
"fax_number": "860-896-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 HARTFORD TPKE",
"city": "VERNON",
"state": "CT",
"postal_code": "060665258",
"telephone_number": "860-645-1112",
"fax_number": "860-533-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGOE",
"first_name": "MARYANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "000646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, CT
- Judy Huang-Bulger, M.D.
- Chase Ernest Hubbard, DPT, PT
- Harold Hutensky, DDS
- Ibeam Medical Connecticut, LLC
- Elizabeth Anne Ibey, MSOTRL
- Integrated Dermatology of Vernon, PLLC
- Integrated Rehabilitation Services Limited Partnership
- Integrated Rehabilitation Services, LLC
- Jaclyn Inzalaco
- Alyssa Itzkowitz, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.