Organization Active NPI

Internal Medicine and Family Practice, LLC

  • Family Medicine Physician
  • Hamden, CT
National Provider Identifier
1114250370
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTERNAL MEDICINE AND FAMILY PRACTICE, LLC
Practice address
2447 Whitney Ave Ste 2a
Hamden, CT 06518-3211
Phone
(203) 230-5888
Fax
(203) 230-5889
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
William Douglas Farmer, MDNPI 1689660771
Title
Senior Partner
Phone
(203) 230-5888

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2447 Whitney Ave Ste 2a
Hamden, CT 06518-3211

Mailing address

2447 Whitney Ave Ste 2a
Hamden, CT 06518-3211
Phone (203) 230-5888

Other names 1

  • IMFP Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091012000055 CT Part B Supplier - Clinic/Group Practice 1355487059 Receives reassigned benefits from 1 practitioner
Practice locations: Hamden, CT

National Provider Directory

National Provider Directory

Locations

60 Washington Ave
Ste 104
Hamden, CT 06518

2447 Whitney Ave
#2A
Hamden, CT 06518
Phone (203) 230-5888

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": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1114250370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 WHITNEY AVE STE 2A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183211",
            "telephone_number": "203-230-5888",
            "fax_number": "203-230-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 WHITNEY AVE STE 2A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183211",
            "telephone_number": "203-230-5888",
            "fax_number": "203-230-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "203-230-5888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMFP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.