Colchester Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COLCHESTER INTERNAL MEDICINE, LLC

Practice address

199 Old Hartford Rd
Unit #6
Colchester, CT 06415-2739

Phone

(860) 537-2262

Fax

(860) 537-2273

NPI assigned

Sep 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Elisabeth Hylwa, M.D.NPI 1124092515

Title

LLC Managing Member

Phone

(860) 537-2262

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Catherine Elisabeth Hylwa, M.D.

  • Internal Medicine Physician
  • Colchester, CT
  • NPI 1124092515
  Authorized official Same address or phone

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083716203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 OLD HARTFORD RD",
            "address_2": "UNIT #6",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152739",
            "telephone_number": "860-537-2262",
            "fax_number": "860-537-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 OLD HARTFORD RD",
            "address_2": "UNIT #6",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152739",
            "telephone_number": "860-537-2262",
            "fax_number": "860-537-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLCHESTER INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYLWA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "LLC MANAGING MEMBER",
        "authorized_official_telephone_number": "860-537-2262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Srinivasulu Conjeevaram, MD

• Internal Medicine Physician in Colchester, CT
• Providers in Colchester, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.